The respondent was rendered paraplegic in a motor vehicle accident.
His mother took an unpaid leave of absence to provide 24-hour care.
The insurer argued that under SABS-2010, it was only required to pay attendant care benefits for the 40 hours per week of paid employment the mother forgone, as that was the extent of her 'economic loss'.
The Court of Appeal held that economic loss serves as a threshold for entitlement to attendant care benefits, not as a measure of the quantum.
Once the threshold is met, the insurer must pay for all reasonable and necessary care provided, subject to statutory maximums.
The appeal was dismissed.