permanent invalidity due to non-occupational injury, which is a under employment protection scheme criteria

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permanent invalidity non-occupational injury employment protection scheme criteria

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employment protection scheme permanent invalidity benefit non-occupational

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ESIC permanent invalidity benefit non-occupational injury criteria eligibility ESI Act

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ESIC "permanent invalidity benefit" non-occupational Section 56 ESI Act eligibility conditions

The ESIC FAQ source has the precise answer. Here is the full breakdown:

ESIC - Permanent Invalidity Due to Non-Occupational Injury (Under Rajiv Gandhi Shramik Kalyan Yojana - RGSKY)

Under the ESIC framework, permanent invalidity arising from a non-occupational (non-employment) injury is a qualifying criterion specifically under the Rajiv Gandhi Shramik Kalyan Yojana (RGSKY) - ESIC's unemployment allowance scheme.

What is RGSKY?

RGSKY was introduced with effect from 1 April 2005 to provide unemployment allowance to Insured Persons (IPs) who become unemployed due to one of three specified reasons:
  1. Retrenchment as defined under the Industrial Disputes Act, 1947
  2. Closure of the factory/establishment as defined under the Industrial Disputes Act, 1947
  3. Permanent invalidity of not less than 40% arising out of a non-employment injury
The third criterion is the one relevant to your query.

Eligibility Criteria for Permanent Invalidity (Non-Occupational) Under RGSKY

CriterionRequirement
Type of injuryNon-occupational (not an employment injury)
Degree of invalidityNot less than 40% permanent invalidity
CertificationMust be certified by a Medical Board constituted by the Central or State Government
Prior coverageIP must have been in insurable employment for at least 3 years before unemployment
Contributory conditionsMust have contributed to ESIC during the qualifying period

Benefits Available Under RGSKY (on qualifying)

BenefitDetails
Unemployment Allowance50% of wages for a maximum of 2 years
Medical CareESI hospital/dispensary care for self and family throughout the period of receiving the allowance
Vocational TrainingSkill upgradation training - ESIC reimburses fees and travel allowance

Key Distinction from Employment Injury Disablement Benefit

  • Permanent Disablement Benefit (PDB) under Section 51 of the ESI Act covers permanent residual disablement resulting from employment injury (occupational) - there are no contributory conditions for this benefit.
  • RGSKY covers permanent invalidity from non-occupational injury, but requires the ≥40% invalidity threshold, Medical Board certification, and at least 3 years of prior insurable employment.

Important Notes

  • The Medical Board that certifies invalidity must be constituted by the Central or State Government - a private doctor's certificate is not sufficient.
  • The invalidity percentage is assessed on permanent, irreversible basis - temporary incapacity does not qualify.
  • Once the IP qualifies under RGSKY for permanent invalidity, they also retain access to medical benefit (for self and spouse) on payment of a nominal annual premium of Rs. 120, even after leaving insurable employment.
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