IN THE HIGH COURT OF
JUDICATURE AT BOMBAY
CIVIL APPELLATE JURISDICTION
WRIT PETITION NO.9340 OF 2012
Bhagyashree Bharguram Mahadik
vs ESIC
05.Sep.2013
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Background:
The late husband of the petitioner
(hereinafter referred to as the “insured”) was registered under the ESIS
Scheme by his employers-Dhanwantari Engineers Pvt. Ltd., The insured reported
for duty on 27.3.2012 at 8.30 A.M. At about 8.45 A.M. he complained of chest
pain and his colleagues took him to a resting area within the factory
premises and asked him to rest for a while. As his condition started
deteriorating at about 10.45 A.M., he was rushed to the Navi Mumbai Municipal
Corporation-NMMC General Hospital at Vashi. The provisional cause of death
cum death certificate issued on 27.3.2012 mentions the insured was “brought
dead” to the Hospital. Insured was declared as dead by the Medical Officer of
NMMC Hospital and the cause of death was mentioned as “Acute Myocardial
Infarction”. The insured at the time of death was about 50 years old. The
employer of the insured raised a claim for the dependents under the ESI Act
and the same with supporting documents were filed with the
respondents'-office on or about 11.4.2012. However, the respondents rejected
the claim by their letter dated 14.5.2012. Hence this writ petition by the petitioner.
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Defense taken by petitioner
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Defense taken by
respondents
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v
That the insured died while in the factory
where he was working ;
v
The death arose during the course of
employment ;
v The
insured was covered under the ESIC scheme.
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v
The person cannot be treated as an employee
under the ESI Act.
v
The injury sustained by the employee cannot be
treated as an Employment injury under the Act.
v
The Insured Person has died of natural causes,
the death is not related to stress and strain of work
v
the ESI Act provided for an alternative remedy
under Section 75 of the ESI Act to raise dispute before the Employees'
Insurance Court
v
It is a natural death, there is no involvement
of stress and strain of work
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Judgment:
The Court had passed an order in favor of the petitioner thereby directing
ESIC to pay dependent benefit on the following grounds:
1.
In a similar case before Madra High Court
observed that “ Thus, the moment it is proved that the accident arose in the
course of an insured person's employment, it is to be presumed, in the
absence of evidence to the contrary, that the accident has arisen out of that
employment.”
2. The
Court should interpret the social security provisions liberally in favour of
the persons for whose benefit the enactment has been made
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Learning:
Dependent can claim in case of
Natural Death also.
The entire case can be downloaded at the the following: https://docs.google.com/file/d/0B9eCDQfDixrPSEd3a0xBaGp0bFE/edit?usp=sharing |
ESIC payble on Heart Attack within the Premises
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