The fact that the attempt to defraud the medical claims system was not successful did not diminish the Applicant’s liability in having made a false claim, as such; his actions destroyed the faith of the Organization in the Applicant which was necessary for continuing employment relationship. Proportionality: Although comparison between other similar cases can be referred to, they should be treated with caution as every case turns on its own facts. In determining whether to lessen the imposed sanction, the Tribunal will consider mitigating circumstance that had not been previously considered....
Medical Insurance Plan
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Disciplinary matters / misconduct
Fraud, misrepresentation and false certification
Separation from service
The present case concerned the reimbursement of medical expenses incurred by a locally recruited staff member outside his duty station while travelling on private business. It was not disputed that since the Applicant was on private business at the time he fell ill, his case did not fall under any of the exceptions of sec. 6.3 of the Medical Insurance Plan (“MIP”). The Tribunal found that the MIP Rules clearly provide that only reasonable and customary expenses at the duty station are covered by the MIP and are, thus, considered as “recognized expenses” unless one of the exceptions set out in...