SupremeToday Landscape Ad
Back
Next
Judicial Analysis Court Copy Headnote Facts Arguments Court observation
Listen Audio Icon Pause Audio Icon
judgment-img

DELHI HIGH COURT
MANMOHAN
Baby Devananda D – Appellant
Versus
Employees State Insurance Corporation – Respondent


JUDGMENT

Manmohan, J. In the present two writ petitions, the petitioners have challenged the validity and legality of Clauses 5.1 and 5.3 of the Guidelines of the ESI Corporation titled `ESIC Decisions on Medical Services-July, 2014'. The impugned clauses read as under:

    "5.1 Upper limit on the expenditure for procedures not covered under CGHS package rates would be Rs.10 lacs per beneficiaries per year.

    5.3 In respect of children of IP, congenital diseases requiring referral to SST and genetic disorders would be eligible for coverage up to the ceiling mentioned earlier only in case the child is born after the IP had become eligible for SST."

2. The present writ petitions were initially tagged with a batch of matters filed by the employees who were insured under the Employees. State Insurance Act, 1948 (for short "ESI Act") but whose minor children had been denied Super Speciality Treatment on the grounds that the minors had been born prior to the employees having become eligible for Super Speciality Treatment and/or the expenditure to be incurred on their treatment was beyond the ceiling of Rupees Ten Lacs per year.

3. It is pertinent to mention that the present two petitioners





























Click Here to Read the rest of this document
1
2
3
4
5
6
7
8
9
10
11
SupremeToday Portrait Ad
supreme today icon
logo-black

An indispensable Tool for Legal Professionals, Endorsed by Various High Court and Judicial Officers

Please visit our Training & Support
Center or Contact Us for assistance

qr

Scan Me!

India’s Legal research and Law Firm App, Download now!

For Daily Legal Updates, Join us on :

whatsapp-icon telegram-icon
whatsapp-icon Back to top