Community Medicine (PSM) · Occupational Health and Legislation (ESI, Factories Act)

Under the Employees' State Insurance (ESI) Act 1948, which of the following is NOT a contributory benefit?

  • A Sickness benefit
  • B Maternity benefit
  • C Medical benefit to family of insured person
  • D Dependants' benefit
Correct answer: C. Medical benefit to family of insured person

Explanation

Under the ESI Act, contributory benefits (requiring a certain contribution period/insurable employment) include sickness, maternity, disablement, and dependants' benefits. Medical benefit is provided both as a non-contributory benefit to insured persons from day one AND as an extended benefit to their family members — it is the only benefit available to family members (termed 'extended medical care'), but this is provided from Day 1 of coverage without a contribution condition, making it functionally a non-contributory (day-one) benefit for the insured. The dependants' benefit is contributory — payable only if the insured had contributed for at least 78 days in two contribution periods.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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