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2021 Supreme(Mad) 2471

M.DHANDAPANI
United India Insurance Co. Ltd. – Appellant
Versus
Insurance Ombudsman, Puducherry – Respondent


Advocates:
Advocate Appeared:
For the Petitioner: T. Shanmugam.
For the Respondents: M.B. Raghavan, G. Suryanarayanan.

JUDGMENT :

M. DHANDAPANI, J.

Prayer: Petition filed under Article 226 of the Constitution of India to issue a Writ of Certiorari calling for the records comprised in Award No. IO/CHN/A/GI/0010/2019-2020 dated 13.05.2019 on the file of the first respondent which was communicated by communication dated 15.05.2019 by the second respondent.

1. The petitioner has filed this petition seeking issuance of Writ of Certiorari calling for the records comprised in Award No. IO/CHN/A/GI/ 0010/2019-2020 dated 13.05.2019 on the file of the first respondent which was communicated by communication dated 15.05.2019 by the second respondent.

2. The facts in the case is that the third respondent's husband was an insurer covered under the New Health Insurance Scheme, 2014 for pensioners and he was admitted in hospital and he died on 22.06.2016. Thereafter, the third respondent sought reimbursement of treatment and the District Level Empowered Committee had recommended for reimbursement of treatment expenses. Subsequently, the petitioner informed the third respondent that treatment was taken in a non-network hospital and hence her claim cannot be acceded to on the basis of G.O. No. 171, Finance (Pension) da

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