1 total
Caregiver benefits denied as the catastrophically impaired applicant was not the primary caregiver.
The applicant, who sustained a catastrophic impairment in a motor vehicle accident, sought weekly caregiver benefits for his two children.
The insurer denied the claim on the basis that the applicant was not the primary caregiver at the time of the accident.
The Tribunal applied a qualitative and quantitative analysis and found that the applicant's wife was the primary caregiver, as she performed more caregiving tasks and took on the more significant responsibilities regarding the children's medical and behavioural needs.
The application for caregiver benefits and associated interest was dismissed.