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ARTICLE · 10 DECEMBER 2014

Care Provided By Stay-At-Home Parent Was Not "Incurred"

On October 31, 2014, Arbitrator Fadel released his decision in Josey and Primmum Insurance Co. In this case, the sole issue was whether the Applicant was entitled to attendant care benefits.

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On October 31, 2014, Arbitrator Fadel released his decision in Josey and Primmum Insurance Co.1 In this case, the sole issue was whether the Applicant was entitled to attendant care benefits.

It was agreed that the Applicant required attendant care as a result of the injuries he sustained in the motor vehicle accident on December 11, 2011.  The quantum of the attendant care benefit, if payable, was also not in dispute.  The issue was whether the Applicant had satisfied the definition of "incurred" expenses as found in Section 3(7)(e) of the Statutory Accident Benefits Schedule—Effective September 1, 20102 ("2010 Schedule").

The Applicant received attendant care services from his spouse, who acted as a full-time caregiver to their three children before the motor vehicle accident.  As such, the Applicant argued that his spouse was a person who provided care in the course of her "employment, occupation, or profession", as per Section 3(7)(e); i.e. that his spouse was

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