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Social Security (Central) Rules, 2026 · 4

Rule 16: Limits for defraying of expenditure

Reviewed by Finin2min Editorial Desk · Last reviewed 30 August 2026

Rule 16 — Governs limits for defraying of expenditure and the rights, duties, powers or procedure expressly stated in this rule. Key operative text: For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own…

Full notified rule textG.S.R. 344(E), 8 May 2026Source checked: 20 August 2026
Rule status

Social Security (Central) Rules, 2026 were finally notified under G.S.R. 344(E), 8 May 2026. The Central Rules must be read with the Code and any later amendment/corrigendum.

Official Gazette

Open the notified Rules ↗

Finin2min analysis — operative rule mechanics

Operative clauses

  • For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who have been disabled or injured, the Corporation may incur an expenditure up to a limit of rupees…

Provisos / explanations

  • No proviso/explanation was separately extracted from this rule.

Thresholds & timelines

  • Limits for defraying of expenditure.–For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who…

Mapped Code sections

Full notified text — Rule 16

English rule text transcribed from the final official 2026 Gazette PDF; layout is normalised for web reading. The Gazette controls.
16. Limits for defraying of expenditure.–For the promotion of measures for the improvement of
the health and the welfare of insured persons, annual medical examination for insured persons of the
age of forty years and above through the Corporation from its own hospitals or dispensaries only and
for the rehabilitation and re-employment of insured persons who have been disabled or injured, the
Corporation may incur an expenditure up to a limit of rupees one thousand crore per year, or as may
be specified by the Central Government from time to time, from the Employees‘ State Insurance
Fund.

Application and evidence

  1. Primary statutory test — For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who have been disabled or injured, the Corporation may incur an expenditure up to a limit of rupees…
  2. Numerical or timing control — Limits for defraying of expenditure.–For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who…
  3. Code Section mapping — 26, 30. Read the mapped provision together with this text rather than treating the concordance as a substitute for it.
  4. Evidence file — retain facts and records proving the role/status of: Employee / worker, Central Government, Corporation / EPFO / Board.

Cross-references & prescribed forms

Sections cited/mapped

Forms

No form is directly mapped in the current rule register.

Worked example

For a worker/member seeking a benefit connected with limits for defraying of expenditure, the file should show coverage, service/contribution facts, the rule/scheme and prescribed form, and the calculation/payment. One statutory point to test is: “Limits for defraying of expenditure.–For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensari” Reconcile the mapped Code Section(s) 26, 30.

Illustrative only. Use the exact notified rule, prescribed form and competent authority.

Q&A — Rule 16

What is Rule 16 of the Social Security (Central) Rules, 2026?

Rule 16 — Governs limits for defraying of expenditure and the rights, duties, powers or procedure expressly stated in this rule. Key operative text: For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own…

What does Rule 16 require or permit?

A principal operative clause extracted from the notified rule is: “For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who have been disabled or injured, the Corporation may incur an expenditure up to a limit of rupees…” Read it with all sub-rules and provisos below.

Does Rule 16 contain a proviso or explanation?

No standalone proviso or explanation was extracted from this rule text. Check the complete rule below for clause-level conditions.

What deadline, period, percentage or amount appears in Rule 16?

The rule contains this numerical/time expression: “Limits for defraying of expenditure.–For the promotion of measures for the improvement of the health and the welfare of insured persons, annual medical examination for insured persons of the age of forty years and above through the Corporation from its own hospitals or dispensaries only and for the rehabilitation and re-employment of insured persons who…” Apply it only in its notified context.

Which Code sections are linked to Rule 16?

The current concordance maps Rule 16 to Section(s) 26, 30.

When did Rule 16 come into force?

The final Central Rules were notified as G.S.R. 344(E), 8 May 2026; Rule 1 states that the Rules come into force on publication. Check any later amendment or corrigendum before reliance.

Primary sources

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Jurisdiction note: This is the Central Rule corpus. Check State rules/notifications where the State Government is the appropriate Government and check later Gazette amendments before acting.
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Editorial owner: CA Nikhil Gupta · Official-source set checked 20 August 2026; provision-level professional review remains matter-specific
Educational purposes only. Exact notified law, rules, schemes, regulator instruments, judicial decisions, state overlays, portal behaviour and facts must be checked before reliance. Verify with a qualified professional.