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Released Date: 18th Jul, 2017

Central

Introduction Of Self-Declaration Form For Insured Woman Relating To Maternity Benefit Under ESI Scheme

As per ESIC circular dated 18th July 2017, the ESIC has introduced a Self-declaration Form for the Insured Woman. The ESIC had noticed some instances, that the family particulars of IP/IW vary from those available in the IP portal which lead to undue benefit. In order to obviate this issue, it has been decided to obtain a self declaration from the Insured Woman for number of her surviving children as on date of presenting the maternity benefit claim. If there is an inconsistency between the declaration and the particulars on the portal, then 12 week of maternity benefit would be paid immediately from the ESIC Branch. Remaining payment, if any, will be made to Insured woman within 14 days subject to verification. Thus, Insured woman shall now submit self-declaration Form along with claim form No. 19 for the settlement of Maternity Benefit Claim

Effective Date: 18th Jul, 2017

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