EMPLOYEES PROVIDENT FUND PENSIONERS ASSOCIATION DELHI THROUGHITSGENERALSECRETARY SH RAJ KUMAR APFC RETD vs HEALTH AND FAMILY WELFARE on 28 October 2026

CENTRAL ADMINISTRATIVE TRIBUNAL PRINCIPAL BENCH 61/35, COPERNICUS MARG,NEW DELHI-110001 Order Sheet Item no.: 12 O.A./3225/2025 (DELHI) [ MEDICAL FACILITIES ] [ SENIOR CITIZEN ] Court No.: 4 No of Adjournment: 7 Order Dated: 28/10/2026 EMPLOYEES PROVIDENT FUND PENSIONERS ASSOCIATION DELHI THROUGHITSGENERALSECRETARY SH RAJ KUMAR APFC RETD Vs HEALTH AND FAMILY WELFARE

For Applicant(s) Advocate : Mr. Puneet Rathi For Respondent(s) Advocate : Mr. Dhananjai Rana-UOI, Ajit Sharma Order of The Tribunal With the consent of both the parties, the matter is taken up for final hearing, as the pleadings are complete in the present matter.

2. The present OA has been filed seeking the following relief: "(i) to quash & set-aside the office memorandum dated 30.04.2025 and to further direct the Respondents to extend the CGHS medical facilities to the Applicants after retirement to the employees of the EPFO;

(ii) to direct the Respondents to grant extension of CGHS medical facilities to retire pensioner and family pension of Delhi/NCR after their retirement to the employees of the EPFO at par with the Central Govt. employee after retirement and remove the inequality and discrimination;

(iii) allow the employees to take medical facilities after retirement through the private hospitals recognized by CGHS/State Govt. on lump sum payment of one time contribution as being charged from the Govt. Pensioners or in consonance of OM dated 10.06.2014.

(iv) accord all consequential benefits thereafter;

(v) award cost of the proceedings;

(vi) pass any other order as deemed fit and proper in the facts and circumstances of the case and allow cost in favour of the Applicant."

3. Learned counsel for the applicant draws attention to the office memorandum dated 10.06.2014, regarding extension of CGHS facilities to the retired employees of Statutory/Autonomous bodies, whose serving employees are already covered under CGHS. the office memorandum dated 10.06.2014 reads as under:- "OFFICE MEMORANDUM Sub: Extension of CGHS facilities to the retired employees of Statutory/Autonomous bodies, whose serving employees are already covered under CGHS-reg. The undersigned is directed to state that this Ministry has been receiving requests from various Statutory/Autonomous bodies and their Employees/Pensioners Associations for extension of CGHS facilities to the retired employees of such Statutory/Autonomous bodies whose serving employees are already covered under CGHS. The matter has also been raised before different Courts of law.

2. The matter has been considered in the Ministry and it has been decided to extend the CGHS facilities to the retired employees also of such Statutory/Autonomous bodies whose serving employees are already covered under CGHS.

3. The CGHS facilities will be extended to the retired employees of such Statutory/Autonomous bodies subject to the following conditions.

a) CGHS facilities will be extended to the retired employees ofthe Statutory/Autonomous bodies on cost-do-cost basis. They will be entitled to OPD facilities and medicines from CGHS Wellness Centres in Delhi/NCR only.

b) Medical Expenses incurred on IPD/hospitalization treatment of the pensioner beneficiary and their eligible family members shall be borne by the statutory/autonomous bodies concerned as per CGHS approved rates and guidelines.

c) CGHS card(s) will be issued only on receipt of the recommendation of Statutory/Autonomous bodies concerned alongwith advance payment of requisite service charges at prescribed rate (on cost-to-cost basis) on annual basis. The CGHS cards will be renewed on annual basis on receipt of annual service charge in advance from the Statutory/Autonomous bodies concerned.

4. In this connection, it is to inform that the Statutory/Autonomous bodies which are already covered under CGHS for their serving employees and are desirous to extend CGHS facilities to their retired employees also, may accept the above conditions and forward their procosal, with the approval/recommendation of IFD through their Administrative Ministry / Department, to this Ministry for consideration. This issues with the approval of Competent Authority. Sd/- [V.P. Singh] Director Tel:-23061831

4. Learned counsel for the respondents further draws attention to the list of 57 autonomous bodies covered under the said order. However, the name of the present organisation does not find mention in the said list.

5. Learned counsel for the applicant submits that the impugned order passed by the respondents is non-speaking and has been passed without assigning any reason. He further submits that similar benefits have been extended to KVS, which is also an autonomous organisation. The applicability of CGHS facilities to retired employees of the present organisation is, therefore, a question that requires consideration.

6. Per contra, learned counsel for the respondents submits that the contents of paragraphs 4.3 to 4.5 of the counter affidavit are matters of record. He further submits that, as per OM No. S.11011/15/2013- CGHS(P) dated 10.06.2014, the statutory/autonomous bodies already covered under CGHS for their serving employees and desirous of extending CGHS facilities to their retired employees are required to accept the prescribed conditions and forward their proposal, with the approval/recommendation of IFD through their Administrative Ministry/Department, to the Ministry of Health and Family Welfare for consideration.

7. Heard learned counsel for both the parties at length. Orders reserved. Manish Garg Member (J) Sneha Meena ( steno 'c' )