JUDGEMENT
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(1.) This appeal arises out of the following facts.
(2.) The appellant who was a covered employee under the ESI
scheme met with an accident in the course of his employment
on 15th June 1990. An accident report was sent by the
employer respondent No.2 in the present appeal to the
respondent Corporation. The Corporation however refused to
treat the injuries sustained, as injuries suffered during
employment on the plea that on the date of the accident the
employee was not covered under the ESI scheme. It was also
communicated to the employee by a communication dated 4th
December 1990 that he had ceased to be an employee with
effect from 1st October 1989 and therefore he would not be
entitled to any benefit for the disability but would be eligible
for sickness benefits for the period 16th June 1990 to
30th June 1990. The employee thereupon filed an application
before the Employees Insurance Court, Alappuzha claiming
the benefit of disability on account of the injuries that he had
suffered. In the counter statement filed by the Corporation, it
was pointed out that the employee as an insured person had
made contributions up to 30th September 1989 and that he
ceased to be an employee with effect from 1st October 1989 as
his salary had exceeded Rs.1600/- per month from 1st October
1989 and as such was not entitled to any benefit towards
disability. The Employees Insurance Court in its order dated
14th November 1991 examined the various provisions of the
Employees State Insurance Act 1948 (hereinafter called the
"Act") and in particular the definition of 'employee' and
'insured person' under section 2(9) and 2(14) respectively as
well as section 46 that dealt with 'benefits' and ultimately
concluded that although the claimant ceased to be an
employee with effect from 30th September 1989 he was
nevertheless an "insured person" in terms of section 2(14) as
he had paid contributions towards his insurance which would
cover his case from 1st April 1989 to 30th September 1989
though he continued to be an insured person up to 30th June
1990 and as such his claim for the injury on 15th June was
fully justified under the Act.
(3.) Aggrieved by the order of the Employees Insurance Court,
the Corporation preferred an appeal before the High Court of
Judicature at Kerala. The High Court in its judgment dated
28th February 2000 noted that the facts of the case were not
disputed and relying on a decision of the Division Bench of
that very court in MFA 621/1986 (Regional Director, ESI
Corporation vs. K.K.Surendra Babu) observed that if a person
was not an employee during a particular contribution period
and an accident had taken place during such period, he would
not be entitled to ESI benefits. Having held above, the court
further concluded that as the accident in the present case had
also occurred after the claimant had ceased to be an employee,
though within the contribution period, he was not entitled to
the benefit of the payment of insurance from the Corporation.
The appeal was accordingly allowed and the order of the
Employees Insurance Court dated 14th November 1991 was set
aside. It is in this situation that the matter is before us in
appeal at the instance of the employee.;
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