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Damages for Mental Distress and Bad Faith in Disability Claims

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Abstract

This article examines recent changes in the law in Canada in relation to the court’s willingness to acknowledge the significance of, and award compensation for, intangible loss arising from breach of contract. When a claim for benefits is wrongly refused in a disability contract, a primary goal of the contract, which is to provide peace of mind, is unrealized. Where this causes mental distress, Canadian courts are now willing to award compensation. Similarly, if an insurer conducts itself in such a manner as to attract a punitive damages award, a consideration in assessing the quantum of the award is the vulnerability of the insured. The evidentiary basis for these claims will often include expert psychological opinion. Various considerations for determining the existence, nature, and scope of the psychological issues relevant to a claim for damages for mental distress and/or punitive damages are covered in this article.

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Notes

  1. Hadley v. Baxendale (1984). 9 Ex.341,156 E.R. 145.

  2. Fidler v. Sun Life Assurance Co. of Canada, 2006 SCC 30, [2006] S.C.J. No. 30.

  3. Id. at para. 44.

  4. Id. at para. 45.

  5. Id. at paras. 56, 57 and 58.

  6. Gerber v. Telus Corp. [2003]. A.J. No. 849, affirmed [2004] A.J. No. 371—award of $20,000 (Alta. C.A.). Lumsden v. Manitoba [2007]. M.J. No. 330—award of $45,000, reduced on appeal to $25,000 [2009] M.J. No. 48 (Man. C.A.). Asselstine v. The Manufacturers Life Insurance Company et al. 2003. BCSC 1119, affirmed 2005 BCCA 292—award of $35,000 (B.C.C.A.). Monks v. ING Insurance Co. of Canada [2005]. O.J. No. 2526, 24 C.C.L.I. (4th) 1, affirmed [2008] O.J. No. 1371, 90 O.R. (3d) 689—award of $50,000 (Ont. C.A.). Clarfield v. Crown Life Insurance Co. [2000]. O.J. No. 4074, 50 O.R. (3d) 696—award of $75,000 (Ont. S.C.).

  7. Goodson v. American Standard Insurance Co. of Wisconsin, 89 P. 3d 409.

  8. Royal Maccabees Life Ins. Co. v. Choren, 393 F.3d 1175, 1181 (10th Cir. 2005).

  9. Paul Revere Life Insurance v. Sucharov, [1983] 2S.C.R. 541.

  10. Gill v. Zurich Insurance Co., [1999] O.J. No. 4333.

  11. Lain v. UNUM Life Ins. Co. of America 279 F.3d 337.

  12. See Fidler, supra, at para. 63.

  13. Whiten v. Pilot Insurance Co. (2002), 209 D.L.R. (4th) 257 at p. 301, para. 114.

  14. Hangarter v. Paul Revere Life Ins. Co., 373 F.3d 998 (9th Cir. 2004).

  15. Daubert v.Merrell Dow Pharmaceuticals, 509 U.S. 579 (1993).

  16. R. v. Mohan, [1994] 2S.C.R. 9, 114 D.L.R. (4th) 419.

  17. Janiak v. Ippolito, [1985] 1S.C.R. 146.

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Correspondence to Faith E. Hayman.

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Hayman, F.E. Damages for Mental Distress and Bad Faith in Disability Claims. Psychol. Inj. and Law 2, 248–253 (2009). https://doi.org/10.1007/s12207-009-9052-5

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