Motor Vehicle Accident Victims Can Claim Attendant Care Expenses Incurred Prior to Submitting a Form One

Accident Benefits Reporter Volume 15, Issue 2 | November 2014

Posted November 1, 2014
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An accident benefits insurer must consider retroactive attendant care claims advanced in an Assessment of Attendant Care Needs (Form 1) that is submitted to the insurer.

In Kelly v. Guarantee Company of North America (“Guarantee Company”), this issue was recently decided by Arbitrator John Wilson in favour of the insured, where the Guarantee Company argued that it was not required to pay attendant care expenses incurred prior to the submission of a retroactive Form 1.

The decision is important, as unrepresented and seriously injured accident victims who are in need of attendant  care services are frequently unable to comply with the technical requirements for claiming attendant care expenses under the Statutory Accident Benefits Schedule (SABS).

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