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A.D. v. TD General Insurance Company (19-005432)

  • July 20, 2020

The claimant disputed his entitlement to in-home attendant care assessment. Section 20(2)(a) of the SABS states that no attendant care benefits are payable for expenses incurred more than 104 weeks post-accident unless the claimant sustained a catastrophic impairment. Given that the proposed assessment was requested over 6 years post-accident and the claimant was not catastrophically impaired, Adjudicator Hines determined that the claimant was not entitled to the disputed attendant care assessment.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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