Madras High Court
WP/35060/2024 of VALARMATHI Vs THE DIRECTOR OF MEDICAL AND RURAL HEALTH SERVICE on 29 September 2026
WP No. 35060 of 2024
IN THE HIGH COURT OF JUDICATURE AT MADRAS
DATED: 29-09-2026
CORAM
THE HON'BLE MR.JUSTICE C.KUMARAPPAN
WP No. 35060 of 2024
CNR: {HCMA012123712024}
Valarmathi
W/o.Arul Chelvam,
Residing At Dool Samiyar Street,Edaiyampatti Village,Jolarpettai,Tirupattur Taluk,Tirupattur District.
..Petitioner(s)
Vs
1. The Director Of Medical And Rural Health Service, Directorate,Anna Salai,Theynampet,Chennai
2. The Deputy Director Of Medical And Rural Health Service And Family Welfare, District Family Welfare Bureau, Taluk Office, Krishnagiri District.
3. The District Level Empowered Committee Headed By The District Collector, Krishnagiri District.
4. The District Collector
Krishnagiri District.
5. The Treasury Officer
Sub Treasury, Krishnagiri District.
6. The District Library Officer
District Library, Krishnagiri District.
7. The Branch Manager,
United India Insurance Co Limited, Regional Office-silingi Limited, 134 Greams Road, Chennai 600 006.
WP No. 35060 of 2024
8. The Branch Manager,
Md India Health Insurance Tpa Private Limited, Guna Complex, New D.No 443 And 445, Old D.No 304 And 305, Annasalai, Teynampet, Chennai 600018
..Respondent(s)
Writ Petition filed under Article 226 of the Constitution of India praying issuance of Writ of Mandamus directing the respondents to pay the medical bill of rupees 21,09,865/- to the petitioner payable under new health insurance scheme 2016 for reimbursing medical expenditure incurred by the petitioner towards the treatment of her husband with the interest at the rate of 12
percentage.
For Petitioner(s):
Mr.M.Arun
For Respondent(s):
Mr. S.Ilamvaludhi, SGP For R1 To R6
Mr. P.Sankaranarayanan, For R7
No appearance for R-8
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ORDER
The present writ petition has been filed seeking a Writ of Mandamus directing the respondents to pay a sum of Rs.21,09,865/- towards the medical expenses incurred by the petitioner for the treatment of her husband, payable under the New Health Insurance Scheme, 2016, together with interest at the rate of 12% per annum.
2. The learned counsel for the petitioner would submit that the petitioner’s husband was a Superintendent at the District Library, Krishnagiri, and he met with an accident on 31.08.2022. After the accident, he was initially
WP No. 35060 of 2024
admitted in Sparsh Hospital, Bangalore, from 31.08.2022 to 06.10.2022 and thereafter, he was admitted in Neuro Care, Krishnagiri Hospital, from 06.10.2022 to 25.10.2022 and again, he was admitted in Christian Medical College Hospital, Vellore, from 25.10.2022 to 01.02.2023. It is the submission of the petitioner that the total expenditure incurred for medical expenses by the petitioner is Rs.24,16,073/-, out of which the third respondent has paid only a sum of Rs.3,06,208/-.
3. The learned counsel for the petitioner would submit that, after deducting the sum of Rs.3,06,208/-, the sixth respondent has forwarded the petitioner’s request for reimbursement of Rs.21,36,505.58/- to the United India Insurance Company. Furthermore, the petitioner, through her advocate, also sent a legal notice to the eighth respondent on 30.08.2024.
4. At this juncture, the learned Standing Counsel appearing for the seventh respondent would submit that the appropriate authority to consider the petitioner’s representation is only the District Level Empowered Committee.
5. In view of the above submissions, without going into the merits of the matter, the petitioner is given liberty to submit her request before the District Level Empowered Committee, along with all the required particulars, within a period of two weeks from the date of receipt of a copy of this order. If such
WP No. 35060 of 2024
request is received, the District Level Empowered Committee is directed to consider the same in accordance with the relevant rules and guidelines. It is also made clear that, in the event the District Level Empowered Committee is of the view that the illness sustained by the petitioner’s husband comes under the exceptional circumstances, it may recommend to the High Level Committee for extending the total benefit of Rs.20 lakhs.
6. With the above direction, the present writ petition is disposed of. The third respondent is directed to complete the above exercise within a period of eight weeks from the date of receipt of a copy of the representation from the petitioner. No costs. 29-09-2026 Index: Yes/No Speaking/Non-speaking order Neutral Citation: Yes/No JRS
WP No. 35060 of 2024
To
1. The Director Of Medical And Rural Health Service, Directorate,Anna Salai,Theynampet,Chennai
2. The Deputy Director Of Medical And Rural Health Service And Family Welfare, District Family Welfare Bureau, Taluk Office, Krishnagiri District.
3. The District Level Empowered Committee Headed By The District Collector, Krishnagiri District.
4. The District Collector Krishnagiri District.
5. The Treasury Officer Sub Treasury, Krishnagiri District.
6. The District Library Officer District Library, Krishnagiri District.
7. The Branch Manager, United India Insurance Co Limited, Regional Office-silingi Limited, 134 Greams Road, Chennai 600 006.
8. The Branch Manager, Md India Health Insurance Tpa Private Limited, Guna Complex, New D.No 443 And 445, Old D.No 304 And 305, Annasalai, Teynampet, Chennai 600018
WP No. 35060 of 2024
C.KUMARAPPAN, J. JRS WP No. 35060 of 2024 29-09-2026