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D.S. v. Certas Home and Auto Insurance Company (16-000279)

  • October 20, 2016

A completed OCF-3 was submitted; the claimant was said to have not met the test for NEBs. An OCF-10 was submitted whereby the claimant elected NEBs. The insurer sought a preliminary hearing to have the claimant’s claim for NEBs dismissed without a hearing. Adjudicator Pay concluded that the claimant was still entitled to pursue a claim for NEBs despite the original OCF-3 not supporting NEBs.

Full decision here
Full decision here

TGP Analysis

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  • FILED UNDER Non-Earner Benefits, Jurisdiction, Election
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