Sahinbay and Unica Insurance Inc.

Leilah Edroos of Brown & Partners LLP argued the following issues for Unica Insurance at FSCO over seven days in front of Arbitrator Robinson: a catastrophic impairment determination, and the entitlement to non-earner, housekeeping, attendant care and medical benefits. A special award was also sought.

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Limitation Period and Catastrophic Impairment

Written by Philip Ghosh.

Somerville v State Farm, A12-006767, September 11, 2014, Arbitrator Jeffrey Rogers affirms that the two-year limitation on disputing a refusal to pay housekeeping and home maintenance benefits is not altered by a subsequent finding that an applicant is catastrophically impaired.

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FSCO’s Current Approach to CAT

Written by Harry P. Brown and Peter Pietraszek.

Director’s Delegate Blackman’s decision in State Farm and P.B. et al., P13-00036 and P13-00037, July 30, 2014, is particularly valuable to insurers as it outlines the current approach FSCO is taking in their CAT assessments.

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