2016 Supreme(Guj) 1287
IN THE HIGH COURT OF GUJARAT AT AHMEDABAD
M.R. Shah, A.S. Supehia, JJ.
Union of India and Ors. - Appellants
Vs.
Ansuyaben Jasubhai Nayak - Respondent
Special Civil Application No. 20786 of 2015
Decided On : 19-07-2016
Advocate Appeared:
For the Appellants : Devang Vyas, P.Y. Divyeshvar
For the Respondent: Yogendra Thakore
The central legal point established in the judgment is that the denial of medical reimbursement to a retired employee based on their choice of fixed medical allowance over CGHS is not justified under the CS (MA) Rules, 1944.
Headnote:
Medical Reimbursement - Retired Employee - CS (MA) Rules, 1944, CGHS - Original Application No. 432/14, Original Application No. 369/13 - The court discussed the entitlement of a retired employee for medical reimbursement under CS (MA) Rules, 1944 and CGHS. The court relied on its earlier decision and the decision of the Division Bench of the Court, as well as the decision of the Hon'ble Madras High Court, to rule in favor of reimbursing the medical bills for the treatment taken by the deceased employee.
Fact of the Case:
The widow of a retired employee filed a petition to quash the order denying her medical claim for her deceased husband's treatment bills. The Department rejected the claim, arguing that the deceased husband did not become a CGHS beneficiary and opted for a fixed medical allowance of Rs. 300 per month.
Finding of the Court:
The court found that the learned Tribunal had directed the Department to reimburse the medical bills for the treatment taken by the deceased employee, based on its earlier decision and the decision of the Division Bench of the Court. The court concluded that there was no error in the Tribunal's judgment and dismissed the petition.
Issues: The main issue was the entitlement of the deceased employee for medical reimbursement under CS (MA) Rules, 1944 and CGHS, and whether the denial of reimbursement was justified based on the deceased employee's choice of fixed medical allowance over CGHS.
Ratio Decidendi: The court relied on its earlier decision and the decision of the Division Bench of the Court, as well as the decision of the Hon'ble Madras High Court, to establish that the denial of reimbursement based on the deceased employee's choice of fixed medical allowance was not justified.
Final Decision: The petition was dismissed, and the court upheld the judgment of the learned Tribunal, directing the Department to reimburse the medical bills for the treatment taken by the deceased employee.
M.R. Shah, J.
1. By way of this petition under Articles 226 and 227 of the Constitution of India, the petitioner-Department, original respondents, has prayed for appropriate writ, order or direction to quash and set aside the impugned judgment and order dated 29.07.2015 passed by the learned Central Administrative Tribunal, Ahmedabad Bench, Ahmedabad, passed in Original Application No. 432/14, by which the learned Tribunal has, after following its own earlier decision dated 03.04.2014 passed in Original Application No. 369/13, directed the petitioner-Department to consider the request of the original applicant-widow of a retired employee, for reimbursement of the amount of Rs. 72,603/- towards the medical bills and further directed to reimburse the admissible amount as per the Government approved rates.
2. That the deceased husband of the respondent herein was appointed as a Group-D in Postal Department at Mehsana w.e.f. 02.02.1982 and he voluntarily retired from service w.e.f. 15.09.2002. That in the last week of November, 2011, due to sudden pain in his kidneys, he was immediately taken to Institute of Kidney Diseases and Research Center, Ahmedabad, and was under treatment from 27.11.2013 to 04.03.2014. That subsequent to his recovery from the illness, he submitted a representation along with a bill claiming reimbursement for a sum of Rs. 17,767/- on 03.01.2014 to Superintendent of Post Offices, Mehsana. That thereafter he died on 05.03.2014 leaving behind his widow-respondent herein, who submitted one another medical claim for a sum of Rs. 54,836/- to Superintendent of Post Offices, Mehsana, which bills were not accepted stating that a suitable reply would be sent to her. However, vide order No. E2/5JRN/Pensioner/13.14 dated 15.04.2014 the Department rejected the said claim of reimbursement. Therefore, the respondent herein-original applicant, widow of the deceased employee, approached the learned Tribunal by way of filing Original Application No. 432/14 requesting to quash and set aside the said order and directed the authorities, the present petitioners, to pay the amount of the aforesaid bills to her.
3. That the said Original Application was opposed by the authorities by submitting that entitlement of the deceased husband of the applicant for reimbursement of medical expenses incurred by her is only to avail a fixed medical allowance of Rs. 300/-. That the reason assigned by the authority for denying the medical reimbursement is that the deceased husband of the applicant had taken voluntarily retirement from the Department and that at the time of applying for voluntary retirement, the employee could have become a member of Central Government Health Scheme (CGHS) and could have availed the facilities under CGHS. That at the time of voluntary retirement of the deceased husband of the applicant, he had three options viz. (i) to continue to get the benefits of CS (MA) Rules, 1944; (ii) to become a member of the CGHS; and (iii) to take monthly fixed amount given by the Department. That at the time of tendering voluntary retirement, the deceased husband of the applicant could have become a member of CGHS and in order to become a member of CGHS after retirement, the deceased husband of the applicant was required to pay a fixed amount to the Department, but he did not pay any such amount and thereby he failed to become a member of CGHS.
4. The learned Tribunal negatived the above contentions and relying upon its own earlier decision dated 03.04.2014 passed in Original Application No. 369/13, by which similar contention on behalf of the Department was negatived and consequently the learned Tribunal directed the Department to reimburse the amount of Rs. 72,603/- towards the medical treatment of the deceased husband of the applicant, and accordingly the learned Tribunal has allowed the Original Application No. 432/14 and has quashed and set aside order No. E2/5JRN/Pensioner/13.14 dated 15.04.2014 passed by the Department, by