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A.P. v. Coseco Insurance Company (16-004363)

  • October 31, 2017

The catastrophically-impaired claimant sought payment of attendant care benefits based on service provided by his mother. The mother had training as a PSW but was not employed at the time of the accident. The dispute concerned whether the mother qualified as a professional service provider under the “incurred expense” definition. Adjudicator Truong concluded that the claimant’s mother was a professional service provider. Although she was not working at the time of the accident, the adjudicator accepted that the mother was seeking employment as a PSW around the time of the accident (and did, in fact, obtain employment as a PSW). Adjudicator Truong noted that the SABS did not require a professional to be actively employed in their occupation or profession at the time of the accident, and that training, professional licencing, the regulatory process, and actively seeking employment were part of being “ordinarily engaged in” a profession.

Full decision here

TGP Analysis

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  • FILED UNDER Incurred Expense
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