13. Social Insurance

Social Insurance

Employees’ State Insurance Act, 1948 (ESI Act)

  • Applicability: To factories and establishments employing 10 or more persons.
  • Contributions: Both employer and employee contribute a percentage of wages.
  • Benefits:
    • Medical care for employees and dependents.
    • Sickness benefit (70% of wages for 91 days in a year).
    • Maternity benefit (up to 26 weeks).
    • Disablement and Dependents’ benefits.
    • Funeral expenses.

Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 (EPF Act)

  • Provident Fund (PF): Retirement savings contributed by both employer and employee.
  • Pension Scheme: Monthly pension after retirement or for surviving family members in case of death.
  • EDLI (Employee Deposit Linked Insurance): Insurance cover linked to the PF account.

Unorganized Workers Social Security Act, 2008

  • Targets workers not covered under formal labour laws.
  • Offers social security schemes like:
    • Rashtriya Swasthya Bima Yojana (RSBY) for health insurance.
    • Atal Pension Yojana (APY).
    • Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY).

Code on Social Security, 2020

  • Consolidates nine labour laws including ESI, EPF, maternity, and gratuity.
  • Extends coverage to gig workers, platform workers, and unorganised sector.
  • Introduces National Social Security Board for policymaking.

Significance of Social Insurance

  • Economic Security: Helps families survive financial shocks.
  • Health Protection: Ensures access to affordable medical treatment.
  • Retirement Security: Provides post-retirement income.
  • Social Equality: Reduces disparity between rich and poor.
  • Productivity Boost: Motivates workers with secure futures.

Challenges

  • Low coverage in unorganized sector.
  • Delays in claim settlements.
  • Lack of awareness among workers.
  • Informal employment escaping the net.

Mnemonic to Remember Social Insurance Laws

“ESI Protects Every Worker’s Safety”

  • E – ESI Act (Health & Sickness)
  • P – Provident Fund Act (Retirement & Pension)
  • E – EPF Insurance (EDLI)
  • W – Welfare for Unorganized Sector
  • S – Social Security Code, 2020

Leave a Reply

Your email address will not be published. Required fields are marked *