The appellant appealed an arbitrator's order precluding him from proceeding to arbitration for failure to attend insurer examinations (IEs) and finding his claim for attendant care benefits was time-barred.
The appellant was incarcerated at the time of the scheduled IE.
The Director's Delegate held that the arbitrator erred in refusing to consider the appellant's reasonable excuse for non-attendance.
The Delegate found that incarceration was a reasonable excuse, and the appellant had no duty to reschedule the IE upon his release; his only duty was to attend a properly scheduled IE.
The Delegate also found that the attendant care benefits claim was not time-barred, as it was for a limited period ending before the insurer's denial, and a formal denial is not a prerequisite for a dispute.
The appeal was allowed and the arbitrator's order was rescinded.