Joel.J v. The State Of Tamilnadu

BEFORE THE MADURAI BENCH OF MADRAS HIGH COURT DATED: 29.08.2022

CORAM:

THE HONOURABLE MR.JUSTICE M.S.RAMESH W.P.(MD)No.11810 of 2022 Dr.J.Joel ... Petitioner /vs./ 1.The State of Tamilnadu, Rep. by its Secretary, Department of Higher Education, Fort St. George, Chennai 600 009.

2.The Empowered Committee, Rep. by the District Collector, Tirunelveli District and Tirunelveli.

3.The Managing Director, United India Insurance Co.Ltd., MD India Healthcare Services (TPA) Pvt Ltd., No.27, Lakshmi Towers, 3rd Floor, Dr.Radha Krishnan Salai, Mylapore, Chennai.

4.The Additional Treasury Officer, The District Treasury Office, Tirunelveli, Tirunelveli District.

... Respondents PRAYER: Writ Petition filed under Article 226 of the Constitution of India for issuance of Writ of Mandamus directing the respondents to disburse a sum of Rs.4,47,200/- (Rupees Four Lakhs Forty Seven Thousand Two Hundred Only) 1/4

towards the medical reimbursement to the petitioner with interest at the rate of 9 percent.

For Petitioner : Mr.Xavier Rajini For Respondents : Mr.S.Shaji Bino Special Government Pleader (For R1, R2 & R4) Mr.C.Karthik (For R3)

ORDER

The petitioner's claim for medical reimbursement has been favourably recommended by the District Level Empowered Committee (DLEC), pursuant to which, the United India Insurance Company has already disbursed the amount. 2.According to the petitioner, he is entitled for a sum of Rs.7,29,200/-, out of which, the Insurance Company has only reimbursed a sum of Rs.2,82,000/-. The petitioner is now aggrieved against the quantum of reimbursement made. 3.Under the New India Health Insurance Scheme, if the petitioner is aggrieved against the reimbursement amount quantified by the DLEC, it is open to him to file an appeal before the State Level Empowered Committee (SLEC). 2/4

4.Thus, in view of the reimbursement made by the Insurance Company, in accordance with the DLEC's recommendation, the petitioner is liberty to file an appeal before SLEC, against the orders of DLEC, within a period of two (2) weeks from the date of receipt of a copy of this order and on receipt of such appeal, SLEC shall dispose of the same in accordance with law, within a period of three (3) months from the date of receipt of such appeal. This Writ Petition is disposed of accordingly. There shall be no order as to costs. Consequently, connected Miscellaneous Petition is closed.

29.08.2022 Index : Yes / No Internet : Yes / No sm TO:

1.The Secretary, Department of Higher Education, Fort St. George, Chennai 600 009.

2.The Empowered Committee, Rep. by the District Collector, Tirunelveli District and Tirunelveli.

3.The Additional Treasury Officer, The District Treasury Office, Tirunelveli, Tirunelveli District.

3/4

M.S.RAMESH, J.

Sm Order made in W.P.(MD)No.11810 of 2022 Dated:

29.08.2022 4/4