L.Siyam Sundar v. The State Of Tamil Nadu

IN THE HIGH COURT OF JUDICATURE AT MADRAS

DATED : 20.07.2023

CORAM

THE HONOURABLE MR. JUSTICE N.SATHISH KUMAR L.Siyam Sundar .. Petitioner

Versus

1.The State of Tamil Nadu Rep by the Secretary to Government High Level Empowered Committee Finance (Insurance) Department Secretariat, Chennai - 600 009

2. The Commissioner of Treasuries and Accounts 3rd Floor, Perasiriyar K.Anbazhagan Maligai No.571, Anna Salai Nandanam, Chennai - 600 035 3.The Joint Director of Medical and Rural Health Services Health and Family Welfare Department Salem - 1, Salem District 4.United India Insurance Co. Ltd Rep by its Divisional Manager New Health Insurance Scheme - 2016 Divisional Office: 010600 No.212, PLA Rathna Towers, Anna Salai Chennai - 600 006 .. Respondents Prayer: Writ Petition is filed under Article 226 of the Constitution of India praying to issue a Writ of Mandamus, directing the respondents 2 to 4 to 1/4

reimburse the medical expenses incurred by the petitioner for himself and their children treatment a sum of Rs.1,27,985/- along with interest. For Petitioner : Mr.M.R.Jothimanian For Respondents : Mr.P.Baladhandayutham for R1 to R3 Special Government Pleader Mr.T.Shanmugam for R4

ORDER

This writ petition has been filed seeking to direct the respondents 2 to 4 to reimburse the medical expenses incurred by the petitioner for himself and their children treatment a sum of Rs.1,27,985/- along with interest.

2. It is the case of the petitioner that he is working as Forester in the Forest Department. It is the grievance of the writ petitioner that himself and his children were admitted at the M/s.Dharan Hospital from 05.11.2021 to 02.11.2021 and subsequently they were discharged. They paid a sum of Rs.1,27,985/- to the Hospital. Hence, he made an application claiming reimbursement, which was subsequently, forwarded to the second respondent. The second respondent recommended the application to the fourth respondent for disbursal of the same vide proceedings dated 29.07.2022, which is pending without consideration. Hence, this writ petition. 2/4

3. Heard both sides and perused the materials placed on record.

4. On perusal of the communication in Rc.No.7642/NHIS-1/2022 dated 29.07.2022 sent by the second respondent to the fourth respondent Insurance Company, which would indicate that the second respondent has forwarded the application regarding medical reimbursement as per the eligibility criteria.

5. Such view of the matter, the fourth respondent is directed to disburse the medical reimbursement to the petitioner as per the eligibility criteria within a period of three months from the date of receipt of a copy of this Order.

6. Accordingly, this writ petition stands disposed of. No costs. 20.07.2023 dhk Internet: Yes/No To 1.The Secretary to Government The State of Tamil Nadu High Level Empowered Committee Finance (Insurance) Department Secretariat, Chennai - 600 009 3/4

N.SATHISH KUMAR, J.

dhk

2. The Commissioner of Treasuries and Accounts 3rd Floor, Perasiriyar K.Anbazhagan Maligai No.571, Anna Salai Nandanam, Chennai - 600 035 3.The Joint Director of Medical and Rural Health Services Health and Family Welfare Department Salem - 1, Salem District 4.The Divisional Manager United India Insurance Co. Ltd New Health Insurance Scheme - 2016 Divisional Office: 010600 No.212, PLA Rathna Towers, Anna Salai Chennai - 600 006 W.P.No.21154 of 2023 20.07.2023 4/4