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Z.M. v. State Farm Mutual Automobile Insurance Company (18-012546)

  • June 11, 2020

A preliminary issue hearing was held to determine whether the claimant was barred from proceeding with her application for non-earner benefits because the two-year limitation period had expired. The claimant argued that she did not discover that she was able to dispute the non-earner benefit until she retained a lawyer five years after the accident because she was illiterate in English. Adjudicator Grieves found that the insurer provided a clear, unequivocal, valid denial of the non-earner benefits and the denial satisfied all of the requirements set out in Smith v. Co-Operators. With regards to discoverability, the adjudicator held that the discoverability date was the date on which a reasonable diligent person would have known they had a cause of action. Between the date of the denial until hiring a lawyer, the claimant took no action to pursue her claim. The claimant further pleads that the limitation period should be extended under section 7 of the LAT. However, Adjudicator Grieves was not satisfied that there were reasonable grounds for applying for the extension or granting relief. The claimant was barred from proceeding with her claim.

Full decision here

TGP Analysis

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  • FILED UNDER Limitation Period
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