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Other Beneficiaries and Members of their Families Medical Facilities Scheme, 2010

The Other Beneficiaries and Members of their Families Medical Facilities Scheme, 2010

Published vide Notification New Delhi, the 4th August, 2010

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Ministry of Labour and Employment

G.S.R 654(E). - In exercise of the powers conferred by Section 73B read with Section 73D of the Employees' State Insurance Act, 1948 (34 of 1948), and in supersession of the Other Beneficiaries and Members of their Families Medical Facilities Scheme, 2008, except as respects things done or omitted to be done before such, supersession, the Central Government hereby makes the following Scheme, namely :-

  1. Short title and commencement.- (1) This Scheme may be called The Other Beneficiaries and Members of their Families Medical Facilities Scheme, 2010.

(2) It shall come into force from the date of its publication in the Official Gazette.

  1. Application.- This Scheme shall apply to other beneficiaries and members of their families registered under any scheme, other than the Employees State Insurance Scheme framed by the Central Government.
  2. Definitions.- In this scheme, unless the context otherwise requires,-

(a) "Act" means the Employees' State Insurance Act, 1948 (34 of 1948);

(b) "Corporation" means the Employees' State Insurance Corporation;

(c) "Person" means a person, including members of their families, registered under any scheme, other than the Employees' State Insurance Scheme framed by the Central Government.

(d) All other words and expressions used and not deemed in this scheme shall have the meaning respectively assigned to them in the Act.

  1. Registration.- A person desirous of availing medical treatment and attendance under the Scheme shall be required to -

(a) fill a registration form containing such particulars in respect of himself and members of his family as may be specified by the Corporation;

(b) produce the Identity Card issued to him by the Corporation or issued under any other scheme framed by the Central Government.

  1. Benefits.- Persons registered under this Scheme shall be provided medical treatment and attendance from the underutilized Employees' State Insurance Hospitals.
  2. User Charges.- (1) Persons availing medical treatment and attendance under this Scheme shall be required to pay under charges at such rates as may be notified by the Corporation in consultation with the Central Government.

(2) The user charges collected under sub-paragraph (1) shall be deemed to be contribution and shall form part of the Employees' State Insurance Fund.

  1. Time and Manner of the Medical Facility.- The time and manner in which the medical facilities may be availed by other beneficiaries shall be such as may be, specified by the Corporation from time to time.
  2. Maintenance of Register and Records.- The concerned hospitals shall maintain separate register and record of the persons availing medical treatment and attendance under this Scheme and user charges collected from them in such form and manner as may be specified by the Corporation.