Appeals : Arbitrator
Decisions : #37 - December 28, 2001
D E C I S I O N
Pursuant to the1986-1990 Hepatitis C Class Actions Settlement
Agreement ("Settlement Agreement"), the Claimant
applied for compensation as a Primarily-Infected Person on
June 1, 2000. On July 18, 2001, the Plans' Administrator ("the
Administrator") denied this application on the basis
that the only blood products received by the Claimant during
the Class Period were expressly excluded from the "blood"
definition.
On July 23, 2001, the Claimant submitted a Request for Review
before an arbitrator and the undersigned subsequently reviewed
the case. The hearing took place on December 3, 2001 during
which the two parties present brought forward their respective
arguments. During this hearing, there was no challenge of
the facts pertaining to this arbitration case.
It is therefore agreed, in this case, that the Claimant is
infected with the Hepatitis C virus, that he received transfusions
during the Class Period, that such transfusions concern only
the IVIG immunoglobuline (Intravenous immune globulin) and
that there were transfusion incidents of a different nature
which took place outside the Class Period however, specifically
in July and August 1985.
On the basis of these facts, the undersigned is called upon
to render a decision on the Claimant's eligibility to the
compensation plan as set out in the Settlement Agreement.
At the hearing on December 3, 2001, the Claimant said he was
well aware and understood the content and scope of the Settlement
Agreement. He also stated that he had been extensively involved
in all aspects of this file and, more particularly in the
procedures when the Class Action was instituted. He described
with conviction and emotion his very difficult personal, family
and professional situation. He then concluded that he was
the victim of an injustice, being condemned to live in what
he perceives as an unacceptable situation.
Although one cannot remain insensitive to the Claimant's emotional
arguments, the undersigned must nevertheless be bound by his
mandate to interpret and to apply the terms and conditions
as set out in the Settlement Agreement. However, the Claimant
argued in favor of reopening the Settlement Agreement in order
to broaden its eligibility criteria for people who could be
covered under the compensation plan. Acting in such a way,
the undersigned would flagrantly and non equivocally exceed
his authority and all such decisions would be challenged in
Court.
Without being "locked" under the terms and conditions
of the Settlement Agreement, as the Claimant alleges, the
undersigned has no less the obligation to remain within the
powers confided in him to that effect, and he cannot replace
the competent authorities who wrote or approved the Settlement
Agreement that he is mandated to apply.
In those circumstances and based on the above arguments, and
more specifically, the explicit exclusions in the definition
of " blood " in the Settlement Agreement, I conclude
that the Administrator's denial decision in this case was
founded. I therefore deny the present Request for Review.
Martin Hébert, QC
Referee
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