Employee State Insurance Act


Section 95: Power of Central Government to make rules

(I) The Central Government may [after consultation with the Corporation and] subject to the condition of previous publication, make rules not inconsistent with this Act for the purpose of giving effect to the provisions thereof.

(2) In particular and without prejudice to the generality of the foregoing power, such rules may provide for all or any of the following matter, namely -
[(a) the limit of wages beyond which a person shall not be deemed to be an employee;
(ab) the limit of maximum monthly salary for the purpose of sub-section (1) of Section 17;]
[(ac) the manner in which [appointments] and elections of members of the Corporation, the Standing Committee and the Medical Benefit Council shall be made;
(b) the quorum at meetings of the Corporation, the Standing Committee and the Medical Benefit Council and the minimum number of meetings of those bodies to be held in a year;
(c) the records to be kept of the transaction of business by the Corporation, the Standing Committee and the Medical Benefit Council;
(d) the powers and duties of the {Director General and the Financial Commissioner] and the conditions of their service;
(e) the powers and duties of the Medical Benefit Council;
[(ea) the types of expenses which may be termed as administrative expenses, the percentage of income of the Corporation which may be spent for such expenses;
(eb) the rates of contributions and limits of wages below which employees are not liable to pay contribution.
(ec) the manner of calculation of the average daily wage;
(ed) the manner of certifying the certificate to recover amount by the Recovery Officer;
(ee) the amount of funeral expenses;
(ef) the qualifications, conditions, rates and period of sickness benefit, maternity benefit, disablement benefit and dependents benefit;
(eff) the income of dependant parents from all sources;
(eg) the conditions for grant of medical benefits for insured persons who cease to be in insurable employment on account of permanent disablement.
(eh) the conditions for grant of medical benefits for persons who have attained the age of superannuation;
(ehh) the conditions under which the medical benefits shall be payable to the insured person and spouse of an insured person who has attained the age of superannuation, the person who retires under Voluntary Retirement Scheme and the person who takes pre-mature retirement.
[(ei) the manner in which and the time within which appeals may be filed to medical appeal tribunals or Employees Insurance contracts;
(f)the procedure to be adopted in the execution of contracts;
(g) the acquisition, holding and disposal of property by the Corporation;

(h) the raising and repayment of loans;
(i) the investment of the funds of the Corporation and of any provident or other benefit fund and their transfer or realisation;
(j) the basis on which the periodical valuation of the assets and liabilities of the Corporation shall be made;
(k) the bank of banks in which the funds of the Corporation may be deposited, the procedure to be followed in regard to the crediting of moneys accruing or payable to the Corporation and the manner in which any sums may be paid out of the Corporation funds and the offices by whom such payment may be authorised.
(l) The accounts to be maintained by the Corporation and the forms in which such accounts shall be kept and the times at which such accounts shall be audited;
(m) The publication of the accounts of the Corporation and the report of auditors, the action to be taken on the audit report, the powers of auditors to disallow and surcharge items of expenditure and the recovery of sums so disallowed or surcharged;
(n) The preparation of budget estimates and supplementary estimates and the manner in which such estimates shall be sanctioned and published;
(o) The establishment and maintenance of provident or other benefit fund for officers and servants of the Corporation;
[(oa) the period of non-entitlement for cash benefit in case of conviction of an insured person;]
(p) any matter which is required or allowed by this Act to be prescribed by the Central Government.

[(2-A) The power to make rules conferred by this section shall include the power to give retrospective effect, from a date not earlier than the date of commencement of this Act, to the rules or any of them but no retrospective effect shall be given to any rule so as to prejudicially affect the interest of any person other than the Corporation to whom such rule may be applicable.]

(3) Rules made under this section shall be published in the Official Gazette and thereupon shall have effect as if enacted in this Act.

[(4) Every rule made under this section shall be laid, as soon as may be after it is made, before each House of Parliament while it is in session for a total period of thirty days which may be comprised in one session [immediately following the session or successive sessions aforesaid], both Houses agree in making by modification in the rule or both Houses agree that the rule should not be made, the rule shall thereafter have effect only in such modified form or be of no effect, as the case may be; so however, that any such modification or annulment shall be without prejudice to the validity of anything previously done under that rule.]