Canada Judgment

Supreme Court of British Columbia

HCV Settlement Agreement Claim No. 743

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Source document

01

Holding and result

The court confirmed the Referee's decision because the claimant failed to prove infection by transfusion of 'blood' as defined in the Settlement Agreement (Rh immune globulin is excluded) and neither the Administrator nor a Referee has discretion to award compensation contrary to the Plan's clear terms, therefore the denial was correct and must be sustained.

Court disposition

Opposition to confirmation of the Referee's decision dismissed; Referee's decision and Administrator's determination confirmed.

Orders

  • Opposition to confirmation of the Referee's decision dismissed.
  • The Administrator's determination that the claimant was not entitled to compensation under the HCV 1986-1990 Transfused Settlement Agreement is confirmed.

02

Material facts

Parties

Claimant

Claimant Counsel: Self-Represented

British Columbia Fund

Respondent Counsel: William A. Ferguson

03

Procedural history

  1. Posture

    HCV 1986 1990 Transfused Settlement Agreement Claim / Opposition to Confirmation of Referee's Decision — Judgment Dismissing Opposition

04

Questions and positions

Legal issues

Party arguments

Applicant
The claimant argued she was infected with Hepatitis C by Rh immune globulin transfusions received in December 1987 and March 1988 or by non-sterile hospital equipment; she disagrees with the Administrator's and Referee's finding that she was not a primarily infected person under the Settlement Agreement.
Respondent
The Administrator and Fund submitted that the Settlement Agreement requires proof of infection by transfusion of blood as defined; Rh immune globulin is excluded from the definition of blood; the Administrator has no discretion to award compensation without the required proof and the Referee properly applied the Plan's terms, so the decision should be confirmed.

05

Court’s reasoning

  1. 01

    HCV 1986-1990 Transfused Settlement Agreement, Article 3.01

    The Administrator must administer the Plan strictly in accordance with its terms and has no authority to grant a claim absent the required proof.

  2. 02

    Referee's reasons upheld by the court

    A Referee reviewing an Administrator's decision is bound by the terms of the Plan and cannot amend or act contrary to it.

  3. 03

    Judgment of Pitfield J., 2004 BCSC 317

    Courts cannot rewrite settlement agreements or expand entitlement beyond the agreement's clear preconditions.

06

Ratio, limits and disposition

Ratio decidendi

The court confirmed the Referee's decision because the claimant failed to prove infection by transfusion of 'blood' as defined in the Settlement Agreement (Rh immune globulin is excluded) and neither the Administrator nor a Referee has discretion to award compensation contrary to the Plan's clear terms, therefore the denial was correct and must be sustained.

Obiter and limits

  • The court acknowledged the claimant's personal frustration and that she may never learn the cause of her illness.
  • Empathetic remarks that do not alter the legal effect: administrators and referees lack authority to award claims absent the Plan's required proof.

Court disposition

Opposition to confirmation of the Referee's decision dismissed; Referee's decision and Administrator's determination confirmed.

  • Opposition to confirmation of the Referee's decision dismissed.
  • The Administrator's determination that the claimant was not entitled to compensation under the HCV 1986-1990 Transfused Settlement Agreement is confirmed.

Source and reliance status

Supreme Court of British Columbia · 10 March 2004

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Judgment text

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Source document

Supreme Court of British Columbia

Judgment· 10 March 2004

2004 BCSC 317

2004 BCSC 317 HCV Settlement Agreement Claim No. 743

IN THE SUPREME COURT OF BRITISH COLUMBIA Citation: HCV Settlement Agreement Claim No. 743, 2004 BCSC 317 Date: 20040310 Docket: C965349 Registry: Vancouver IN THE MATTER OF THE HCV 1986-1990

TRANSFUSED SETTLEMENT AGREEMENT RE: CLAIM NO. 743 Before: The Honourable Mr. Justice Pitfield Reasons for Judgment Counsel for the Claimant: Self-Represented Counsel for the British Columbia Fund: William A. Ferguson Submissions Received from Fund Counsel: Submissions Received from Claimant: December 11, 2003 None Vancouver, B.C. [1] The Claimant opposes confirmation of a Referee's decision upholding the Administrator's determination that she was not entitled to compensation under the Hepatitis C 1986-1990 Transfused Settlement Agreement. The Administrator's denial resulted from a determination that the Claimant was not a primarily infected person within the meaning of the Settlement Agreement, a conclusion with which the Claimant disagrees. [2] A pre-condition to entitlement is that a Claimant must have been infected with the Hepatitis C virus by a blood transfusion received in the Class Period from January 1, 1986 to July 1, 1990. Blood is a defined term in the Settlement Agreement. Excluded from it is Rh immune globulin, a multiple donor substance which the Claimant did receive by transfusion in December 1987 and March 1988. [3] The claimant underwent extensive treatment in hospital over a period of time. She believes she must have contacted the Hepatitis C virus by way of the globulin transfusions or hospital use of non-sterile equipment. The claimant asserts that she used

a clean needle and ink when placing a tatoo on her body. [4] The Referee expressed his reasons for upholding the decision of the Administrator as follows: It is the role and responsibility of the Administrator, under the settlement agreement, to administer the Plan in accordance with its terms. The Administrator has an obligation under the Plan to review each claim to determine whether the required proof for compensation exists. The words of Article 3.01 of the Plan are clear and unambiguous that the Administrator has no alternative but to reject the claim in circumstances such as these. The Administrator has no discretion to allow a claim where the required proof of receiving blood, as defined, has not been produced. The Administrator must administer the Plan in accordance with its terms and he does not have the authority to alter or ignore the terms of the Plan. A Referee, called upon to review a decision of the Administrator is also bound by the terms of the Plan and cannot amend it or act contrary to its terms. I acknowledge the personal feelings and frustrations of the Claimant in having her claim rejected. It is understandable that she feels as she does regarding circumstances which have left her with no clear evidence of how she should have contacted Hepatitis C. Unfortunately, in view of the various risk factors in her life experiences, it is possible she may never

learn the cause of her illness. While that is a result that is unsatisfactory for her, neither the Administrator nor a Referee appointed under the Plan has the authority or discretion to Award her claim. Accordingly, for the reasons set out above, I find that the Administrator has properly determined that the Claimant was not entitled to compensation under the Plan. I further find that the Administrator's decision must be sustained. [5] I have reviewed the material on the Claimant's file and must conclude that no error appears in the Referee's reasons so that there is no basis upon which to depart from his decision to confirm the Administrator's determination. None of the Administrator, the Referee, or this court is able to rewrite the settlement agreement which ties the right of compensation to infection induced by a transfusion of blood, a fact of which there is no evidence in this case. [6] In the result, the application to oppose confirmation of the Referee's decision must be dismissed. "I.H. Pitfield, J." The Honourable Mr. Justice I.H. Pitfield

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HCV Settlement Agreement Claim No. 743, 2004 BCSC 317

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