NATIONAL INSURANCE COMPANY LIMITED vs UNION OF INDIA & ORS.

Judgment text excerpt

$~8 * IN THE HIGH COURT OF DELHI AT NEW DELHI % Date of Decision: 17.09.2025 + W.P.(C) 12723/2025, CM APPL. 51974/2025 NATIONAL INSURANCE COMPANY LIMITED .....Petitioner Through: Mr. Zorawar Singh and Mr. Jayant Rastogi, Advocates. versus UNION OF INDIA & ORS. .....Respondents Through: Mr. Arnav Kumar, CGSC along with Mr. Adit Garg and Ms. Manya Gupta, Advocates for R-1 to R-3. CORAM: HON'BLE MR. JUSTICE SACHIN DATTA SACHIN DATTA, J. (ORAL) 1. The present petition assails the order dated 15.07.2024 passed by the National Grievance Redressal Committee (‘NGRC’) under Rashtriya Swasthya Bima Yojana (‘RSBY Scheme’). 2. The background of the matter is that the Government of India came out with the RSBY Scheme wherein the petitioner was appointed as the insurer under the said scheme for 14 districts in the State of Bihar. Under the Scheme, medical aid was to be extended by the concerned panel hospitals to the beneficiaries (families belonging to Below Poverty Line) and subsequently, the hospitals were to make their claims with the petitioner. 3. The Bihar Swasthya Suraksha Samiti (BSSS), a society under the Department of Health, Government of Bihar was the nodal agency for implementing the RSBY Scheme in the said State. Signature Not Verified Digitally Signed By:ROHIT W.P.(C) 12723/2025 Page 1 of 3 KUMAR PATEL Signing Date:23.09.2025 15:49:41 4. Accordingly, for the aforesaid purpose, the petitioner had entered into agreement with the State of Bihar, through its nodal agency for each district in the State (for which the work was allotted to the petitioner). It is submitted that under the agreement, the petitioner was entitled to receive the premium towards the insurance cover, which was to be paid by the State Government to the petitioner including the share of the premium of