Date: 20110831
Docket:
11-T-12
[ENGLISH
TRANSLATION] Citation:
2011 FC 1029
Montréal, Quebec, August 31, 2011
PRESENT:
The Honourable Mr. Justice Shore
BETWEEN:
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FRANCE PONTBRIAND
AND RAYMOND MALO
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Applicants
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and
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FEDERAL PUBLIC
SERVICE HEALTH CARE PLAN ADMINISTRATION AUTHORITY
AND
SUN LIFE ASSURANCE
COMPANY OF CANADA
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Respondents
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REASONS FOR
JUDGMENT AND JUDGMENT
I. Preliminary
[1]
In
order for a court to act, it must have the jurisdiction to do so. Without jurisdiction,
this court cannot undertake any action. In law, as in life, knowing where to
turn allows us to find our way towards a final destination.
II. Introduction
[2]
The
Federal Court is a statutory court whose jurisdiction cannot be presumed,
unlike provincial superior courts, whose jurisdiction is both general and
inherent. There must be a statutory basis for the Federal Court to have
jurisdiction in a given case (DRL Vacations Ltd. v. Halifax Port Authority,
2005 FC 860, [2006] 3 FCR 516 at para 6).
[3]
The
Federal Courts Act, RSC, 1985, c F-7, defines “federal board, commission
or other tribunal” as follows:
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“federal board, commission or other
tribunal” means any body, person or persons having, exercising or purporting
to exercise jurisdiction or powers conferred by or under an Act of
Parliament or by or under an order made pursuant to a prerogative of the
Crown, other than the Tax Court of Canada or any of its judges, any such
body constituted or established by or under a law of a province or any such
person or persons appointed under or in accordance with a law of a province
or under section 96 of the Constitution Act, 1867 ;
[Emphasis added.]
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;« office fédéral » Conseil, bureau,
commission ou autre organisme, ou personne ou groupe de personnes, ayant,
exerçant ou censé exercer une compétence ou des pouvoirs prévus par une
loi fédérale ou par une ordonnance prise en vertu d’une prérogative royale,
à l’exclusion de la Cour canadienne de l’impôt et ses juges, d’un organisme
constitué sous le régime d’une loi provinciale ou d’une personne ou d’un
groupe de personnes nommées aux termes d’une loi provinciale ou de l’article
96 de la Loi constitutionnelle de 1867.
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[4]
The
summary of principles established by the Federal Court in DRL Vacations,
above, has been reiterated by the Federal Court on several occasions:
[48] From this
review of the jurisprudence, the following principles can be distilled:
1. The phrase
“powers conferred by or under an Act of Parliament” found in the definition of
a “federal board, commission or other tribunal” in subsection 2(1) of the
Federal Courts Act is “particularly broad” and should be given a liberal
interpretation: Gestion Complexe Cousineau (1989) Inc.;
2. The
“powers” referred to in subsection 2(1) of the Federal Courts Act are
not confined to those powers that have to be exercised on a judicial or
quasi-judicial basis. However the phrase “jurisdiction or powers” refers to
jurisdiction or powers of a public character: Thomas W. Wilcox;
3. The powers
referred to in subsection 2(1) do not include the private powers exercisable by
an ordinary corporation created under a federal statute which are merely
incidents of its legal personality or authorized business: Thomas W. Wilcox;
4. Although
the character of the institution is significant to the analysis, it is the
character of the powers being exercised that determines whether the decision
maker is a federal board, commission or other tribunal for the purposes of
section 18.1 of the Federal Courts Act: Aeric;
5. The fact
that an institution was created to be at arm’s length from the government, the
discretion conferred on the institution to manage its business, and the government’s
lack of control over the finances of the institution are all indicators that
the institution is not a “federal board, commission or other tribunal”: Toronto
Independent Dance Enterprise;
6. The fact
that the institution was created by government is not, by itself, determinative
of the question: Toronto Independent Dance Enterprise;
7. The mere
exercise of statutory powers alone is not sufficient to bring an institution
under subsection 2(1) of the Federal Courts Act. All of the circumstances
of the case have to be considered in order to determine whether, in exercising
the powers in issue, the institution was acting as a “federal board, commission
or other tribunal”: Cairns;
8. While an
organization may be a “federal board, commission or other tribunal” for some
purposes, it is not necessarily so for all purposes. In determining whether an
organization is a “federal board, commission or other tribunal” in a given
situation, it is necessary to have regard to the nature of the powers being
exercised: Jackson.
