The applicant sought a spousal death benefit of $50,000 following the death of his common-law partner in a motor vehicle accident.
The insurer denied the claim, arguing the couple had separated and were no longer cohabiting in a relationship of some permanence at the time of the accident.
The arbitrator found that despite living in separate residences for economic reasons, the couple maintained a relationship of some permanence, particularly given the recent birth of their child.
The arbitrator awarded the $50,000 death benefit, plus a $25,000 special award due to the insurer's unreasonable conduct in failing to advise the applicant of his potential entitlement and delaying the claim.