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ESIC Code on Social Security 2020

 

ESIC Code on Social Security 2020 - Presentation
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Code on Social Security, 2020

Implementation Notification

📅 Notification Details

File No: N-11011/2/2025-BFT-II
Date Issued: 28th November 2025
Effective From: 21st November 2025
Gazette No: 5143 dated 21.11.2025

Issued by: Employees' State Insurance Corporation (ESIC)

Ministry of Labour & Employment, Government of India

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Purpose of Implementation

Expanding Social Security Coverage

Key Objectives

Modernize Definitions

Update "dependant" and "family" definitions from ESI Act 1948

Expand Benefit Coverage

Include more family members for Dependent & Medical Benefits

Gender-Neutral Approach

Equal rights for widowers and support for working women

Align with CoSS 2020

Implement provisions of the new consolidated Code

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Key Change 1: Dependent Benefit

Widower & Grandparent Inclusion

Section 2(24)(c) - CoSS 2020

❌ Previous (ESI Act 1948)

Limited definition of dependants

Excluded widowers and grandparents

✅ Current (CoSS 2020)

Expanded definition includes:

  • Widower (male spouse)
  • Grandparent

Benefit Entitlement:

Widowers and grandparents can now claim Dependent Benefit after the death of an insured employee

Impact: Gender-neutral and inter-generational care approach

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Key Change 2: Medical Benefit

In-Laws of Woman Employee

Section 2(33)(e) - CoSS 2020

❌ Previous (ESI Act 1948)

Limited family definition

In-laws not covered under medical benefit

✅ Current (CoSS 2020)

Family includes:

  • Father-in-law
  • Mother-in-law
  • (of woman employee only)

Benefit Entitlement:

Father-in-law and mother-in-law of female employees can access Medical Benefits at ESIC hospitals

Impact: Support for working women acknowledging traditional family structures

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Implementation Process

Action Required by Authorities

Addressees

✓ All Regional Directors
✓ Joint Directors (I/c)
✓ Deans of ESIC Medical Colleges
✓ Medical Superintendents
✓ ESIC Hospitals/ESI Hospitals
✓ DMD

Action Points

  1. Apply revised definitions immediately from 21.11.2025
  2. Process claims for newly eligible dependants and family members
  3. Ensure no eligible person is denied benefits under old definitions
  4. Update documentation and claim processing procedures

Approval: Director General, ESIC

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Key Takeaways & Impact

Comprehensive Social Security

Major Highlights

🏆 Gender Equality
Widowers now have equal rights to dependent benefits like widows
👴 Generational Care
Grandparents recognized as dependents, ensuring inter-generational support
👩‍💼 Women Empowerment
Working women can provide medical coverage to in-laws
📜 Legal Framework
Replaces outdated ESI Act 1948 with modern CoSS 2020

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