One judge’s clarity is another’s ambiguity.

On June 4, 2013, the BC Court of Appeal reversed a trial decision in McLean v. Canadian Premier Life Insurance, 2013 BCCA 264,and in an unanimous decision allowed the appeal and held that the insured was entitled to the $1 million benefit provided by the policy. The McLean appeal decision is an interesting example of how one judge’s clarity is another’s ambiguity. The trial judge found that “the words of the contract are clear and unambiguous” and held that the loss did not come within the policy terms. Specifically, holding that at the time of the loss the deceased insured was not a...

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When a policy lapses, a new agreement must be made.

On January 11, 2013, the  BC Court of Appeal decided in Khosah v. Canada Life Assurance Co. that where coverage under an original policy lapses in accordance with its own terms, the principles of contract formation, rather than contractual interpretation, may apply in determining whether a new policy has come into existence. The issue on appeal was whether the beneficiary’s deceased husband, the insured, obtained temporary insurance coverage from the insurer while the insurer processed the insured’s application for reinstatement of a term life insurance policy that had lapsed due...

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Insurer has 6 years to sue insured.

On November 28, 2012, in Sun Life Assurance Co. of Canada v. Catalano, [2012] B.C.J. No. 2566,British Columbia Supreme Court dismissed an application by an insured under a long term disability policy (“Catalano”) to dismiss an action by the disability insurer (“Sun Life”) seeking to recover insurance monies under a reimbursement agreement. The Court held that the applicable limitation period was six years. Catalano worked for Teck Cominco Metals Ltd. until February 2003. He became disabled and was provided long term disability benefits under a group policy...

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Death benefits denied due to substance abuse.

On April 26, 2012, the New Brunswick Court of Queen’s Bench dismissed an application by a widow for an order that a group creditor insurer pay her pursuant to a policy of insurance following her husband’s death. In Laird v. First Canadian Insurance Corp., the applicant, Mrs. Laird, and her husband, Mr. Laird, purchased group credit insurance when they purchased a new vehicle. On the application for insurance Mr. Laird answered “yes” to a question about whether he suffered from “any illness/disorder of the heart, brain, lungs, kidney, liver, or pancreas (diabetes).” No follow-up medical...

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Communication with ICBC does NOT extend limitation period.

On March 29, 2012, the defendants in a personal injury action arising out of a motor vehicle accident obtained a summary dismissal of the plaintiff’s action on basis that it was barred by the expiration of the two year limitation period. In Field v. Harvey, 2012 BCSC 456, a judge of the British Columbia Supreme Court found that correspondence from ICBC did not postpone the running of time. On August 22, 2008, the plaintiff suffered injuries when her vehicle was in a collision with a cement truck owned by one of the defendants and operated by the other defendant. She alleged that the...

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LTD claim reviewing MAY extend a limitation period.

An application by a long term disability insurer to dismiss a claim commenced by an insured on the basis that the claim was barred by the expiration of the limitation period. The application was dismissed and costs awarded to the plaintiff. In White v. Manufacturers Life Insurance Co. (c.o.b. Manulife), [2011] B.C.J. No. 2273, the plaintiff was insured for a long term disability benefits under a group policy issued by the defendant, Manulife Insurance. The plaintiff submitted an application for disability benefits on September 13, 2006. On July 12, 2007 Manulife advised the plaintiff that...

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