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WP No. 3082 of 2026

IN THE HIGH COURT OF JUDICATURE AT MADRAS

DATED: 30-01-2026

CORAM

THE HON'BLE MR JUSTICE M.DHANDAPANI

WP No. 3082 of 2026

and WMP.No.3473 of 2026

M.Balamurugan,

S/o.C.Muthu,

Old No.27/4,New No.39,

G-1,Iswaryam Jayam Apartments,

Raji Street,Aynavaram,Chennai-600 023

..Petitioner(s)

Vs

1. State of Tamil Nadu rep.by

The Principal Secretary to Government,

Finance (Salaries) Department,

Secretariat, Fort St.George, Chennai-600 009.

2. The United India Insurance Company Ltd,

Divisional Office VI,

5th Floor, P.L.A.Rathna Towers,

212,Anna Salai, Chennai-600 006

3. India Healthcare Services (TPA)Pvt.Ltd,

Guna Complex, New Door No.443 and 445,

Old No.304 and 305, Anna Salai,

Teynampet, Chennai-600 018

..Respondent(s)

Writ Petition filed under Article 226 of the Constitution of India,

seeking issuance of a Writ of Certiorarified Mandamus, calling for the records

and quash the rejection order of 2nd Respondent in

Ref.010600/CRS-86/17/2023 dated 24.11.2023 and consequentially, direct the

2nd respondent to pay the sum of Rs.1,17,933/- towards reimbursement of the

medical expenses claimed by the Petitioner in respect of the Petitioner son’s

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surgery.

For Petitioner(s): Ms.Jayasudha

For Respondent(s): Mr.P.Balathandayutham

Special Government Pleader

ORDER

This Writ Petition has been filed seeking quashment of the impugned

order passed by the second respondent dated 24.11.2023 and consequently to

direct the second respondent to reimburse a sum of Rs.1,17,933/- towards the

medical expenses incurred by the petitioner in respect of the surgery undergone

by his son.

2. Mr.P.Balathandayutham, learned Special Government Pleader takes

notice on behalf of the respondents. In view of the consent expressed by the

learned counsel on either side, the Writ Petition is taken up for final disposal at

the stage of admission itself.

3. The case of the prosecution is that the petitioner, an Additional

Superintendent of Police and a beneficiary under the New Health Insurance

Scheme, incurred medical expenses to the tune of Rs.1,17,933/- towards the

surgery undergone by his son for Pilonidal Sinus at Sooriya Hospital,

Saligramam, Chennai. Since the cashless facility was not extended, the

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WP No. 3082 of 2026

petitioner paid the said amount and sought reimbursement through proper

channel. Though the joint Commissioner of Police, South Chennai,

recommended reimbursement by letter dated 05.05.2023, the second

respondent, by proceedings dated 24.11.2023, rejected the claim citing

G.O.Ms.No.160 dated 29.06.2021, without assigning specific reasons.

Aggrieved by the said rejection, the petitioner has filed the present Writ Petition

challenging the same and seeking reimbursement of the medical expenses

incurred.

4. The learned counsel for the petitioner submitted that the petitioner,

being a Government servant covered under the New Health Insurance Scheme,

is entitled to reimbursement of the medical expenses incurred for his son’s

surgery. It was contended that the rejection order dated 24.11.2023 is arbitrary

and unsustainable, as no valid or specific reasons have been assigned for

denying the claim. The learned counsel further submitted that the treatment was

necessitated due to a medical emergency and the denial of reimbursement

defeats the very object of the beneficial insurance scheme. Hence, he prayed for

setting aside the impugned order.

5. The learned Special Government Pleader submitted that the claim of

the petitioner was rejected on the ground that the diagnosis and line of

management are not covered under G.O.Ms.No.160, dated 29.06.2021 issued by

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the Finance (Salaries) Department, Government of Tamil Nadu.

6. Heard the learned counsel on either side and have perused