Joint Electricity Regulatory Commission (Medical Facility) Regulations, 2026 – New Rules & Repeal of 2024 Regulations

Joint Electricity Regulatory Commission (Medical Facility) Regulations, 2026 – New Rules & Repeal of 2024 Regulations

JOINT ELECTRICITY REGULATORYCOMMISSION
(For the State of Goa and UTs)

NOTIFICATION

Gurugram, the 14th October, 2026

JERC No. 37/2026.—In exercise of power conferred Under Section 91 & 181 of the Electricity Act, 2003 and Chapter IV para 18.2 of JERC for the State of Goa & UTs (Recruitment Control and Service Conditions of Officers and Staff) Regulations, 2009, and in supersession of the Joint Electricity Regulatory Commission (Medical Facility) Regulations 2024, the Joint Electricity Regulatory Commission (JERC) hereby makes the following Regulations:

1. Short Title, Extent of Application and Commencement

• i. These Regulations may be called the Joint Electricity Regulatory Commission (Medical Facility) Regulations, 2026.
• ii. The Joint Electricity Regulatory Commission (Medical Facility) Regulations, 2024 stands repealed from the date of notification of these Regulations.
• iii. These Regulations shall come into effect from the date of publication in the official Gazette.

2. Definitions – In these Regulations, unless the context otherwise requires: –

i. “Commission” means Joint Electricity Regulatory Commission (For the State of Goa & UTs).

ii. “Competent Authority” means the Chairperson of the Commission or any other officer to whom such powers may be delegated by the Commission for the purpose of these Regulations.

iii. “Eligible Persons” includes

• Incumbents appointed against sanctioned posts, regular employees and deputationists of the Commission.
• Person who has superannuated (at the age of 60 or as decided by the Central Government and adopted by the Commission).
• Medical facilities shall be allowed to the Chairperson and Member under these regulations after completion of their tenure or upon attaining the age of 65 years, whichever is earlier. During their tenure, their medical facilities shall be regulated as per Rule 13 of the Ministry of Power Notification dated 19.03.2007.
• Employees in case of his/her retirement on medical incapacitation before superannuation shall also be eligible to avail the benefit under these regulations. Employees in case of his/her voluntary retirement by giving notice of not less than three months in writing to the Commission after he/she has rendered at least 10 years of regular service, in aggregate, in Government / PSUs / Statutory Bodies out of which he/she has rendered at least 5 years of regular service in the Commission as on the date of voluntary retirement.
• In case of death, irrespective of length of service, the spouse/ dependent family members become eligible immediately and may opt for the scheme as per entitlement of the deceased employee.

iv. Employees who are separated by way of removal or dismissal because of disciplinary proceedings are not eligible.

v. The term ‘family’ means and includes

• Husband or wife, as the case may be and other dependant family members. Dependent Family Members include: parents (employee can have either his/her parents or his/her parents-in-law as dependents), widowed sisters, widowed daughters, minor brothers and minor sister, children and step-children wholly dependent upon the Government Servant and who are normally residing with the Government Servant (son up to the age of 25 or till his marriage whichever is earlier and daughter till she gets married). In addition, ‘dependent’ also includes, dependent divorced /separated daughters (including their dependant minor children).
• The term dependent means that income from all sources, including pension benefit, is less than Rs. 15,000 per month. However, the spouse of the primary cardholder is an exception to the aforementioned clause.

The aforesaid limit may be revised by the Commission by way of a separate order/instruction from time to time.

vi. “Patient” means eligible person, spouse or their family members as defined in 2(v) above who is in need of medical attendance and treatment.

vii. “Health Care Centre” means

• Government run/funded hospitals/ Diagnostic Centres/Labs
• Pvt Hospitals, Diagnostic Centres /Labs empanelled or nominated by JERC

viii. “Treatment” means

• All medical and surgical facilities available at the Health Care Centre in which the eligible person/ their family members are treated.
• Pathological, bacteriological, radiological, advanced technology methods or other methods as are considered necessary by the medical attendant.
• Medicines, vaccines, sera or other therapeutic substances (under Allopathy, Ayurvedic, Unani, Siddha and Homoeopathy, Naturopathy) as are ordinarily used for treatment.
• Physiotherapy and any other rehabilitation treatments.
• Accommodation as is ordinarily provided in the Health Care Centre as per entitlement.
• Nursing as is ordinarily provided to in-patients by the hospital specialist consultation.

ix. “Artificial Appliances”- artificial appliances are medically necessary to restore physical function or support recovery after surgery, illness, or injury such as Artificial Limbs & Prosthetics, Supportive Gear, Implanted Devices and Prescribed Aids as Pace Maker, Valves, Stents, Joints of Knee/ Hip/ Arms, etc.

x. Medical facilities to the eligible person and their family members will be admissible for the treatment undergone only in India or as considered by the Competent Authority specifically.

