Canada Judgment

Supreme Court of British Columbia

Purewal v. Uriarte

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01

Holding and result

Deductions permitted only where benefits are mandatory under s.88(1) or where ICBC has irrevocably and unambiguously committed to pay and waived statutory certification and termination rights; ICBC did not waive its rights under ss.87 and 90 regarding disability benefits so future TTD beyond amounts already paid is too uncertain to deduct; Botox and medications, although mandatory, are excluded from deduction under s.88(6) where recoverable under another insurer; psychology, occupational therapy and physical rehabilitation were mandatory and deductible; yoga was not found to serve a rehabilitative purpose and was not deducted; homemaker benefits previously paid are deductible; special damages already paid by ICBC must be deducted; plaintiff awarded special costs for ICBC's unreasonable delay and conduct.

Court disposition

Application partly allowed and partly dismissed: specified Part 7 deductions ordered; disability deduction beyond amounts paid denied; special costs awarded to plaintiff; ICBC commitments and waivers in its affidavit ordered incorporated into formal order.

Orders

  • Deduct $55,398 pre-trial loss of earning capacity from the trial award
  • Deduct $10,800 for future loss of earning capacity (amount already paid post-trial)
  • Deduct $24,041 for future care (psychological interventions, occupational therapy, physical rehabilitation as accepted mandatory benefits)
  • Deduct $1,041.39 for homemaker benefits already paid pursuant to s.84(1)
  • Deduct $7,855.19 from the special damages award (amount already paid by ICBC)
  • Decline to deduct the remaining claimed future disability benefits (ICBC did not waive ss.87 and 90 and commitments lacked required certainty)
  • Decline to deduct yoga costs (not found rehabilitative on the evidence)
  • Decline to deduct Botox and medication costs to the extent recoverable under plaintiff's spouse's extended health plan pursuant to s.88(6)
  • Award special costs against the defendants for ICBC's unreasonable delay and conduct in withholding payments and in handling the s.83 application
  • Order that the commitments and waivers made by ICBC's adjuster in Ms. Perry's affidavit be incorporated into the formal order

02

Material facts

Parties

Davinder Kaur Purewal

Plaintiff Counsel: S. Missaghi; D. McKnight

Martin Lorenzo Chavarria Uriarte

Defendant Counsel: K. Jamieson

Amounts and remedies

  • Pre Trial Loss of Earning Capacity Deduction Ordered: CAD 55,398
  • Future Loss of Earning Capacity Deduction Ordered (amount Already Paid Post Trial): CAD 10,800
  • Future Care Deduction Ordered: CAD 24,041
  • Homemaker Benefits Deducted: CAD 1,041.39
  • Special Damages Amount Deducted (paid by Icbc): CAD 7,855.19
  • Total Damages Awarded at Trial: CAD 646,084

03

Procedural history

  1. Posture

    Motor Vehicle Tort / Personal Injury / Post Trial Application Under S.83 of the Insurance (vehicle) Act for Deduction of Part 7 Benefits From Damages Award

04

Questions and positions

Legal issues

Party arguments

Applicant
Defendant/ICBC submitted that statutory no-fault benefits paid or payable under the Act and Regulation must be deducted from the tort award; ICBC's representative affirmed acceptance of the court's findings, described mandatory entitlement to Botox, medications, psychology, OT, physiotherapy and massage, exercised discretion to pay yoga and irrevocably agreed to pay future care up to specified amounts and sought deductions totalling specified figures (pretrial and future loss of earning capacity, future care, homemaking benefits, and special damages).
Respondent
Plaintiff agreed only to limited deductions ($55,398 pre-trial and $10,800 future TTD) and opposed the remainder, arguing ICBC had not waived its statutory rights under ss.87/90 so future disability payments were uncertain and not deductible beyond amounts already received, contested that yoga (and in part Botox) were discretionary or not rehabilitative, argued medical services and medications covered by another insurer should not be deductible for certain items, and sought special costs for ICBC's delay and conduct.

05

Court’s reasoning

  1. 01

    Insurance (Vehicle) Act, R.S.B.C. 1996, c. 231; Aarts-Chinyanta; Luck

    s.83 of the Insurance (Vehicle) Act prevents double recovery by requiring deduction of benefits paid or payable under Part 7 from tort damages

  2. 02

    Insurance (Vehicle) Regulation, B.C. Reg. 447/83; Luck; D'Arcy

    s.88(1) of the Regulation sets out mandatory medical and rehabilitative benefits payable by ICBC; s.88(2) governs discretionary benefits requiring medical advisor opinion or ICBC waiver

  3. 03

    Del Bianco v. Yang; Aarts-Chinyanta; Kingston v. Mann

    Where ICBC irrevocably, unequivocally and unconditionally agrees to pay and waives statutory certification requirements, the court may treat discretionary future care payments as sufficiently certain to permit deduction

