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M.I. v. Coseco Insurance Company (18-000742)

  • May 19, 2020

The insurer suspended the claimant’s entitlement to IRBs. The claimant applied to the LAT. Before the Case Conference, the insurer reinstated the IRBs. The insurer argued that the LAT did not have jurisdiction to consider the claim for IRBs. Adjudicator Kepman concluded that the Tribunal did not have jurisdiction under the Insurance Act to consider the claim, since all IRBs plus interest had been paid to the claimant. However, she did consider the claim for a special award, and concluded that the insurer had not acted unreasonably in its adjusting of the claim.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Special Award, Jurisdiction
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