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Appeals : Arbitrator Decisions : #5 - June 1st, 2001

D E C I S I O N

1. The Claimant has submitted an application for compensation as a primarily infected person under the HCV Transfused Plan.

2. By letter dated March 19, 2001, the Administrator denied her claim because she did not provide sufficient evidence that she received a blood transfusion in Canada between January 1, 1986 and July 1, 1990.

3. The Claimant requested that an Arbitrator review the decision of the Administrator.

Facts

4. In 1995 the Claimant was diagnosed with Hepatitis C. She believes that she contracted the infection as a result of a blood transfusion that she received in 1983 during the caesarian section birth of her child. She readily admits, and her physician confirmed, that she has not received any other blood transfusions. Specifically, the Claimant concedes that she did not receive a blood transfusion during the Class Period, between January 1, 1986 and July 1, 1990.

5. At the hearing, the Claimant acknowledged that she understood the limits of the settlement, however, she felt that it was unfair to compensate some people and not others. She became infected with Hepatitis C as a result of tainted blood, and she now has serious concerns about her health, her future and her ability to provide for her family. In her view, someone should be held accountable to help pay for her medication and other needs.

6. In support of the Administrator's decision, Fund Counsel submitted that the Claimant did not receive a blood transfusion in the Class Period and she is therefore not eligible for compensation. In Fund Counsel's submission, neither the Administrator nor an Arbitrator have any authority to deviate from the eligibility requirements set out in the Court approved Settlement Agreement.

Analysis

7. The Claimant has applied for compensation under the terms of the Hepatitis C 1986-1990 Class Action Settlement, as approved by Court Order dated October 22, 1999. The terms of the settlement provide a detailed outline of who is eligible for compensation, and how eligibility can be proven.

8. In order to qualify for compensation, there are a number of factual elements that must be established. In this case, to be accepted as a primarily infected person under the HCV Transfused Plan, the Claimant must first demonstrate that she received a blood transfusion in the Class Period. The January 1, 1986 - July 1, 1990 Hepatitis C Settlement Agreement defines "Class Period" as meaning "the period from and including 1 January 1986 to and including 1 July 1990". Membership in the class is a pre condition of eligibility for compensation.

9. By the Claimant's own admission it is clear that she does not satisfy the eligibility requirements of the HCV Transfused Plan. The only blood transfusion that she has received was in 1983, which is clearly outside the Class Period.

10. I do not doubt that the Claimant contracted Hepatitis C in the manner that she has described, and I fully appreciate her anger and sense of frustration with the lack of relief available to her. Given her circumstances, it is entirely understandable that she should seek financial compensation if it is available. Unfortunately, the Plan does not, and was never intended to apply to all persons infected with Hepatitis C. Compensation under the HCV Transfused Plan is limited to a defined class of recipients, and inevitably there will be some individuals, like the Claimant, who are infected with Hepatitis C but who are not eligible for compensation under this Plan.

11. In determining eligibility for compensation under the terms of this settlement, I am limited by the conditions set out by the Order as approved by the Court. In this case, the 1983 blood transfusion received by the Claimant is outside of the Class Period. I must therefore conclude that the Claimant has not met the eligibility requirements for compensation under the HCV Transfused Plan, and I would uphold the decision of the Administrator.


Dated June 1, 2001

_______________________________________________
Reva Devins, Arbitrator

 

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