  4. 04

    Luck; Zhang v. 328633 B.C. Ltd.; Fedyk

    ICBC's unwaived rights to periodic review or to terminate benefits under ss.87 and 90 create uncertainty which may preclude deduction of future disability benefits

  5. 05

    Insurance (Vehicle) Regulation s.88(6); Aarts-Chinyanta; statutory text

    s.88(6) excludes ICBC liability for expenses paid or payable under another insurer except for items in ss.88(1)(a) and (b); benefits payable under those subsections are still deductible

  6. 06

    Aarts-Chinyanta; Luck

    The court must independently assess evidence and resolve uncertainties in favour of the insured where ICBC's assurance is ambiguous

06

Ratio, limits and disposition

Ratio decidendi

Deductions permitted only where benefits are mandatory under s.88(1) or where ICBC has irrevocably and unambiguously committed to pay and waived statutory certification and termination rights; ICBC did not waive its rights under ss.87 and 90 regarding disability benefits so future TTD beyond amounts already paid is too uncertain to deduct; Botox and medications, although mandatory, are excluded from deduction under s.88(6) where recoverable under another insurer; psychology, occupational therapy and physical rehabilitation were mandatory and deductible; yoga was not found to serve a rehabilitative purpose and was not deducted; homemaker benefits previously paid are deductible; special damages already paid by ICBC must be deducted; plaintiff awarded special costs for ICBC's unreasonable delay and conduct.

Obiter and limits

  • Return to some work does not automatically disentitle an insured to disability benefits; entitlement depends on whether insured remains totally disabled from substantial occupational duties (Fedyk)
  • ICBC's conduct in delaying payment of undisputed portions of a judgment and failing to promptly bring s.83 applications can justify rebuke and special costs
  • Absence of explicit 'irrevocable, unequivocal, unconditional' language combined with unwaived statutory powers often undermines ICBC affidavits seeking deductions

Court disposition

Application partly allowed and partly dismissed: specified Part 7 deductions ordered; disability deduction beyond amounts paid denied; special costs awarded to plaintiff; ICBC commitments and waivers in its affidavit ordered incorporated into formal order.

  • Deduct $55,398 pre-trial loss of earning capacity from the trial award
  • Deduct $10,800 for future loss of earning capacity (amount already paid post-trial)
  • Deduct $24,041 for future care (psychological interventions, occupational therapy, physical rehabilitation as accepted mandatory benefits)
  • Deduct $1,041.39 for homemaker benefits already paid pursuant to s.84(1)
  • Deduct $7,855.19 from the special damages award (amount already paid by ICBC)
  • Decline to deduct the remaining claimed future disability benefits (ICBC did not waive ss.87 and 90 and commitments lacked required certainty)
  • Decline to deduct yoga costs (not found rehabilitative on the evidence)
  • Decline to deduct Botox and medication costs to the extent recoverable under plaintiff's spouse's extended health plan pursuant to s.88(6)
  • Award special costs against the defendants for ICBC's unreasonable delay and conduct in withholding payments and in handling the s.83 application
  • Order that the commitments and waivers made by ICBC's adjuster in Ms. Perry's affidavit be incorporated into the formal order

Source and reliance status

Supreme Court of British Columbia · 5 October 2021

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Judgment text

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Source document

Supreme Court of British Columbia

Judgment· 5 October 2021

2021 BCSC 1935

2021 BCSC 1935 Purewal v. Uriarte

IN THE SUPREME COURT OF BRITISH COLUMBIA Citation: Purewal v. Uriarte, 2021 BCSC 1935 Date: 20211005 Docket: M181474 Registry: Victoria Between: Davinder Kaur Purewal Plaintiff And Martin Lorenzo Chavarria Uriarte Defendant Before: The Honourable Madam Justice W.A. Baker Reasons for Judgment Counsel for Plaintiff: S. Missaghi D. McKnight Counsel for Defendant: K. Jamieson Place and Date of Hearing: Victoria, B.C. September 10, 2021 Place and Date of Judgment: Victoria, B.C. October 5, 2021 I. Introduction [1] On November 23, 2020 I awarded the plaintiff damages as a result of a motor vehicle accident which occurred on May 16, 2016. My reasons for judgment are indexed at 2020 BCSC 1798. [2] The plaintiff is an "insured" under s. 78 of the Insurance (Vehicle) Regulation, B.C. Reg. 447/83 (the "Regulation"), and is entitled to receive benefits under Part 7 of the Regulation. [3] The parties appeared before me on September 10, 2021 to address the defendant's application to deduct certain benefit payments from the overall damages award. The defendant relies on s. 83 of the Insurance (Vehicle) Act, R.S.B.C. 1996, c. 231 (the "Act") and Part 7 of the Regulation. [4] The defendant seeks the following deductions from the damages award: Pretrial loss of earning capacity $55,398 Future loss of earning capacity $152,600 Future care $63,786 Loss of homemaking capacity $1,041.39 Special

