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Thring v. Economical Insurance Company (20-000309)

  • August 27, 2021

The claimant applied to the LAT seeking entitlement to ACBs and transportation expenses associated with a psychological assessment. The insurer accepted the claimant’s entitlement to ACBs prior to denying entitlement base on its own Form 1. Vice-Chair McGee found that ACBs were not payable as the claimant failed to establish that the expenses he claimed were “incurred” as defined in the SABS. Vice-Chair McGee also noted the insurer would not have been liable for amounts incurred prior to completion of the claimant’s Form 1. The claimant failed to tender the OCF-18 proposing the disputed transportation expenses and simply asserted the expense was reasonable. Vice-Chair McGee found that the claimant failed to establish that the claimed expenses satisfied the requirements of s. 15 of the SABS. The application was dismissed.

Full decision here

TGP Analysis

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  • FILED UNDER Attendant Care Benefits, Incurred Expense
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