The fund is managed by the Employees' State Insurance Corporation (ESIC) according to rules and regulations stipulated in the ESI Act 1948.

Similarly Social Security Officer (SSO)/Manager are posted in DCBO to assist IMO I/C in administrative work relating to implementation of scheme and provision of cash benefits.

The Deputy Directors are recruited directly, competitively, through the Union Public Service Commission of India as well as through promotion from lower ranks.

Medical Officers of ESIC are recruited directly through competitive written exam and/or Personal Interview in different sub-cadres viz.

Nursing Officers of ESIC are also recruited directly, competitively through the Union Public Service Commission of India.

Adarkar was appointed by the Government of India to create a report on the health insurance scheme for industrial workers.

[2] The promulgation of Employees’ State Insurance Act, 1948 envisaged an integrated need-based social insurance scheme that would protect the interest of workers in contingencies such as sickness, maternity, temporary or permanent physical disablement, death due to employment injury resulting in loss of wages or earning capacity.

[1][4]: 13 [5] Employees' State Insurance Corporation (ESIC), established by ESI Act, is an autonomous organisation under Ministry of Labour and Employment, Government of India.

[4]: 13, 16 Recent years have seen an increasing role of information technology in ESI, with the introduction of Pehchan smart cards as a part of Project Panchdeep.

[4]: 8 [8] In addition to insured workers, poor families eligible under the Rashtriya Swasthya Bima Yojana can also avail facilities in ESI hospitals and dispensaries.

Employees' State Insurance Corporation runs medical, dental, nursing and paramedical schools in many locations across India.

These colleges admit students on the basis of marks obtained in the competitive examinations conducted at the central level, the National Eligibility cum Entrance Test (NEET-UG).