Coverage Decision
Identify the controlling facts, current Code/Rule requirement, saved operational detail, evidence and responsible owner.
Insurance, registration and identity
Current Code, 2026 Central Rules, saved regulation controls, evidence and remedies.
Decision path
Establishment Registration
Identify the controlling facts, current Code/Rule requirement, saved operational detail, evidence and responsible owner.
Insured-Person Enrolment
Identify the controlling facts, current Code/Rule requirement, saved operational detail, evidence and responsible owner.
Family/Identity Maintenance
Identify the controlling facts, current Code/Rule requirement, saved operational detail, evidence and responsible owner.
Implementation controls
- Lock the insured-person, employer and event identifiers before computation or claim.
- Separate current Code/Rule law from saved 1950 procedure and later ESIC directions.
- Reconcile payroll/contractor, medical, family and contribution data according to the benefit.
- Preserve submission, deficiency, decision, payment, review and appeal timestamps.
- Restrict medical/dependant data access and retain a reasoned exception trail.
Current Code and Rules
Saved operational regulations
Regulation 10BRegistration of factories or establishmentsRegulation 10CSubmission of annual information by factories or establishmentsRegulation 11Declaration by person in employment on appointed dayRegulation 12Declaration by persons engaged after appointed dayRegulation 14Declaration form to be sent to appropriate officeRegulation 15Allotment of insurance numberRegulation 15ARegistration of familiesRegulation 15BChanges in familyRegulation 16Corporation to receive assistance from employersRegulation 17Identity cardsRegulation 17AIssue of certificate of employmentRegulation 17BIssue of permanent acceptance cardRegulation 18Loss of identity card