damages $7,855.19 [5] The plaintiff agrees that $55,398 of the pretrial loss of earning capacity award, and $10,800 of the future loss of earning capacity award, are properly deducted from the judgment. The plaintiff disputes any remaining claimed deductions. A. Position of ICBC on this application [6] The defendant submitted on this application an affidavit of Emily Perry, a claims specialist with the Insurance Corporation of British Columbia ("ICBC"). Ms. Perry affirms that she is the ICBC representative with authority to deal with issues arising in this action in relation to s. 83 of the Act, and Part 7 of the Regulation. She affirms that she has authority to make decisions and representations on behalf of ICBC and, in particular, with respect to Part 7 issues and payments to the plaintiff. [7] Ms. Perry, on behalf of ICBC, affirms as follows: a) ICBC accepts the court's findings with regards to the plaintiff's loss of future earning capacity. The plaintiff received disability benefits of $300 a week up to February 23, 2021, and ICBC confirms the plaintiff can continue to receive up to $300 per week in disability benefits if she remains disabled, intermittently or otherwise, until age 65. b) ICBC accepts that the costs of future care for Botox treatments, medications, psychological interventions, occupational therapy, and physical rehabilitation (remedial physiotherapy and

massage) are necessary and reasonable, and are mandatory benefits pursuant to s. 88(1) of the Regulation. c) ICBC accepts that yoga is likely to promote the rehabilitation of the plaintiff, and ICBC may pay yoga expenses under s. 88(2) of the Regulation, at ICBC's discretion. ICBC irrevocably exercises its discretion in favour of payment for yoga expenses, and ICBC waives the requirement under s. 88(2) of the Regulation for an opinion of its medical advisor in that regard. d) ICBC waives the requirement for continued certification under ss. 88(1.01) and 98 of the Regulation, the power to require an insured to undergo treatment under s. 90 of the Regulation, and the power to require the plaintiff to submit to a medical examination under s. 99 of the Regulation for the future care awards made in the judgment up to certain amounts. e) ICBC irrevocably, unequivocally, and unconditionally agrees to pay, under Part 7 of the Regulation, the costs of future care described in the judgment up to the amounts allowed pursuant to the Regulation, as incurred and submitted to ICBC by the plaintiff for reimbursement, and up to the amounts described above. II. Applicable legal principles [8] In Aarts-Chinyanta v. Harmony Premiums Motors Ltd., 2020 BCSC 953 at paras. 78-81 and Luck v. Shack, 2020 BCSC 1074 at paras. 16-29, the court thoroughly summarized the principles and statutory framework

relevant to such deductions. I do not intend to repeat the court's analysis. I highlight the following points which are directly relevant to my analysis of the case before me. [9] Section 83 of the Act provides for the provision of no fault benefits to injured persons. Section 83(5) requires me to deduct the value of any benefits paid or payable to the plaintiff under the Act and Regulation from my damages award: Luck at para. 16-21. The purpose of s. 83 of the Act has consistently been described as preventing double recovery: Aarts-Chinyanta at para. 52; Tench v. Van Bugnum, 2021 BCSC 501 at para. 16; D'Arcy v. Salimi, 2021 BCSC 1610 at para. 10. [10] Section 88(1) of the Regulation states that medical and rehabilitative treatments set out in Table 1, Schedule 3.1 are mandatory benefits which must be paid by ICBC. Other treatments or benefits which are not mandatory are: treatments not listed in Table 1, Schedule 3.1; treatments that exceed the quantity set out in Column D of Table 1, Schedule 3.1; and treatments provided more than 12 weeks after the accident. These discretionary benefits are only payable by ICBC if the plaintiff provides written certification from a specified medical practitioner that additional treatment is required, or ICBC's medical advisor advises in writing that the treatment is likely to promote the rehabilitation of the insured: Luck at paras. 23-25,

42-47. [11] The court can rely on ICBC's position regarding a plaintiff's eligibility for benefits; however, any uncertainty as to whether a benefit will be paid must be resolved in favour of the plaintiff. Where the benefits are mandatory, or ICBC has unequivocally and irrevocably promised to pay the benefits, the court may be satisfied that benefits should be deducted from the award: Aarts-Chinyanta at paras. 96-97; Luck at para.

50. However, the court must still independently analyze the evidence and makes its own findings regarding the payment of benefits and whether those benefits should be deducted from an award: Aarts-Chinyanta at para. 46; Luck at paras. 33-35. [12] In Del Bianco v. Yang, 2021 BCCA 315, the court of appeal considered whether ICBC's waivers and assurances for benefits could establish certainty that a plaintiff will receive the benefits sought to be deducted from the judgment by ICBC. The court of appeal concluded that where ICBC accepted the court's findings and agreed future treatments were necessary, waived the requirement for continued medical certification, and irrevocably, unequivocally, and unconditionally agreed to pay for those treatments, such evidence provided the necessary certainty that a plaintiff would receive no fault benefits for the specified treatments: Del Bianco at para.

