ESI scheme is the first social insurance measure in India to provide socio-economic protection to the worker population of the nation. As ESIC is a unique institution and ESI scheme of India is a major multi-dimensional social insurance programme that has over the last six decades emerged with its phenomenal growth in terms of geographical reach, demographic coverage, multi-faceted services and infrastructure it becomes imperative to appraise the performance of ESIC. As the major components of income and expenditure are increased year by year, an analysis on employment of funds is revealed that there is proper employment of funds and there is a positive relationship between income and expenditure of the ESIC. From the study it is clear that ESI scheme protects the insured persons from catastrophic health expenditure and promotes health seeking behavior of the beneficiaries.