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The ESI Scheme in the North Eastern States was implemented as far back as in 1958, under the Regional Office, West Bengal. It was in the early 70s that an independent Region was created for North East Region, with its Regional Office at Guwahati. Initially, the Scheme was implemented in 5 (five) Centers in the state of Assam. Gradually, with the continuous and optimum efforts, the Scheme had been extended to the whole of the state of Assam and to the state of Meghalaya in the year 1980. Thereafter, the Scheme was extended to the state of Nagaland in the year 2008 and to the state of Tripura in the year 2009. As on date, the Scheme is yet to be extended to the other 3 (three) states of the North East India, which are Arunachal Pradesh, Manipur and Mizoram. Optimum efforts are being taken for extension of the Scheme to the other three non implemented states and it is expected that the Scheme will soon implemented in these states as well.

As of the latest report, the number of employees/Insured Persons has crossed the 1 (one) lac threshold and the figure is on the increasing trend. There is vast improvement in the field of Medical Benefit also. Apart from the ESIC Model Hospital, located at Beltola, Guwahati, which is one of the best hospitals in the country, there are 5 (five) tie-up hospitals for Secondary Treatment and 8 (eight) tie-up hospitals in Assam and Tripura for Super Specialty Treatment. For Primary Care also, there are 29 (twenty nine) ESI Dispensaries and 1 (one) Annexe Hospital spreadted across all the 4 (four) implemented states. For providing Cash Benefits and beneficiary related services, apart from the Regional Office, Guwahati, there are 15 (fifteen) Branch Offices across the 4 (four) states of the Region.

Under the IT Roll Out Programme, the Scheme is progressing smoothly. Registration of employers and employees are now being done 100% online. All payments, such as Benefit Payments, Third Party Payments, Personal Claims, etc. are also being made through online only, thereby reducing much hassles and problems for the beneficiaries.