69. III. Analysis A. Deductions for future loss of earning capacity [13] Under s. 80 of the Regulation, an insured is entitled to disability benefits if they were employed prior to the accident and were rendered totally disabled within 20 days of the accident. Insured persons are eligible for disability payments for either 104 weeks or until such a time as they are no longer totally disabled, whichever is shorter. These benefits may be extended for the duration of the disability or until the insured reaches age 65, pursuant to s. 86 of the Regulation. [14] The requirement to pay disability benefits is subject to ss. 87 and 90 of the Regulation, which provide that ICBC may review entitlement every 12 months and may be terminated on the advice of ICBC's medical advisor, who may also require the insured to undergo treatments or risk termination of benefits. While Ms. Perry waives s. 90 in relation to future care costs, her affidavit is ambiguous as to whether ICBC has waives its rights under s. 90 in relation to the future disability benefits. Therefore, I find that ICBC has not waived its rights under s. 87 or s. 90 of the Regulation, which means that it could terminate disability benefits in the future. [15] In the case at bar, the plaintiff received disability benefits from the date of the accident until February 23, 2021, considerably in excess of 104 weeks. In February 2021,

the plaintiff returned the disability benefit cheque to ICBC because she had started working. The plaintiff did not provide ICBC with details of her employment situation, or with medical evidence indicating that she is no longer disabled. On this application, ICBC takes the position that she remains entitled to disability benefits. [16] I found the plaintiff was totally disabled at the time of trial, but discounted her future loss of earning capacity claim by approximately one third due to the likelihood that she would be able to work at some point in the future. I assessed the present value of her future earning potential at $529,628, and reduced the award to $350,000 to account for the likelihood of her eventual return to the workforce. [17] On this application, the plaintiff says that she is no longer totally disabled, and therefore is no longer entitled to receive s. 80 disability benefits. She says that ICBC cannot represent on this application an entitlement to benefits which is not supported by the legislation. Therefore, she argues there should be no deduction beyond the benefits she has already received from the date of trial, in the amount of $10,800. [18] Even if the plaintiff is now working, a return to work does not itself disentitle an insured person to disability benefits. In Fedyk v. Insurance Corporation of British Columbia, 2013 BCSC 1466, the court held as

follows: [103] Whether a claimant is "totally disabled" is a question which the facts of each case determine. If an insured claimant experiences enough temporary relief to allow their return to work for a time, and if the disability alleged is the same disability for which benefits were originally paid, that is a factor to consider, not a bar to their claim. [19] In other words, the question is not whether the insured person's health improved to the point that they were able to regain some level of employment, but whether they remained "totally disabled" from completing all substantial requirements of their occupation prior to the accident. Accordingly, insured persons are permitted to return to work in a different role or diminished capacity. This is codified in s. 86(5) of the Regulation, which provides that ICBC will pay the difference between an insured person's disability benefits and post-accident income if they must return to work in a diminished capacity. [20] In cases where an injured party's health recovers, the court has found that benefits under s. 80 may be reinstated if their health declines and they continue to be disabled once again: Halbauer v. Insurance Corporation of British Columbia, 2002 BCCA 5 at paras. 20, 64; Cai v. Insurance Corporation of British Columbia, 2013 BCSC 2213 at paras. 34, 43, 45; Symons v. Insurance Corporation of British Columbia, 2014

BCSC 1883 at paras. 23-29. [21] The defendant argues that the plaintiff remains entitled to disability benefits. If the plaintiff ceases to become totally disabled and the disability benefits terminate, but then subsequently experiences a decline in her health and is unable to work, ICBC says her entitlement to disability benefits would revive. [22] ICBC has not continued to issue disability benefits to the plaintiff since February 2021, which is strange given its position before me that she remains eligible to disability benefits. Therefore, its behaviour in ceasing payments is contrasted with the defence position in argument that the plaintiff's entitlement to benefits has not ceased. [23] Section 83(5.1) of the Act stipulates that the court may not consider the likelihood that benefits will be paid or provided when assessing any deductions. However, this subsection was enacted after the accident in this case, and it was common ground between the parties that it was not applicable in my analysis. [24] The operation of the statute and my findings at trial give rise to an unusual scenario. The defendants do not want to establish any evidence to prove the plaintiff is no longer totally disabled, as they wish to deduct the disability benefits from the future loss of earning capacity award. If a deduction is not made, they argue that the plaintiff will receive disability benefits

totalling $356,304 over her lifetime, plus the amount of $350,000 which was awarded at trial. In other words, the plaintiff will receive a double recovery equal to $706,304, which is some $200,000 more than her future earning capacity established at trial. [25] On the other hand, after arguing at trial that the she was totally disabled, the plaintiff now wishes to establish that she is no longer totally disabled and therefore is no longer eligible to receive disability benefits. [26] The defendant argues that $152,600 should be deducted from the future loss of capacity award, which they say is the present value of 2/3 of the disability benefits she is entitled to receive until age 65, reflecting a similar discount to that I applied to the present value of the plaintiff's future earning capacity. [27] The defendants referred to Stevenson v. Hunter, [1981] B.C.J. No. 2143, 29 B.C.L.R. 120 (B.C.S.C.) and Kingston v. Mann, 2021 BCSC 426, where the court reduced the future loss of earning capacity by the present value of the disability benefits at issue. However, in Stevenson, the court found that there was no possibility that the plaintiff would work again, quite unlike the case before me. In Kingston, ICBC made an unequivocal commitment to pay disability benefits for two years. In those cases there was no uncertainty as to whether ICBC would pay the benefits. [28] In Zhang v.

