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Legal Update 20

   
 

 

Arbitrability of Insurance Claims: Update

Arbitrators have been divided as to whether the traditional Brown & Beatty "four categories" approach had been replaced by a new, expansive "but for" test of arbitrability. In its decision in London Life v. Dubreuil, July 13, 2000 and the companion decisions of Honeywell and Longlac, the Court of Appeal has re-affirmed the Brown & Beatty "four categories" test of arbitrability, and discarded the idea that there is any additional new right to litigate benefits claims. So, we are back to the original position, which is:

Brown & Beatty’s Four Categories of Insured Benefits Provisions

  1. The agreement makes no reference to the insurance plan or the benefits provided under the plan – benefits not arbitrable.
  2. The agreement provides for the provision of specific benefits – those benefits only are arbitrable.
  3. The agreement provides only that the employer will be responsible for payment of insurance premiums – benefits not arbitrable.
  4. The agreement incorporates the insurance plan – all benefits arbitrable.

This certainly raises the possibility of bargaining towards 4.

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