III. Facts
[5]
The
respondent, the Federal Public Service Health Care Plan Administration
Authority (Authority), was created by letters patent of incorporation issued by
the President of the Treasury Board pursuant to subsection 7.2(1) of the Financial
Administration Act, RSC 1985, c F-11.
[6]
Subsection
7.2(4) of the Financial Administration Act sets out that these letters
patent are not regulations within the meaning of the Statutory Instruments
Act, RSC 1985, c S-22. However, they are published in the Canada Gazette.
[7]
The
Authority is a corporation without share capital and is tasked with overseeing
the administration of the Public Service Health Care Plan (PSHCP).
[8]
The
PSHCP is a health care plan offered to employees and retirees of the federal
public service that was established by the Treasury Board in accordance with
subsection 7.1(1) of the Financial Administration Act, which provides
that:
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7.1
(1) The Treasury Board may establish or modify any group insurance or other
benefit programs for employees of the federal public administration and any
other persons or classes of persons it may designate to be members of those
programs, may take any measure necessary for that purpose, including
contracting for services, may set any terms and conditions in respect of
those programs, including those relating to premiums, contributions, benefits,
management, control and expenditures and may audit and make payments in
respect of those programs, including payments relating to premiums,
contributions, benefits and other expenditures.
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7.1 (1)
Le Conseil du Trésor peut établir ou modifier des programmes d’assurances
collectives ou des programmes accordant d’autres avantages pour les employés
de l’administration publique fédérale et les autres personnes qu’il désigne
comme cotisants, individuellement ou au titre de leur appartenance à telle
catégorie de personnes, prendre toute mesure nécessaire à cette fin,
notamment conclure des contrats pour la prestation de services, fixer les
conditions et modalités qui sont applicables aux programmes, notamment en ce
qui concerne les primes et cotisations à verser, les prestations et les
dépenses à effectuer ainsi que la gestion, le contrôle et la vérification des
programmes, et faire des paiements, notamment à l’égard des primes,
cotisations, prestations et autres dépenses y afférentes.
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[9]
The
Treasury Board (the employer), seventeen National Joint Council (NJC)
bargaining agents and the Federal Superannuates National Association adopted a
Memorandum of Understanding on December 1, 1999, that set out the long-term
financial and management framework for the PSHCP (Exhibit D-2).
[10]
This
Memorandum of Understanding was amended on January 13, 2006 (Exhibit D-3).
[11]
On
April 1, 2006, the Treasury Board Secretariat adopted the Public Service Health
Care Plan Directive ([Directive], Exhibit R-14) to implement the Memorandum of
Understanding.
[12]
This
Directive is considered to be an integral part of the collective agreements
signed by the Treasury Board and the NJC bargaining agents (Exhibit R-14).
[13]
The
Directive called for the PSHCP to be managed by a trust, having trustees appointed
by the three PSHCP parties (Exhibit R-14).
[14]
Effective
May 1, 2007, that trust was replaced by the Authority (Exhibit D-1).
[15]
In
addition, the Directive provides that the Administrator is responsible for the
consistent adjudication and payment of eligible claims in accordance with the
Plan Document, and for providing services. The organization currently selected
to do this is Sun Life.
[16]
The
Authority is an entity at arm’s length from the government (Exhibit D-4).
[17]
Furthermore,
it is neither a Crown corporation nor an agent of Her Majesty, as set out in
subsection 7.2(6) of the Financial Administration Act.
[18]
The
Authority reports and is accountable to a Partners Committee composed of
employer representatives, bargaining agents of the NJC and a representative
from the Federal Superannuates National Association.
[19]
The
Authority has all the powers of a natural person, but it cannot, according to
section 3.5 of the letters patent (Exhibit D-1):
a. Borrow
or lend monies;
b. Acquire
real property, but may enter into leases for terms not exceeding ten years;
c. Amend
the PSHCP.
