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2026 Supreme(Ker) 723

IN THE HIGH COURT OF KERALA AT ERNAKULAM
P. V. Balakrishnan, J.
Ali Chettiyanthodiyil – Petitioner
Versus
The Union Of India Represented By The Secretary To The Government, Ministry Of Health And Family Welfare, Nirman Bhavan, New Delhi – Respondent
WP(C) NO. 24803 OF 2025
Decided On : 20-05-2026

Advocates Appeared:
For the Petitioner: Sri.Babu S. Nair, Smt.Smitha Babu, Sri.P.A.Rajesh, Shri.Pranav, Sri.K.P.Dhaneesh, Shri.Siddharth Karun Pisharody, Smt.Farsana Noushad, Smt.Febiya Prabhakaran
For the Respondent: Smt.M.Santhy, Cgc, Shri.M.Ajay, Sc, National Health Mission, Sri.George A.Cherian, Sri.George Cherian (Sr.), Smt.Rosanna C. Wilson

An insurance claim filed within the prescribed period cannot be rejected on grounds of procedural deficiencies or document defects if the authority failed to inform the claimant of such requirements to allow for rectification.

Headnote:The case involves a claim for compensation by the legal heirs of a medical professional who succumbed to Covid-19 while on duty, under the Pradhan Manthri Garib Kalyan Package insurance scheme. The petitioners challenged the refusal of the central authority to process their claims, which had been duly submitted within the extended time limit but allegedly contained defects. The court examined the administrative delay and the lack of communication regarding documentation deficiencies. The core issue was whether the administrative authority could reject a timely-filed insurance claim based on procedural defects that were never communicated to the claimants. The court held that since the petitioners submitted their claims within the prescribed timeline, they could not be penalized for subsequent procedural gaps caused by a failure of the intermediate agency or the authority's own negligence in informing the applicants of necessary document requirements. The writ petition is allowed with directions to the petitioners to submit required documents within one month, and a corresponding timeline for the respondent to process and decide upon the claim.

Table of Content
1. factual background of the claim under the state-sponsored insurance scheme for healthcare workers. (Para 1 , 2)
2. summary of rival submissions regarding timeline compliance and procedural defects. (Para 3 , 4 , 5 , 6 , 7)
3. obligation of authorities to notify claimants of procedural defects to allow for rectification. (Para 8 , 9 , 10)

JUDGMENT :

P. V. Balakrishnan, J.

The petitioners are the legal heirs of one late Dr.Abdul Manaf who died on 03.06.2021, due to Covid-19 related issues. The deceased had developed Covid-19 infection during his duty period when he was employed in Moulana Hospital, Perinthalmanna, as a full time general Dental Surgeon. Respondents 3 and 5 has also confirmed the afore fact as per Exts.P3 and P4.

2. The 1st respondent - Ministry of Health and Family Welfare, had issued Ext.P6 order dated 28.03.2020, under the Pradhan Manthri Garib Kalyan Package, an insurance scheme for health workers fighting Covid-19, giving a coverage of Rs.50 lakhs for each healthcare providers, who are fighting Covid- 19 pandemic. As per Ext.P8 letter issued by the 1st respondent, it was also clarified that private hospital staff / retired / volunteer / local urban bodies/contract/ daily wage / adhoc/ outsourced staff requisitioned by States / Central Hospitals / autonomous hospitals of Central / States / UTs / AIIMs and INIs /Hospital of Central Ministries can also be drafted for Covid -19 related responsibilities and that all those cases are covered under the scheme. Accordingly, the petitioners submitted Exts.P9 to P13 claim forms before the 7th respondent seeking compensation under Ext.P6 scheme. While so, the 1st respondent by order dated Ext.P14 extended the time to file the claim forms with the 7th respondent, till 31.07.2023. The 6th respondent also recommended the claim of the petitioners as per Exts.P15 and P16 to the 2nd respondent. Similarly, the 3rd respondent also recommended for payment of compensation as per Exts.P17 and P18 to the 2nd respondent. It is the grievance of the petitioners that even though all these happened, the claim of the petitioners was never considered and no orders have been passed on the claim applications.

3. Heard Smt.Smitha Babu, learned counsel for the petitioners, Smt.M.Santhy, the learned Central Government Counsel appearing for the 1st respondent, Shri.M.Ajay, the learned Standing Counsel appearing for the 2nd and 3rd respondents, Sri. George A. Cherian, the learned counsel appearing for the 7th respondent and the learned Government Pleader for respondents 4 to 6.

4. The learned counsel appearing for the petitioners reiterated the contentions in the writ petition and submitted that even though the petitioners are lawfully entitled to the compensation as prescribed in Ext.P6 scheme, the same has not been approved by the 1st respondent. She argued that the claim applications, along with all necessary documents were filed before the 7th respondent in time and if there is delay from the part of the 7th respondent to forward the same to the 1st respondent, the petitioners cannot be faulted with.

5. The learned counsel appearing for the 1st respondent submitted that the claim forms of the petitioners have been received by the 1st respondent, through the 7th respondent on 12.06.2024 and that those applications were incomplete due to non-production of relevant documents. She further submitted that the scheme had expired on 15.10.2022 and the last date of submission of claim was 31.07.2023. She also submitted that no documents can be received after the afore cut off date and hence, the claim of the petitioners were not granted.

6. The learned counsel for the 7th respondent submitted that the claim form submitted by the petitioners were forwarded to the 1st respondent, as per Ext.R7(a) request dated 29.04.2024 made by the 1st respondent and that they were forwarded as per serial No.92 in Ext.R7(b), on 11.06.2024.

7. The learned counsel for the 2nd and 3rd respondents submitted that th

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