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C.S. v. Echelon General Insurance Company (19-012146)

  • October 9, 2020

The claimant sought $12,763 for lost educational expenses. The insurer had approved $2,596 for lost tuition. The remainder of the claim was for lost grants and loans, which the insurer had denied. The claimant argued that those amounts were intended to help pay for tuition, supplies, and housing. The insurer argued that those claims do not fall within the definition of “lost educational expenses”. Adjudicator Kaur found that the additional amounts did not comply with section 21 of the SABS. Incurring a debt through OSAP because of an accident was not itself enough to qualify for lost educational expenses. With respect to the claims for equipment and books, the claimant failed to provide a breakdown or evidence to corroborate the expenses. With respect to housing costs, the tenancy agreement was signed after the accident and therefore could not be claimed, as the expense had to be incurred prior to the accident to be payable.

Full decision here

TGP Analysis

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  • FILED UNDER Lost Educational Expenses
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