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Maternity Benefit  
Certification

A certificate of pregnancy, expected confinement, confinement, miscarriage, sickness arising out of pregnancy, confinement, premature birth of child or miscarriage, as well as of death of insured woman or of the child, under Regulation 87 to 89B, can be issued by an Insurance Medical Officer/Insurance Medical Practitioner to whom insured woman is allotted, or any other Insurance Medical Officer attached to the dispensary, hospital, clinic or other institution to which insured woman is or was allotted.

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However, an Insurance Medical Officer/Insurance Medical Practitioner, other than the one aforementioned who is attending the insured woman for prenatal care, for confinement, for miscarriage or for sickness arising out of pregnancy, confinement, premature birth of child or miscarriage or who was attending the deceased insured woman or the child at the time of death of the insured woman or the child, may issue a certificate as aforesaid.

A registered midwife may also issue a certificate of pregnancy or expected confinement, confinement or miscarriage and such a certificate is acceptable to the Corporation on countersignature by an Insurance Medical Officer. Forms 20, 21 and 23 have been designed to provide for signature by midwife and countersignature by the Medical Officer.

But, a registered midwife cannot issue medical certificates in form 8, 9, 10 and 11 in respect of sickness arising out of pregnancy, confinement, premature birth of child or miscarriage and such certificates have to be issued by the Insurance Medial Officer in accordance with Regulations 55 to 61. Further, these certificates must be submitted by the insured woman to her Branch Office within time-limits provided in Regulation 64 in the same manner as for certificate of ordinary sickness or temporary disablement.

A certificate of confinement on form 23 is issued by an Insurance Medical Office/Insurance Medical Practitioner only if the IMO/IMP or the registered midwife attached to dispensary/clinic has attended the confinement, or the Insurance Medical Officer/Insurance Medical Practitioner, by examination of recent signs of delivery, is satisfied that confinement has taken place. In the later case, the language of the certificate is suitably modified. If the delivery has taken place at the home of the insured woman, and it was not attended by IMO/IMP and she did not present herself in the dispensary/clinic for examination by IMO/IMP, the IMO/IMP will not issue a certificate of confinement in form 23.

The Corporation may accept any other evidence in lieu of a certificate of pregnancy, expected confinement, confinement, death during maternity, miscarriage or sickness arising out of pregnancy, confinement, premature birth of a child or miscarriage issued by an Insurance Medical Office/Insurance Medical Practitioner if in its opinion the circumstances of any particular case so justify (Regulation 90).

Where the certificates are not issued by a registered midwife or Insurance Medical Officer/Insurance Medical Practitioner, the Regional Office may, in accordance with the instructions from Headquarters, accept any other alternative evidence in lieu of certificate of pregnancy, expected confinement or confinement. If an insured woman cannot submit a medical evidence of her confinement either from an Insurance Medical Officer/Insurance Medical Practitioner or from any other medical practitioner, she may be asked to produce a certificate of birth from the Register of BirLhs and Deaths, which may be accepted as alternative evidence under Regulation 90. Powers under Regulation 90 can be exercised only by the appropriate Regional Office.

If an insured woman who was under pre-natal treatment of her Insurance Medical Officer/Insurance Medical Practitioner and who has submitted a certificate of pregnancy from such Insurance Medical Officer/Insurance Medical Practitioner goes to her village for confinement, a certificate from police, village headman or president of the Gram panchayat certifying the fact of her confinement may be accepted as alternative evidence under Regulation 90 by the Regional Office provided that the insured woman is unable to obtain a certificate from the register of births & deaths.
More info.
Maternity benefit on miscarriage
Maternity benefit on death of insured woman
Maternity benefit for sickness
Maternity benefit when payable
Conditions to be observed by recipients of sickness benefits
Persons not entitled to receive benefits
Bar on grant of cash benefits
Punishments for false statements
 
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