What is Medical Leave - Features, Rules & How it Works

Written by : TATA AIG Team
·
Published on : 2025-11-03

Taking care of employees’ well-being is essential for a happy and productive workplace. One of the simplest yet most meaningful ways to show this care is to have clear and supportive leave policies. Life can throw health challenges, it can be physical or mental, and sometimes employees need time off to rest and recover. That is where medical leave comes in.

It not only offers the employees the much-needed space they need to focus on their health, but also assures them that their workplace has their back during difficult times. For employers, having transparent and understandable policies helps build trust, reduce stress, and create a positive work culture.

This guide will offer a detailed overview of medical leaves and their rules so organisations can ensure the best possible benefits and a positive workplace environment.

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List of Content

  • bullet
    What is Medical Leave?
  • bullet
    Features and Characteristics of a Medical Leave
  • bullet
    Rules of Medical Leave in India
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    Process to Complete the Medical Leave Application
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    How Does the Carry Forward Rule Work for Medical Leaves?
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    What is the Eligibility to Qualify for a Medical Leave?
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    Conclusion

What is Medical Leave?

Medical leave is a critical workplace benefit that enables employees to take time off from work when facing serious health conditions, injuries, or undergoing medical treatments. Unlike short-term sick leave, a medical leave is meant for situations such as surgery, hospitalisation, or chronic illnesses.

It ensures that employees can prioritise their health without the fear of losing their job or facing workplace deductions. Based on the country’s labour laws and company policies, medical leave can be paid, partially paid, or unpaid. Still, it plays a crucial role in developing a supportive and healthy work culture.

For employers, having a clear understanding of the medical leave policy ensures compliance with regulations. It also builds trust and shows a genuine commitment to employee well-being.

Features and Characteristics of a Medical Leave

  • It is granted for serious health conditions that require hospitalisation, intensive treatment, or prolonged recovery.
  • It is typically longer than sick leave and ranges from a few weeks to several months.
  • Eligibility to apply for a medical leave depends on government regulations and employer policies, which often require a minimum tenure.
  • Medical leaves can be paid, partially paid, or unpaid, based on the organisation’s policies.
  • The application process needs a formal request specifying expected duration, treatment, and recovery details, supported by a physician’s documentation.
  • If an employee is taking an extended leave, regular medical updates or medical certificates from a doctor are necessary.
  • Employees can take medical leave for mental health or physical health continuously or with intervals, depending on treatment schedules and medical needs.

Also read: Benefits of Group Health Insurance Policy for Employees

Rules of Medical Leave in India

In India, medical leave rules vary based on the regulations of private companies, government organisations, and different labour laws. There are several legislations that define leave entitlements for employees:

Rules Particulars
Shops and Establishments Act
  • Employees get 0.5 to 7 days of paid medical leave.

  • Unused leave cannot be carried forward to the next year.

  • A medical certificate is required if the leave exceeds three days.

Employees’ State Insurance Act (1948)
  • Under this medical leave act, if an employee is a beneficiary of the Employees’ State Insurance Scheme, they can get medical care and receive financial support.

  • Maternity Benefit Act (1961)
  • Women get up to 26 weeks of paid maternity leave for pregnancy and post-childbirth care.

  • Industrial Employment (Standing Orders) Act (1946) and Factories Act (1948):
  • Employers need to establish rules for medical leave entitlements and worker welfare in industrial and factory settings.

  • Apprentices Act (1961)
  • Businesses need to provide interns or apprentices with 15 days of medical leave annually. This can accumulate up to 40 days.

  • Plantation Labour Act (1951)
  • Individual plantation companies set the leave policies as per the act.

  • Working Journalists Act (1955)
  • Journalists get one month of medical leave for every 18 months of service, at half pay.

  • Employees’ Provident Funds and Miscellaneous Provisions Act (1952)
  • This act oversees the employees’ provident fund.

  • Provides certain benefits that offer financial support to employees needing leave for medical reasons.

  • Process to Complete the Medical Leave Application

    Review the Policy

    An employee can start by reading their company’s medical leave policy. This helps them understand their rights, eligibility, and the required process.

    Notify Early

    Inform the manager or HR as soon as possible. Share the nature of the health issue, along with the expected start date and duration.

    Submit a Formal Application

    Generally, organisations use a leave management system, an online portal, or a standard application mail. In certain smaller companies, an email, a medical leave letter for employees, or even a verbal request can be acceptable.

    Provide Medical Documentation

    Provide a doctor’s note or medical leave certificate to validate the leave request. For longer leaves, regular updates and certification may be required.

    Keep in Touch

    Maintain communication with the employer during the leave period. It is especially essential if the recovery time changes. Employees need to provide approximate return dates to the organisation so that they can plan accordingly.

    How Does the Carry Forward Rule Work for Medical Leaves?

    The carry-forward rule allows employees to take unused medical leave days from one period to the next. This is typically done from year to year. When employees do not use all the allocated medical leave in a given year, those unused days are added to the available balance for the next period.

    For example, if the company provides 10 medical leave days annually but an employee has only used 6, the remaining 4 days would be carried forward and be available with the new year’s allocation.

    Most companies that offer carry-forward benefits have established maximum accumulation limits to prevent buildup. Employees can carry forward a specific number of days, such as 30 or 60 days total or a certain percentage of their annual allocation. Once they reach this maximum limit, any additional unused medical leaves are forfeited.

    What is the Eligibility to Qualify for a Medical Leave?

    Minimum Employment Duration

    Employees typically need to have worked for a certain period. It can be 90 days, six months, or one year before they qualify for an extended medical leave. This helps balance organisational cost and support long-term staff.

    Medical Certification

    A doctor’s note confirming the health condition and need for leave is required to prevent misuse of the policy.

    Legal Compliance

    Policies must align with statutory compliance. Employees covered under the Employees’ State Insurance (ESI) Act and earning up to ₹21,000 per month are entitled to sickness benefits.

    Government Employees

    There is generally a structured leave policy included as paid medical leave for Government Employees.

    Conclusion

    Medical leave is one of the most important workplace benefits for employees, which allows them to focus on recovery without worrying about job security. Learning the eligibility rules and legal provisions protects employee rights and allows them to make informed decisions about their health and career.

    In addition to the medical leave policy, having Corporate Health Insurance coverage for employees is essential. It portrays the organisation’s commitment towards employee welfare and creates a positive working environment. For organisations that want to protect their workforce, TATA AIG Group Health Insurance for Employees offers comprehensive protection, easy claims, and wide coverage.

    The Group Health Insurance, an essential Small Business Insurance, ensures peace of mind for both employers and employees. Explore our plans today to build a healthier, more resilient workplace.

    Secure Your Workforce with Comprehensive Group Health Insurance

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