328633 B.C. Ltd., 2021 BCSC 650, however, the court considered representations from ICBC which were essentially the same as in the case before me. The court found as follows: [28] In terms of the certainty of the payments, Ms. Ahira's affidavit states that "ICBC will continue to pay the Plaintiff $1,303.57 per month until her 65th birthday, as required by section 86 of the Regulation". However, I note that, unlike the cost of future care items discussed below, this commitment was not secured by an "irrevocable, unequivocal, unconditional" guarantee. Even more importantly, any "requirement" to pay under s. 86 remains subject to ICBC's rights under ss. 87 and 90 of the Regulation. Unlike the cost of future care benefits discussed below, ICBC failed to expressly waive its rights under these sections. [29] In Luck v. Shack, 2020 BCSC 1074, this court noted "concerns" with the ICBC adjuster's affidavit, as it did not expressly waive the need for continued medical certification, despite the presence of the "irrevocable, unequivocal, unconditional" language in the affidavit (paras. 52, 57). On this basis, the court did not deduct the full amount enumerated in the affidavit, but only deducted the benefits which were strictly mandatory under the legislation. [30] I must assume that ICBC stated its reduced commitment to payment of TTDs intentionally, particularly given the number of

cases that have sought to provide ICBC with direction on what is required in order to support the deduction. Although it is not strictly necessary to include the "irrevocable, unequivocal, unconditional" language (Schmitt v. Thomson (1996), 18 B.C.L.R. (3d) 153 (C.A.), para. 25), the absence of that language, coupled with ICBC's un-waived power to reduce benefits by invoking ss.87 and 90, causes me to conclude that ICBC has not met the standard required to support this deduction. I contrast Ms. Ahira's affidavit with the one recently before this Court in Kingston v. Mann, 2021 BCSC 426, where a deduction for future TTDs was allowed given that the adjuster in that case "irrevocably, unequivocally and unconditionally" promised to pay for the specified period of 104 weeks. [31] Given the uncertainty created by the ICBC evidence, I decline to make the requested deduction for TTDs: Luck, para. 28. [29] For the reasons expressed by the court in Zhang, I cannot find that ICBC has committed to pay future disability benefits with the certainty required to allow me to make the requested deduction. [30] I decline to make the deductions for disability benefits sought by the defendants. However, I will reduce the award by $10,800 to reflect the disability benefits which were paid after the trial. B. Deduction for future care award [31] In the context of this application, "future care

awards" are those medical and rehabilitation benefits payable under s. 88 of the Regulation. [32] Under s. 88(1) of the Regulation, ICBC must pay benefits for all reasonable expenses incurred by the insured as a result of an accident. The mandatory benefits under this section which are relevant to the case before me include: a) massage therapy, physiotherapy, and psychology (s. 88(1)(a)), b) occupational therapy (s. 88(1)(b)), and c) medical services and medication (s. 88(1)(c)). [33] Under s. 88(2) of the Regulation, ICBC may pay for benefits if, in the opinion of ICBC's medical advisor, they are "likely to promote rehabilitation of an insured". Section 1 of the Act defines "rehabilitation" as follows: the restoration, in the shortest time practicable, of an injured person to the highest level of gainful employment or self-sufficiency that, allowing for the permanent effects of the injured person's injuries, is, with medical and vocational assistance, reasonably achievable by the injured person [34] ICBC pays mandatory benefits at rates set by way of regulation each year, and these rates form the basis of the deductions sought before me. [35] In D'Arcy, Justice McDonald held that where a benefit is discretionary, "the court should decline the deduction unless the evidence establishes that ICBC has undertaken to pay the discretionary benefits in the future": para. 11. [36] In

Aarts-Chinyanta, Justice MacDonald described the two-step process a court should take when determining if s. 83 deductions are appropriate: [53] First, the court should determine whether the plaintiff has received or is entitled to receive Part 7 benefits as defined in the Act. Second, once entitlement is established, the court should estimate the amount of the deduction. [Emphasis in original.] [37] With respect to discretionary benefits, they are payable where the service is likely to promote rehabilitation of an insured.

