ESIC

Pragati (Insurance)

Recovery

October 30, 2013

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Introduction
Recovery Recovery of Arrears Employer Employer had defaulted payment towards Monthly Contribution. Employer was marked as defaulter and necessary actions were undertaken. After repeated reminders, if the employer continues to default in clearing the arrears then Recovery Certificates are created. On receipt of Recovery Certificates Recovery officer can initiate Certificate Proceedings against the defaulting employer. Employee/IP Employee or IP had received excess claims or received claims beyond eligibility. Benefits branch will adjust the excess claims during future claims by Employee or IP. In case Benefits branch is not able to adjust, then Benefits Manager will issue recovery certificate against the IP/Employee. On receipt of Recovery Certificates Recovery officer can initiate Certificate Proceedings against the defaulting employee/IP.

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RecoveryTriggers
Triggers Revenue Branch Creation of C-19 certificate
Excess Payments Monthly Contribution AOD/IR/TIR/VR/S VR/Int. & Damages Recovery against the Employer

Adjustments

Creation of C-19(i) certificate

Creation of D-19 certificate Benefit Branch
Recovery against the Employee

Creation of B-19 certificate

B-19

C-19, C-19(i), D-19

Recovery against the Employee/IP

Recovery against the Employer

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Recovery Workflow
10 Digit Recovery Certificate # (Running Number)

Recovery Certificate

Recovery Certificate Marked to another Recovery Officer

CP2
15 days notice

CP1

CP3

CP4

CP5

CP6

CP7

CP8

CP9

CP10

CP11

CP12

CP12A

CP15

CP24

CP26

Certificate Proceedings

Irrecoverable Archive Recovery Cert.

Payment Close Recovery Cert.

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Recovery
Authorized Officer (Revenue)
Creates Recovery Certificate C-19, C-19(i), D-19

Recovery
Recovery officer

Authorized Officer (Branch Officer)

Creates Recovery Certificate B-19

Retrieve asset list from Employer Registration module. Add Assets to the employers which can be used to create database of employer asset which can be utilised for recovery of arrears. (Such assets information can be gathered by Recovery Inspector or any ESIC official and can be informed to Recovery team for update to database) Attaches assets to recover dues. Generate CP. Recovery officer to enter details in the CP certificate and store CP within the system. Update the status of CP. Update the status of Recovery Certificates Declare Irrecoverable to Recovery certificates

Application Output
Retrieve the status of Certificate Proceedings Track Recovery progress Prioritise the Recovery process Status update of Recovery certificate by Authorised Officer and Legal Department which can notify the Recovery officer to take actions suitably. ESIC Official

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Exceptions to Normal Process

Employer / Employee/IP Employer can approach the Authorized officer(Revenue/Benefit as per the case) and appeal against the Recovery certificate. Authorized officer can Cancel or Hold the Recovery Certificate. If the Employer is unsatisfied with the Recovery Certificates can appeal to High Court. High Court if issues the Stay order against the Recovery progress then Recovery action will be put on hold till Court passes the order. Recovery Certificate against a Dead Employer. Then recovery certificates will be applicable to Legal Heir. Recovery officer to recover the amount from the Legal Heir.

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Recovery Exit Triggers

Irrecoverable Recovery Officer tries his level best to recover the dues, but due to various reasons the Recovery amount cannot be recovered. Reasons can be employer/Employee/IP is bankrupt, employer/Employee/IP is dead, whereabouts are not known. System provides the Recovery officer to submit it to Authorized officer for approval with necessary documents to support Recovery officer decision. After approval the Recovery Certificates will be archived and information is sent to F&A to make necessary adjustments in Books. Recovery Payment Employer/IP/Employee makes the payment by cash, cheque or DD. After F&A confirmation, the Recovery Certificate will be removed from the system.

Recovery of Arrears as result of CP(Certificate Proceedings) Amount received from Certificate Proceedings are adjusted against the Recovery certificate. Any other pending amount with ESIC against the defaulter is adjusted. Remaining amount is returned to defaulter.
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Process related Reports

C-19 Register C-19(i) Register D-19 Register Certificate Control Register Daily Collection Register Irrecoverable Dues Register Stayed Case Register Cheques Forwarded Register

Recovery Collected Cheques Dishonored Register BIFR/AAIFR employers Summons Register Certificates Proceeding Register 45-G Notice Register Monthly Progress Reports

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Master Data Required

Employer List Complete Details of C-19 Complete Details of C-19(i) Complete Details of D-19 Status of various Certificate Proceedings taken towards Recovery Certificates. For Ex: Show cause notice Arrest Warrant issued Number of movable property attached Number of immovable property attached Irrecoverable Dues Declared Instalment facilities provided BIFR/AAIFR Non-BIFR/Non-AAIFR

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Screens

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Screens

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Screens

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Screens

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Thank You

October 30, 2013

Confidential Copyright 2009 Wipro Ltd

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