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CHAPTER V-A

SCHEME FOR OTHER BENEFICIARIES


 

 

73-A. Definitions.— In this Chapter, —

(a) “ other beneficiaries ” means persons other than the person insured under this Act ;

(b) “ Scheme ” means any Scheme framed by the Central Government from time to time under section 73-B for the medical facility for other beneficiaries ;

(c) “ underutilised hospital ” means any hospital not fully utilised by the persons insured under this Act ;

(d) “ user charges ” means the amount which is to be charged from the other beneficiaries for medical facilities as may be notified by the Corporation in consultation with the Central Government from time to time.

 

 

73-B. Power to frame Schemes. — Notwithstanding anything contained in this Act, the Central Government may, by notification in the Official Gazette, frame Scheme for other beneficiaries and the members of their families for providing medical facility in any hospital established by the Corporation in any area which is underutilised on payment of user charges.

 

 

73-C. Collection of user charges. — The user charges collected from the other beneficiaries shall be deemed to be the contribution and shall form part of the Employees’ State Insurance Fund.

 

 

73-D. Scheme for other beneficiaries. — The Scheme may provide for all or any of the following matters, namely : —

(i) the other beneficiaries who may be covered under this Scheme ;

(ii) the time and manner in which the medical facilities may be availed by the other beneficiaries ;

(iii) the form in which the other beneficiary shall furnish particulars about himself and his family whenever required as may be specified by the Corporation ;

(iv) any other matter which is to be provided for in the Scheme or which may be necessary or proper for the purpose of implementing the Scheme.

 

 

73-E. Power to amend Scheme. — The Central Government may, by notification in the Official Gazette, add to, amend, vary or rescind the Scheme.

 

 

73-F. Laying of Scheme framed under this Chapter. — Every Scheme framed under this Chapter shall be laid, as soon as may be after it is made, before each House of Parliament while it is in session, for a total period of thirty days which may be comprised in one session or in two or more successive sessions, and if, before the expiry of the session immediately following the session or the successive sessions aforesaid, both Houses agree in making any modification in the Scheme or both Houses agree that the Scheme should not be made, the Scheme shall thereafter have effect only in such modified form or to be of no effect, as the case may be ; so, however, that any such modification or annulment shall be without prejudice to the validity of anything previously done under that Scheme.

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