1. Mandatory benefits under s. 88(1) [38] Ms. Perry represented to the court that ICBC accepts that my awards for Botox, medications, psychological intervention, occupational therapy, and physical rehabilitation are necessary and reasonable, and are mandatory benefits pursuant to s. 88(1) of the Regulation. ICBC also accepts that yoga is likely to promote the rehabilitation of the plaintiff, and irrevocably exercises its discretion to pay the costs of yoga up to $2,400. [39] The plaintiff argues that Botox injections and yoga are not mandatory benefits. [40] Botox has been considered a mandatory benefit in some cases, and a discretionary benefit in others. For example, in Aarts-Chinyanta, Justice MacDonald held that Botox treatments were discretionary: para.

101. Conversely, in Plensky v. Di Biase, 2010 BCSC 1649, the court agreed that Botox injections were mandatory: para. 16. [41] In the case before me, at trial I found that that Botox was recommended for the plaintiff's recovery. Botox includes a medical services component (the injection) and a medication component (the cost of the Botox). As such, I find that Botox injections are mandatory benefits within the meaning of s. 88(1)(c) of the Regulation. [42] Ms. Perry represented to the court that ICBC waives the need for continued certification under s. 88(1.01) and 98 of the Regulation, the power to require treatment under s. 90 of the Regulation, and the power to require a medical examination under s. 99 of the Regulation for all future care awards. [43] Ms. Perry represented to the court that ICBC irrevocably, unequivocally, and unconditionally agrees to pay the costs of future care up to the amounts allowed pursuant to the Regulation and up to the amounts described in my judgment, as incurred and submitted to ICBC. Ms. Perry set out the relevant amounts as follows: Botox $7,000; medication $30,000; psychological interventions $15,000; occupational therapy $341; and physical rehabilitation (physiotherapy and massage) $8,700. [44] Given the representations made by Ms. Perry on behalf of ICBC, and the application of s. 88(1) of the Regulation, I find that Botox injections, medications, psychological intervention, occupational therapy, and physical rehabilitation are necessary and reasonable, and are mandatory benefits for the purposes of my assessment of ICBC's entitlement to deduct these expenses from the future care award.

2. Discretionary benefits under s. 88(2) [45] Subsection 88(2) of the Regulation provides that discretionary benefits are payable by ICBC if, in the opinion of the Corporation's medical advisor, the benefits serve a "rehabilitative" purpose. [46] In the case before me, there has been no determination by ICBC's medical advisor that yoga has a rehabilitative purpose. Instead, Ms. Perry accepts on behalf of ICBC that it has a rehabilitative purpose, and waives the need for the opinion of a medical advisor. [47] However, based on the evidence presented by the occupational therapist at trial, I found that yoga would assist the plaintiff in managing her pain. I did not find that yoga had a rehabilitative purpose. As such, as stated by the court in Tench at paras. 60-64, there is no basis in my reasons or the evidence at trial to conclude that yoga will serve a rehabilitative purpose. [48] While ICBC may have the ability to waive some statutory requirements, it cannot create facts which are contrary to the evidence at trial so as to allow for a deduction of awarded costs of future care. [49] I decline to deduct the costs of yoga from the future care award.

3. Application of s. 88(6) of the Regulation [50] The plaintiff argues that no deductions should be made for Botox, medications, psychological interventions and physical rehabilitation because the plaintiff has access to benefits for these services through her husband's insurance plan. [51] Section 88(6) of the Regulation provides as follows: The corporation is not liable for any expenses paid or payable to or recoverable by the insured under a medical, surgical, dental or hospital plan or law, or paid or payable by another insurer, except expenses referred to in subsection (1) (a) and (b). [52] Subsections 88(1)(a) and (b) list the following healthcare services: (a) health care services listed in Column A of Table 1 or Table 2, as applicable, of Schedule 3.1 and provided by the applicable health care practitioner, (b) occupational therapy provided by an occupational therapist [53] Column A of Table 1 of Schedule 3.1 includes the following services which are relevant in this case: massage therapy, physiotherapy, and psychology. The services listed in s. 88(1)(c) relevant to the case at bar are medical services and medications. [54] Accordingly, benefits payable under ss. 88(1)(a) and (b) of the Regulation, but currently paid for under an extended health plan, are fully deductible under s. 83 of the Act. The mere fact that the benefits are currently paid for under an extended

plan does not undermine the insured persons existing entitlement under Part 7. [55] Therefore, ICBC remains liable to pay for psychological interventions, occupational therapy, and physical rehabilitation even if those are covered by other insurance available to the plaintiff, and ICBC is entitled to deduct the amounts it claims in respect of these services from the future care award. [56] Medical services (i.e., the Botox injections) and medications are covered by the plaintiff's extended health plan, but are excluded from the application of s. 88(6) of the Regulation. As such, ICBC is not entitled to deduct medical services (Botox injections) and medication costs from the future care award. C. Deduction for housekeeping capacity [57] Homemaking benefits are a distinct category under Part 7. Section 84(1) of the Regulation provides that ICBC shall compensate an insured for homemaking services if the insured was a homemaker prior to accident and is substantially and continuously disabled as the result of an accident for the period of the disability or for 104 weeks, whichever is shorter. A "homemaker" is defined under s. 78 of the Regulation as a member of a household who, without payment, does the majority of the housekeeping. Based on my findings at trial, the plaintiff is a homemaker within the meaning of the Regulation. [58] The plaintiff has received $1,041.39 in homemaker

