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Applicant v. Wawanesa Mutual Insurance Company (18-003314)

  • September 17, 2019

The claimant sought reconsideration of the Tribunal’s decision on narrow issue of the quantum of attendant care awarded. The Tribunal awarded the claimant $3,047.27 in monthly attendant care, despite the claimant’s Form 1 listing $6,000 in monthly attendant care and the respondent’s Form 1 listing $3,243.95 in monthly attendant care. The claimant argued that the Tribunal breached the rules of natural justice or procedural fairness in providing relief that was neither sought, nor presented at the hearing. Adjudicator Hines dismissed the claimant’s request for reconsideration, concluding that the Tribunal’s decision provided a careful and detailed analysis for its findings, and compared both parties Form 1’s to establish what was reasonable and necessary based on the facts and the evidence. That the quantum the Tribunal found payable ended up being less than the respondent’s Form 1 was not proper grounds for reconsideration.

Full decision here

TGP Analysis

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  • FILED UNDER Attendant Care Benefits, Reconsideration
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