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ARTICLE · 23 NOVEMBER 2016

Limitation Period Trumps After All

In a decision on a preliminary issue, dated November 18, 2016, Arbitrator Schnapp held that a catastrophically impaired Applicant missed the two year limitation period.

CanadaInsurance

In a decision on a preliminary issue, dated November 18, 2016, Arbitrator Schnapp held that a catastrophically impaired Applicant missed the two year limitation period to dispute the Insurer's refusal to pay housekeeping and attendant care benefits.

In Mayo v. Economical, the Applicant was involved in a serious MVA on May 2, 2005. Following the accident, the Applicant received various benefits under the SABS, including housekeeping and attendant care benefits.  Economical sent the Applicant an OCF-9 near the two year mark advising that no further housekeeping and attendant care benefits would be paid after the 104-week mark as per sections 18 and 22 of the SABS. The language of these two sections was attached to the OCF-9. The Applicant did not dispute the denial until more than eight years later, when he also applied for a determination of catastrophic impairment.  Ultimately the Applicant was deemed to be catastrophically impaired but Economical maintained that

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