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    <title>Approval of reimbursement of medical expenses incurred beyond the ceiling mentioned in the total managerial package</title>
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    <description>Reimbursement for specialised medical treatment abroad for managerial personnel requires an essentiality certificate issued by the Director General of Health Services of the relevant State/Union Territory; the Central Government may waive this requirement in genuine and deserving medical emergencies. Waivers are considered on merits taking into account the case circumstances, company financial position, period of association, total managerial remuneration, prior medical reimbursements and other relevant factors.</description>
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      <description>Reimbursement for specialised medical treatment abroad for managerial personnel requires an essentiality certificate issued by the Director General of Health Services of the relevant State/Union Territory; the Central Government may waive this requirement in genuine and deserving medical emergencies. Waivers are considered on merits taking into account the case circumstances, company financial position, period of association, total managerial remuneration, prior medical reimbursements and other relevant factors.</description>
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