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S.K. v. Allstate Insurance Company of Canada (16-004212)

  • November 10, 2017

The claimant sought entitlement to accident benefits. The insurer raised a limitations objection and relied on the letter holding the claimant in section 33 non-compliance as the triggering document. Adjudicator Chloe Lester determined that a refusal to pay a benefit from a section 33 notice letter can trigger a limitation objection. A distinction was made between a letter requesting information and a letter denying payment because of failing to provide information – the latter being able to trigger a limitation period. The claimant did not provide a reasonable explanation for not providing the requested information and it was therefore determined that the claims were barred due to the limitations provision.

Full decision here

TGP Analysis

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  • FILED UNDER Limitation Period, Section 33
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