Group Insurance – Rider – Exclusion Clause – Member of a Group Insurance Policy Cannot be Denied due to a Rider Added After his Reimbursement Request - RMC

Group Insurance – Rider – Exclusion Clause – Member of a Group Insurance Policy Cannot be Denied due to a Rider Added After his Reimbursement Request

March 18, 2018

Villeneuve v. SSQ Groupe financier, 2017 QCCQ 7893

Alexandre Villeneuve (“Villeneuve”) claimed $12,737.50 from his insurer, SSQ Groupe financier (“SSQ”) as reimbursement for dental treatments and damages.

The Facts

Villeneuve is a Promutuel employee. In that capacity, he is a member of an SSQ group insurance policy taken out by his employer.

On March 26, 2014, Villeneuve was injured and lost three teeth while he was playing hockey. The next day, he saw a dentist who recommended a dental implant to replace the three teeth he had lost. The cost of this treatment was $12,300.

more articles from Donati Maisonneuve

Group Insurance – Rider – Exclusion Clause – Member of a Group Insurance Policy Cannot be Denied due to a Rider Added After his Reimbursement Request

Share this

Do not miss the latest developments in Canadian insurance law