*Exclusions –

Preparations which are not medicines but are primarily dietary food, drinks, tonics, toilet preparations, disinfectants, laxatives, non-medical expenses like registration fees, personal items, and specific consumables (gloves, masks, cotton). Cosmetic treatments, Personal Comfort & Utility Items (Hospital gowns, slippers, and caps; toothbrushes, toothpaste, soap, Tissue papers, hand washes, Washing charges, Barber charges), Attendant food and extra room, Infertility treatments and IVF. However, the same may be permitted based on the merit of each case.

3. Procedure for availing Indoor and outdoor treatment Outdoor Treatment (OPD)

i. The eligible person will be entitled to actual reimbursement of medical expenses for OPD treatment for themselves, spouse and their family members with the annual limits based on the last cell of the corresponding pay matrix + dearness allowance in which they are /were working, applicable from April to March every financial year. The pay scale/pay matrix shall stand revised on implementation of the respective Central Pay Commission.

ii. OPD treatment includes doctor’s consultations, medicine, tests and investigations, daycare procedures, dental care, eye care, denture including dental implants, hearing aid (within the overall annual limit) and spectacles prescribed by the treating specialist for self and dependent family members.

iii. This annual limit is exclusive of the expenses incurred on major tests where the cost of such tests is 7,500/- or more such as MRI, CT scan, Angiography etc., which will be reimbursable on an actual basis. The said limit may be revised by the Commission through a separate order/instructions.

Indoor treatment

i. The eligible person and their family members may take indoor treatment from the Health Care Centre as mentioned in regulation 2 (vii) of these regulations.

ii. The expenses incurred by the employees/eligible person will be fully reimbursed by the Commission.

iii. The indoor treatments include the cost of treatment, pathological, radiological, scanning, hospital accommodation, nursing home facilities and other required/ mandatory treatments etc. prescribed by the treating doctors.

iv. The eligible person and their family members may get medical treatment in any of the Health Care Centre empanelled or nominated by JERC. However, in case of emergency, they may directly go to any private hospital/diagnostic centre.

v. If during treatment in an empanelled/nominated Health Care Centre, special nursing becomes necessary, the eligible person or family member shall be entitled to such special nursing as may be deemed essential for the recovery or for the prevention of serious deterioration in the condition of the patient having regard to the nature of the disease. The amount to be reimbursed for such special nursing shall be limited to the amount which is in excess of 25% of the pay of the eligible person for the period for which special nursing was necessary. For this purpose, a certificate/prescription from the health care centre where treatment is undergoing, to be produced.

vi. The eligible person, subscribed to an insurance policy, is allowed to claim reimbursement from either through the insurance company or this Commission or from both sources, subject to condition that the reimbursement shall not exceed the total expenditure incurred by the eligible person or dependent family members on the treatment. In such case, the reimbursement from the Commission shall be restricted to the claim not paid by the Insurance Company, if any or not claimed from the Insurance company as the case may be.

4. Advance for Medical Treatment

i. All expenses on indoor treatment shall initially be met by the eligible person himself and shall claim for medical reimbursement on completion of the treatment. However, on the request of the eligible person, the Competent Authority, JERC may grant an advance not exceeding 90% of the estimate by the Health Care Centre for IPD treatment to enable him/her initially to meet expenditure on medical attendance and treatment for self and dependents. For OPD treatment in the case of TB/Cancer & kidney dialysis, advance may be granted subject to above ceiling limit.

ii. The advance paid to the eligible person shall be adjusted against the medical claim and balance, if any, shall be paid to or refunded by the eligible person.