[20]
Pursuant
to section 4 of the letters patent (Exhibit D-1) and section 7.3 of the Financial
Administration Act, the Authority is headed by a Board of Directors that
consists of ten directors:
a. Four
appointed by the President of the Treasury Board (employer);
b. Four
appointed by the NJC bargaining agents;
c. One
appointed by the Federal Superannuates National Association;
d. One
chairperson appointed by the Treasury Board on the recommendation of the bargaining
agents.
[21]
The
Authority’s administrators and directors are governed by a Code of Conduct
which is found at Annex A of Exhibit D-1 and they must act honestly and in good
faith (duty of care), pursuant to section 4.14 of the letters patent D-1.
[22]
The
Authority is tasked with a number of responsibilities including considering,
where requested by a PSHCP member, an appeal of a decision of the Plan Administrator
regarding a specific benefit entitlement.
[23]
In
fact, the Treasury Board, with the concurrence of the bargaining agents, ruled
out a grievance arbitration process (Directive, Exhibit R-14) and instead opted
for a flexible, informal and rapid process to deal with claims for
reimbursement (see para. 35 of the Court of Appeal’s decision, Exhibit R-6).
[24]
The
appeal process is set out in the Directive (Exhibit R-14) as follows:
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Where a member does not agree with a
decision of the Administrator and wishes a review of their case, a submission
may be made to the Trustees. The Trustees have the discretion to reach a
decision that embodies due consideration for individual circumstances and
Plan provisions. Members should endeavour to exhaust all avenues of review
with the Administrator before submitting an appeal to the Trustees. The
Trustees reserve the right to refuse to reconsider their decision on an
appeal. The appeal process is the final review level under the PSHCP.
An appeal must be submitted within one
year of the Administrator's mailing of an Explanation of Benefits regarding
the claim.
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Lorsque le souscripteur n'accepte pas une
décision de l'administrateur et souhaite une révision de son dossier, il peut
la demander aux fiduciaires, qui ont l'entière discrétion de prendre une
décision tenant dûment compte des circonstances de l'affaire et des
dispositions du Régime. Cela dit, les souscripteurs devraient s'efforcer
d'épuiser tous les recours avec l'administrateur avant d'en appeler aux
fiduciaires, car ceux-ci se réservent le droit de refuser de revenir sur leur
décision en cas d'appel. La procédure d'appel est le dernier niveau de
révision du PSHCP.
Les appels doivent être soumis dans un
délai d'un an suivant l'envoi par l'administrateur d'une explication des
prestations payables en règlement de la demande.
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[25]
The
Authority therefore has discretion when it renders a decision on appeal.
[26]
It
is under no obligation to provide reasons for its decisions.
[27]
All
appeals are final and binding (Exhibit R-14).
[28]
The
appeal process is as follows:
a. Appeal
requests are sent, in writing, to the Authority;
b. When
they are received, the requests are stamped and an appeal number is assigned;
c. The
request is assigned to an analyst for review. If additional information is
required, the analyst will contact the administrator (Sun Life) or the appellant;
d. If
additional information is received, the analyst reviews the file to ensure that
it is complete;
e. The
analyst prepares a summary of the file for the meeting of the Appeals Committee;
f. The
Appeals Committee is comprised of five directors, including two representing
the employer, two representing the bargaining agent and one representing retired
employees. A quorum is necessary in order for the Committee to be properly
constituted;
g. Each
case is reviewed individually by the Appeals Committee and minutes of the
meeting are kept;
h. In
cases where the directors are unable to reach a unanimous decision, the file is
referred to the Board of Directors to be decided;
i.
The
minutes are sent to the Board of Directors for ratification;
j.
Following
a decision by the Appeals Committee or Board of Directors, the Authority
contacts the Administrator if adjustments or reimbursements are needed;
k. The
file is then closed.
[29]
On
September 23, 2007, the applicant, Raymond Malo, submitted a request for an appeal
to the Authority following an unfavourable decision by the Administrator, Sun
Life.
[30]
On
May 28, 2008, after careful consideration, the Authority rejected the
applicant’s appeal (Exhibit R-1).
[31]
As
with any decision by the Appeals Committee, the decision was final and not
subject to appeal.
[32]
On
June 23, 2008, the applicants sent a letter to the Authority (R-11), requesting
the documents on which the Plan Administrator based its decision and seeking an
explanation of how much weight was given to the expertise of Dr. Jeanne
Teitelbaum.
