JUDGEMENT
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(1.) HEARD counsel for the parties.
(2.) BY the impugned order dated 27.8.2010(Annexure -3) issued by the Technical Secretary to Executive Director(MS) / Deputy C.M.O.(HQ) the claim for medical reimbursement for treatment of
wife of the petitioner has been refused on the ground that petitioner has not obtained any prior
approval from the company and such type of treatment expenditure is not admissible as per the
C.I.L Medical Attendance Rule. Petitioner's case is that his wife Smt. Nutan Lala while at Ranchi
during the course of her stay with her son who was studying in Ranchi met with an accident while
riding on motorcycle and got head injury on 13.4.2010. She was immediately rushed to Nagarmal
Modi Seva Sadan, Ranchi where she remained for about two days and thereafter, she was shifted
to Appollo Hospital,Ranchi where she was admitted in Intensive Care Unit. After remaining in
hospital for certain time for more than a month she was released after being cured. The treatment
incurred expenditure of Rs. 1,86, 110/ -. The petitioner, thereafter, made a claim for reimbursement
before his controlling officer which was duly forwarded by the letter dated 7.9.2010 to the Director
Personnel, BCCL enclosing relevant vouchers and prescriptions. However, the respondents have
denied the medical reimbursement simply on the ground that petitioner has failed to obtain prior
approval of the company and such treatment expenditure was not admissible under the Medical
Attendance Rule of CIL.
It is submitted by learned counsel for the petitioner that in case of accident which the petitioner's wife has met, there was no time left for seeking prior approval for urgent treatment which otherwise
could have proved fatal to the injury. In such circumstances, the said ground made out for rejection
of petitioner's claim is wholly arbitrary and suffers from non application of mind. It is further
submitted that the condition in which the petitioner's wife was rushed to the hospital for treatment
after having sustained head injury during the accident do suggest that the respondents should
have considered the case of the petitioner as the case of post facto sanction. Learned counsel for
the petitioner submits that in similar circumstances, in case of treatment in private hospital such as
Escort Heart Institute and Research Centre, New Delhi, this Court in W.P.L. No. 1422 of 2005 in
case of another employee working under the same respondent - BCCL have been pleased to allow
the writ petition by directing reimbursement of the entire amount. The challenge to the same in
L.P.A. No. 526 of 2005 as well as before the Hon'ble Supreme Court in S.L.P.(Civil) No. 9966 of
2006 has also failed. Similar orders have been relied upon by the petitioner as contained in Annexure -9 , 10 and 11 respectively in W.P.S. No. 1758 of 2006, W.P.S. 1792 of 2011 and L.P.A.
No. 254 of 2007 arising out of same W.P.S.1758 of 2006. In such circumstances, petitioner has
assailed the impugned order. He has submitted that the right to medical treatment of an employee
in service Rules is guaranteed under the statute as also it is concomitant right under Article 21 of
the Constitution of India. Learned counsel for the petitioner has relied upon the judgment rendered
by the Hon'ble Supreme Court in the case of Consumer Eduction and Research Centre and others
Vrs. Union of India & others reported in AIR 1995 SC 922 wherein it has been held that right to be
treated in such emergent situation is also covered under the right to life under Article 21 under the
Constitution of India.
(3.) LEARNED counsel for the respondents submitted that the Medical Attendance Rule stipulates certain conditions which are required to be complied before such case of reimbursement is allowed
upon the expenditure where the employee or his dependent has been treated in private hospital,
which is pre -requisite. There are other formalities required to be observed such as permission to
carry on continuous treatment beyond 30 days by the competent Authority i.e. the Company's
Doctor, which has not been done in the instant case. The respondents, however have not been
able to offer satisfactory answer as to why in the cases of accident where immediate treatment is
necessary in order to save the life of the injured, the matter could not have been considered as
post facto sanction in the nature of approval.;
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