The insurer appealed an arbitrator's decision that the criminal offences exclusion in subsections 30(4) and (5) of the SABS-1996 did not apply to income replacement benefits payable after the insured's conviction for assault.
The Director's Delegate allowed the appeal, finding that the exclusion applies to benefits that would otherwise be payable both before and after a conviction.
The arbitrator's interpretation would produce absurd consequences and violate public policy by allowing a convicted person to receive benefits after being found guilty.