5. Accommodation:

Entitlement of wards for various categories of beneficiaries for indoor treatment in Health Care Centres will be as follows: –

6. Submission of Medical Claims

• i. Final claims for reimbursement of medical expenses for a particular spell of illness shall ordinarily be preferred within three (03) months, from the date of completion of the treatments.
• ii. All claims for reimbursement should be accompanied with copy of the doctor’s prescription, cash memo, doctors/health Care Centre receipt (in original) in respect of consultations/medicines etc., shall be submitted along with the claim form duly self-certified by the employee concerned for himself and for his dependent family members.
• iii. The application for medical claims for Indoor/IPD treatment shall be submitted in the prescribed form given at Annexure-I.
• iv. The application for medical claims for OPD treatment shall be submitted in the prescribed form given at Annexure-II.
• v. The eligible person shall submit Registration Form in the prescribed format for availing medical facility as given at Annexure-III.

7. When both Husband and Wife are in service

In case where both husband and wife are in service and eligible for medical facilities from their respective employer, they, as well as eligible dependants, may be allowed to avail of the medical facility according to his/her status. For this purpose, they should furnish a joint declaration as to who will prefer the claim for reimbursement of medical expenses incurred on the medical attendance and treatment in respect of wife/husband and their dependents.

8. Cases where the family stays outside Headquarters (Station)

• i. Where the family of the eligible person does not reside at the same place where the eligible person is posted, they may avail of medical treatment at their normal place of stay, and the expenditure incurred on such treatment shall be reimbursed by the Commission.
• ii. In case of critical diseases eligible persons or dependent family members may take IPD treatment in any Health Care centre in India which is considered or have a reputation of specialization in treating those critical diseases in a better way. However, in such cases prior approval of the Commission shall be obtained.
• iii. Eligible person or dependent family members falling ill at a place other than his/her headquarters are also entitled to reimbursement of medical expenses on the same basis as above.

9. Dental treatment: Eligible person and their family members shall be entitled to have ‘dental treatment’ from any dental surgeon/clinic.

• Dental treatments, like Tooth extractions, root canal treatment, scaling, implants, dentures and crowns are reimbursable.
• Cosmetic dental treatment like teeth whitening, Dental Veneers, Composite Bonding, tooth-coloured, Laser or surgical reshaping of uneven or excess gum tissue to balance a smile shall not be reimbursed.
• Cosmetic dental treatment necessitated by an accident shall be reimbursable.

10. Reimbursement of purchase of artificial Appliances

Reimbursement of expenses for purchase/ replacement/repair/ adjustment of various artificial appliances shall be allowed. In the case of diseases like Polio, where an appliance is fitted to a child, which has to be readjusted or replaced periodically as the child grows or the affected part improves, reimbursement of cost of boot (shoe) in the case of such patients is permissible if certified as essential by a specialist in the concerned speciality in the hospitals. The expenditure on reimbursement of purchase of artificial Appliances shall be considered as IPD treatment.

11. Other Conditions

• i. The competent authority in the Commission shall be empowered to disallow any claims or part of the claim which does not satisfy the required condition for such claim.
• ii. Expenses incurred on the surgery and post-operative care of the donor of an organ for transplantation to the eligible person or to their family members shall be reimbursed as per actual, over and above the limit.

12. Ambulance Charges

Ambulance charges for admission to the hospital in case of maternity or serious illness, emergency cases or injury shall be reimbursed on actuals. In case public transport such as Taxi has been used to carry the patient in emergency or non-availability of Ambulance, actual charges paid shall be reimbursed.

13. Medical termination of pregnancy

The expenditure incurred on medical termination of pregnancy shall be reimbursed in full provided it has been performed at a Health Care Centre recognised or approved under the Medical Termination of Pregnancy Act 1971.

14. Annual Medical Health check-up

The eligible person (excluding family) may undergo an annual medical examination in a financial year from the empanelled/ nominated health care centre. The expenditure on this will be reimbursed subject to the overall ceiling limit as laid down in Regulation 3(i).

15. Power to review

The power to review these Regulations shall vest with the Commission.

16. Interpretation

If any queries is arises on the interpretation of any clause or clauses of these Regulations, it shall be referred to the Commission, whose decision shall be final.

17. Power to relax and amend

Where the Chairperson of the Commission is of the view that it is necessary or expedient so to do, he/she may, for reasons to be recorded in writing, relax any of the provisions of these Regulations. The Commission reserves the right to amend or modify the guidelines of these Regulations in part or in full.

RAJESH DANGI,
Secy. I/c [ADVT.-III/4/Exty./405/2026-27]

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