Download
ESIC – Form 15

ESIC – Form 15

Employee State Insurance Corporation (ESIC) is the scheme provided by the Government of India to give affordable healthcare to employees as well as their family members. Any organization having more than 20 employees and a salary of less than 21,000 INR must get registered under the ESIC Act.

The contribution or fund is managed by ESIC (Employee State Insurance Corporation) according to the rules and regulations decided by the government of India. And in this scheme, 1.75% of the income is contributed by Employee and your employer will contribute 4.75% to your ESIC account. Such facilities are indeed very effective for improving and boosting the health, performance, morale, retention and progress of employees.

ESIC form 15 is the claim form for dependant’s benefit. Some of the things you need to consider while filling the forms are the name of the insured person, insurance number, date of death, name of dependant(s). Any person who makes a false statement to avail the benefits of ESI will be considered an offender and will be charged with imprisonment of 6 months or 2000 INR or both.