benefits pursuant to s. 84(1). The plaintiff advanced a claim at trial based on her costs of hiring housecleaning services in the future. I awarded the plaintiff $20,000 for loss of housekeeping capacity. [59] The defendants argue that the benefits provided pursuant to s. 84(1) are sufficiently akin to the loss of housekeeping capacity award, and that the benefits already paid should be deducted pursuant to s. 83 of the Act. The defendants argue that an exact match in terminology is not necessary under the Act, relying on Gurniak v. Nordquist, 2003 SCC 59. [60] In Aarts-Chinyanta, Justice MacDonald relies on the Supreme Court of Canada's decision in Gurniak to conclude, "there need not be a precise match between the heads of damages in the tort award and the categories of damages under the benefit recovery scheme": para.

55. As long as the benefits under the two regimes are broadly similar, the court will deduct from the tort award any benefits the plaintiff is entitled to under the benefit recovery scheme. [61] The plaintiff argues that homemaker benefits do not have a rehabilitative purpose and are therefore not deductible under s. 88(2), relying on Canning v. Mann, 2019 BCSC 1279. I agree with the defendants that the court in Canning mistakenly assessed the homemaking award under s. 88(2) of the Regulation, when it should have been assessed pursuant to s. 84(1). There is no rehabilitative requirement for homemaking benefits, and such benefits are mandatory under the Regulation. [62] I find that the homemaking benefits paid pursuant to s. 84 of the Regulation, in the amount of $1,041.39 will be deducted from the tort award. D. Deduction for special damages [63] The plaintiff was awarded special damages in the amount of $12,884. In the event I found the plaintiff's injuries were caused by the accident, the defendants did not dispute the amount claimed for special damages. Before trial, the plaintiff received reimbursement of her expenses in the amount of $7,855.19. It is this amount which the defendants seek to have deducted from the special damage award at trial. [64] The plaintiff relies on Siverston v. Griffin, 2020 BCSC 528, in her argument that there should be no deduction for special

damages. However, it is not clear from the decision in Siverston that the plaintiff had been advanced any benefits prior to trial. In the case before me, the plaintiff did receive some Part 7 benefits in relation to the special damages claim. It is not clear to me how those benefits do not fall within s. 83(5) of the Act. They are benefits paid by ICBC under the Act and Regulation, and therefore must be deducted from the award with judgment entered for the balance awarded at trial. [65] I find that $7,855.19 must be deducted from the special damages award. IV. Conclusion on deductions [66] I order the following deductions from the trial award to be made in the formal judgment: a) $55,398 pre-trial loss of earning capacity; b) $10,800 future loss of earning capacity; c) $24,041 future care; d) $1,041.39 homemaker benefits; and e) $7,855.19 special damages. V. Costs and Ancilliary Orders [67] The plaintiff argues that the conduct of ICBC in advancing payments on the judgment to her, and the delays of ICBC in bringing this application to court, represent bad faith and justifies an order for special costs. [68] The plaintiff relies on the following facts: a) In June 2020 the occupational therapist's report was forwarded to the ICBC adjuster, and the plaintiff requested funding under Part 7 for the recommended future care items. No payments were forthcoming. b) The trial was heard

in June 2020, and the decision was released in November 2020. The plaintiff was awarded damages in the amount of $646,084. c) In December 2020, defence counsel asked plaintiff's counsel for dates in January or February 2021 to have the s. 83 deductions application heard. d) On December 21, 2020 the defendant filed a notice of appeal. e) On December 22, 2020 the court provided the parties with the date of January 22, 2021 to hear the s. 83 application. f) On January 15, 2021 counsel for the defendant advised he would not be ready for the hearing, and it would have to be adjourned. g) On January 15, 2021 counsel for the plaintiff asked the defendant and their insurer to pay out the judgment, less the amounts for which ICBC claimed a deduction. h) On January 22, 2021 the defendant abandoned his appeal. i) On February 16, 2021, the defendant's insurer made a payment of $147,430.81 towards the judgment. No payment was made for the loss of homemaking capacity award. j) Counsel for the plaintiff ultimately sought a date for the hearing of this application in April 2021, and the court provided dates in May 2021. Counsel for the defendant was not available on the dates provided. k) Finally, on May 19, 2021 a one-hour hearing was set for July 19, 2021. l) In June 2021 counsel for the plaintiff wrote to the then-adjuster, noting that more than $450,000 of the judgment amount had not been

