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Sickness Benefit

Sickness Benefit represents periodical cash payments made to an IP during the period of certified sickness occurring in a benefit period when IP requires medical treatment and attendance with abstention from work on medical grounds. 

 

  Eligibility conditions
 
How to claim 
 
Certification
 
Download forms
 
Extended Sickness Benefit
 
Enhanced Sickness Benefit


The maximum duration of Sickness Benefit is 91 days in two consecutive benefit periods. There is a waiting period of 2 days which is waived if the insured person is certified sick within 15 days of the spell for which sickness benefit was last paid. The sickness benefit rate is roughly equivalent to 50% of the average daily wages of the insured person. 

Extended Sickness Benefit
After exhausting the Sickness Benefit payable upto 91 days, an insured person if suffering from Tuberculosis/Leprosy, mental and malignant diseases or any other specified long-term disease, he is entitled to Extended Sickness Benefit at a higher cash benefit rate of about 70% of average daily wage for a period of two years.  more info 

Enhanced Sickness Benefit
For undergoing sterilization operations for family planning, Insured Persons are eligible to Enhanced Sickness Benefit at double the rate of sickness benefit  more info 

Related links

Waiting days
Benefits at a glance
Did you know?
Section 2(20) of the Act  defines 'sickness'   as "a condition which requires medical treatment and attendance and necessitates abstention from work on medical grounds". 

So a condition which requires medical treatment and attendance alone but not abstention from work on medical grounds, and a condition which necessitates abstention from work on medical grounds but does not require medical treatment and attendance is not deemed "sickness" and sickness benefit is not payable
 
 Cross reference

Sickness benefit when payable
Benefits not to be combined
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
Employers' liability for excessive sickness benefit
  Definitions
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  Insured Person
  Dependant
  Employment injury
   
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