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No-fault Benefits to be Deducted from Liability Awards in BC Auto Cases

The Supreme Court of Canada's October 30, 2003 decision in Gurniak v. Nordquist will be of interest to out-of-province auto insurers who provide liability coverage for claims arising in British Columbia, as well as all British Columbia auto insurers.

Section 25(2) of the BC Insurance (Motor Vehicle) Act provides that "a person who has a claim for damages and who receives or is entitled to receive benefits respecting the claim, is deemed to have released the claim to the extent of the benefits". "Benefits" is defined is 25(1) as meaning:

"a payment that is or may be made in respect of bodily injury or death under a plan established under this Act, other than a payment pursuant to a contract of third party liability insurance or an obligation under a plan of third party liability insurance, and includes accident insurance benefits similar to those described in Part 6 of the Insurance Act that are provided under a contract or plan of automobile insurance wherever issued or in effect."

In Gurniak a Quebec resident was killed in an accident in British Columbia and his spouse and children received benefits, including dependants' benefits, under Quebec's no-fault insurance scheme. The spouse and children brought a tort action in British Columbia and the defendants (whose primary insurer, and possibly excess liability insurer, would have been ICBC) sought a declaration, pursuant to section 25 of the BC Insurance (Motor Vehicle) Act, that the Quebec benefits should be deducted from any damages award in the tort action.

The BC Supreme Court, with which the Court of Appeal agreed, held that the benefits were not deductible because they were not paid pursuant to a contract of indemnity. The Supreme Court of Canada disagreed and allowed the appeal. The Supreme Court held that the Quebec benefits met the test of being "similar" as required by section 25. Accordingly the amounts were required to be deducted from the tort award. In coming to this conclusion the Supreme Court overruled two earlier BC cases, Jang v. Jang and Buksh v. Franco, to the extent those cases imposed a "matching" requirement regarding the benefits received.

Insurers will note that the deduction is mandatory, and not merely discretionary. No-fault benefits can involve substantial sums of money and thereby reduce the liability award significantly.

There is also case law, namely Beifuss v. Reimer, in which the BC Supreme Court determined that the section 25 deduction was available not only to ICBC-insured defendants, but also to defendants insured by out-of-province insurers. (Non-automobile insurers cannot take advantage of the deduction.)

It would be prudent for claims examiners and adjusters with auto claims proceeding in British Columbia to carefully consider the no-fault benefits being paid to Plaintiffs.

For further information with respect to this and other issues of insurance law and practice, please contact Larry Munn at 604.643.3180 or Nigel Kent at 604-643-3135.

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