Polity

UP NHM Contract Workers: EPF for Honorarium Above ₹15,000, Health Insurance up to ₹5 Lakh and Gratuity Approved

10 November 20262 min1 source4 questionsStory 10 of 81

For Prelims: Employees' Provident Fund (EPF), Gratuity, National Health Mission (NHM)

For Mains: Polity: State Government and Administration; Society: Social Security and Welfare Schemes

Source:HindustanHindustan

The news

The governing council of the National Health Mission (NHM) Uttar Pradesh has approved gratuity and health insurance cover of up to ₹5 lakh for contract employees, and EPF benefits for those earning more than ₹15,000 per month. The decision, taken at a council meeting in November 2026, follows an agitation by the UP NHM Contract Employees Union and the Joint National Health Mission Employees Union in October, which was suspended after the government promised to consider their demands. The health department issued orders on Tuesday and began the process of implementation.

According to Mayank Pratap Singh, state president of the NHM Contract Employees Union, the EPF benefit will now be available to those earning over ₹15,000 in honorarium. Yogesh Upadhyay, state general secretary of the Joint National Health Mission Employees Union, said each employee and their family will get health insurance of up to ₹5 lakh. Departmental sources indicated that the health cover may be provided through private insurance companies under a separate scheme rather than directly under Ayushman Bharat. The council also approved gratuity on retirement for these contract workers.

Why in the news?

The NHM Uttar Pradesh governing council has approved health insurance of up to ₹5 lakh and gratuity for contract employees, and EPF for those earning over ₹15,000, following a union agitation in October 2026. This marks a significant social security expansion for a large informal workforce in the state's health sector.

What were the contract workers demanding?

Contract employees of NHM Uttar Pradesh had been demanding social security benefits for years. In October 2026, the UP NHM Contract Employees Union and the Joint National Health Mission Employees Union held an agitation, which was suspended after the government assured them their demands would be considered. The governing council meeting in November 2026 approved EPF, health insurance and gratuity.

How will the benefits be delivered?

The EPF benefit will apply to contract employees earning more than ₹15,000 per month, extending formal retirement savings to a segment previously excluded. The ₹5 lakh health insurance will cover each employee and their family, but department sources said it may be provided through private insurance companies under a different scheme rather than directly through Ayushman Bharat. The gratuity will be paid on retirement. The health department has started issuing orders and will need to enrol employees, select an insurance provider and set up EPF accounts.

Uttar Pradesh connection

Matters for these Uttar Pradesh exams:UPPSC

Facts and terms for exams

Employees' Provident Fund (EPF):
A mandatory retirement savings scheme under the Employees' Provident Funds and Miscellaneous Provisions Act, 1952, where both employer and employee contribute a percentage of the employee's basic pay.
Gratuity:
A lump-sum payment made by an employer to an employee as a token of appreciation for long service, governed by the Payment of Gratuity Act, 1972.
National Health Mission (NHM):
A flagship central government programme that provides healthcare services, especially in rural areas, and is implemented by state governments.

Why it matters for exams

Exams: UPPSC

Syllabus: Polity: State Government and Administration; Society: Social Security and Welfare Schemes

Common mistake: Examiners may swap 'contract employees' with 'permanent employees', or state that the EPF benefit applies to all NHM contract workers regardless of honorarium. The EPF benefit is specifically for those earning more than ₹15,000 per month.

Mains question

The extension of EPF, health insurance and gratuity to NHM contract workers in Uttar Pradesh addresses long-standing demands. Examine the challenges in extending formal social security to contract workers in public health programmes.

Stuck? Get it in one tap

Practice questions

Pick an answer, then read the explanation.

  1. Q1Easy

    Which body approved EPF, health insurance, and gratuity benefits for contract employees earning over ₹15,000 in Uttar Pradesh?

  2. Q2Hard

    Consider the following statements regarding the NHM Uttar Pradesh decision:

    1. 1.All contract employees of NHM Uttar Pradesh will get EPF benefits.
    2. 2.The approved health insurance cover is ₹5 lakh per employee and their family.
    3. 3.The health insurance will be provided under the Ayushman Bharat scheme.

    Which of the statements given above is/are correct?

  3. Q3Medium

    What is the minimum monthly honorarium threshold for NHM Uttar Pradesh contract employees to be eligible for the newly approved EPF benefits?

  4. Q4Medium

    What is the primary objective of extending EPF and health insurance benefits to NHM Uttar Pradesh contract employees?

Frequently asked questions

1. What benefits did NHM Uttar Pradesh approve for contract employees?

The NHM Uttar Pradesh governing council approved health insurance of up to ₹5 lakh and gratuity for contract employees, and EPF benefits for those earning more than ₹15,000 per month.

2. Who is eligible for the new EPF benefits under NHM Uttar Pradesh?

Contract employees of NHM Uttar Pradesh who receive a monthly honorarium of more than ₹15,000 are eligible for the EPF benefits.

3. When was this decision taken by NHM Uttar Pradesh?

The decision was taken in the governing council meeting of NHM Uttar Pradesh in November 2026.

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