paid, even though the appeal had been abandoned four months earlier, and only after that, on June 9, 2021, did the adjuster forward a cheque for the judgment amount, except the outstanding disputed s. 83 deductions. [69] I note that the July 19, 2021 hearing did not proceed because the materials provided clearly indicated that more than one hour would be required for the hearing of this application. It was reset for a full day on September 10, 2021. [70] The plaintiff argues that she has been prejudiced as a result of the unexplained delay on the part of ICBC in paying out uncontested portions of the judgment, and delaying in setting this application. She says that ICBC has engaged in reprehensible conduct and is likely to engage in further dishonourable conduct in the future. [71] I agree that ICBC has taken an exceptionally long time to make the payments I ordered in this case. ICBC unreasonably delayed making payments that were not subject to potential s. 83 deductions, including after the defendant had abandoned his appeal of my decision. The defendant has also delayed in bringing on this application, leaving the plaintiff with the question of what deductions should be made outstanding for almost one year after my decision. [72] The court in Fatin v. Watson, 2021 BCSC 1210 considered whether an order for special costs should be made against ICBC in failing to bring a s. 83

deduction application to court in a timely way. In that case, like the case before me, the plaintiff had to bring the motion on for hearing because the defence failed to take any steps in that respect. It took six months to bring the application forward. While the court in Fatin did not order special costs, it did state: [59] Successful plaintiffs are entitled to the fruits of their judgment within a reasonable time after it is pronounced. It is therefore incumbent on the defendants in motor vehicle cases who wish to make a post-trial application under s. 83 of the Act to do within a reasonable time after judgment is pronounced. [73] In the case before me, the delay on the part of the defendant, and his insurer ICBC, are far more egregious than in Fatin. After moving quickly to get dates in January 2021 for the hearing of this application, the defendant let the matter slide and only on the initiative of the plaintiff was it finally set for hearing in July. The defendant ought to have known that one hour would not be adequate, given the issues raised and the volume of material filed, and should have requested a one-day hearing in July. Because they did not, the matter had to be adjourned to September, leaving the plaintiff with a significant issue outstanding for almost one year. [74] Further, no explanation has been given as to why all but the contested s. 83 deductions were

not paid to the plaintiff shortly after the judgment was rendered in November 2020. While there may have been discussions and negotiations between counsel on aspects of the s. 83 deductions, there were significant portions of the judgment which were not in dispute. The plaintiff had to wait seven months to receive the uncontested portions of her judgment. That is simply not acceptable. [75] Therefore, I find the conduct of the defendant and their insurer in bringing this application, and in withholding payment of substantial portions of the judgment in anticipation of this application, to be reprehensible and deserving of rebuke. [76] I order special costs against the defendants on this application. [77] In addition, I order the commitments and waivers made by Ms. Perry in her affidavit in support of this application to be included in the formal order entered in this case, as was done in Kim v. Sodhi, 2020 BCSC 2023. "W.A. Baker J."

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Authorities

Authorities used by the court

Cases, legislation, regulations, and constitutional provisions identified in the available record.

Purewal v. Uriarte, 2021 BCSC 1935

Case cited

Purewal trial reasons 2020 BCSC 1798

Case cited

Aarts-Chinyanta v. Harmony Premiums Motors Ltd., 2020 BCSC 953

Case cited

Luck v. Shack, 2020 BCSC 1074

Case cited

Del Bianco v. Yang, 2021 BCCA 315

Case cited

Fedyk v. Insurance Corporation of British Columbia, 2013 BCSC 1466

Case cited

Stevenson v. Hunter, [1981] B.C.J. No. 2143, 29 B.C.L.R. 120 (B.C.S.C.)

Case cited

Kingston v. Mann, 2021 BCSC 426

Case cited

Zhang v. 328633 B.C. Ltd., 2021 BCSC 650

Case cited

Tench v. Van Bugnum, 2021 BCSC 501

Case cited

D'Arcy v. Salimi, 2021 BCSC 1610

Case cited

Gurniak v. Nordquist, 2003 SCC 59

Case cited

Halbauer v. Insurance Corporation of British Columbia, 2002 BCCA 5

Case cited

Cai v. Insurance Corporation of British Columbia, 2013 BCSC 2213

Case cited

Symons v. Insurance Corporation of British Columbia, 2014 BCSC 1883

Case cited

Plensky v. Di Biase, 2010 BCSC 1649

Case cited

Siverston v. Griffin, 2020 BCSC 528

Case cited

Fatin v. Watson, 2021 BCSC 1210

Case cited

Kim v. Sodhi, 2020 BCSC 2023

Case cited

Insurance (Vehicle) Act, R.S.B.C. 1996, c. 231, s.83

Legislation

Legislation referenced in the available case record.

Insurance (Vehicle) Regulation, B.C. Reg. 447/83, ss.78,80,84,86,87,88,88(1),88(2),88(6),88(1.01),98,90,99

Legislation

Legislation referenced in the available case record.

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