[33]
On
August 5, 2008, Adèle Gervais, a benefits analyst, forwarded the requested
documentation to the applicants (Exhibit R-11).
[34]
On
August 15, 2008, Adèle Gervais sent a second letter explaining how much weight
was given to Dr. Teitelbaum’s expertise (Exhibit R-11).
[35]
Between
August 15, 2008, and June 23, 2009, there was no correspondence between the
applicants and the Authority.
[36]
On
June 23, 2009, the applicants filed a motion to institute proceedings for
damages with the Superior Court of Quebec against the respondents (Exhibit
R-2).
[37]
This
motion did not seek to have the decision made by the Authority on appeal annulled,
but instead sought damages based on an assessment of the respondents’
contractual obligations by the Court.
[38]
The
Authority objected to this kind of proceeding and filed a motion for declinatory
exception on August 17, 2009 (Exhibit D-5).
[39]
In
September 2009, the applicants filed an amended motion to institute proceedings,
adding conclusions seeking to have the Authority’s decision annulled (R-3) in
accordance with articles 947 et seq. of the Code of Civil Procedure,
RSQ c C-25.
[40]
The
Authority subsequently filed a re-amended motion for declinatory exception and
dismissal seeking the dismissal of that amendment on the ground that it in fact
instituted a new motion that was manifestly statute-barred (Exhibit R-4).
[41]
On
December 2, 2009, the Superior Court granted the Authority’s motion for
declinatory exception and dismissal and notably found that the motion for annulment
was statute-barred (Exhibit R-5).
[42]
On
January 31, 2011, the Court of Appeal overturned the Superior Court’s decision
but did not make a determination on whether the motion for annulment was
statute-barred (Exhibit R-6).
[43]
In
its decision, the Court of Appeal ruled that a PSHCP beneficiary could not
bring an action before a court of justice following the denial of a claim for
medical expenses and that the only possible legal recourse was through judicial
review (Exhibit R-6).
IV. Analysis
1) With regard to
determining the Federal Court’s jurisdiction
[44]
The
Court is in full agreement with the respondents’ position. The Authority is not
a federal board, commission or other tribunal within the meaning of section 2
of the Federal Courts Act, and, as a consequence, the Federal Court does
not have the necessary jurisdiction to hear a motion for an extension of time
to file an application for judicial review of the Authority’s decisions under
section 18.1 of the Federal Courts Act.
[45]
The
Authority was not acting as a federal board, commission or other tribunal when
it rendered its decision dismissing the appeal of the applicant, Mr. Malo.
[46]
The
Federal Court is a statutory court whose jurisdiction cannot be presumed,
unlike provincial superior courts, whose jurisdiction is both general and inherent.
There must be a statutory basis for the Federal Court to have jurisdiction in a
given case (DRL Vacations, above).
[47]
The
Federal Courts Act defines “federal board, commission or other tribunal”
as follows:
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“federal board, commission or other
tribunal” means any body, person or persons having, exercising or purporting
to exercise jurisdiction or powers conferred by or under an Act of
Parliament or by or under an order made pursuant to a prerogative of the
Crown, other than the Tax Court of Canada or any of its judges, any such
body constituted or established by or under a law of a province or any such
person or persons appointed under or in accordance with a law of a province
or under section 96 of the Constitution Act, 1867; [Emphasis added.]
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« office fédéral » Conseil, bureau,
commission ou autre organisme, ou personne ou groupe de personnes, ayant,
exerçant ou censé exercer une compétence ou des pouvoirs prévus par une
loi fédérale ou par une ordonnance prise en vertu d’une prérogative royale,
à l’exclusion de la Cour canadienne de l’impôt et ses juges, d’un organisme
constitué sous le régime d’une loi provinciale ou d’une personne ou d’un
groupe de personnes nommées aux termes d’une loi provinciale ou de l’article
96 de la Loi constitutionnelle de 1867.
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[48]
The
summary of principles established by the Federal Court in DRL Vacations,
above, has been reiterated by the Federal Court on several occasions:
[48] From this
review of the jurisprudence, the following principles can be distilled:
1. The phrase
“powers conferred by or under an Act of Parliament” found in the definition of
“federal board, commission or other tribunal” in subsection 2(1) of the Federal
Courts Act is “particularly broad” and should be given a liberal interpretation:
Gestion Complexe Cousineau (1989) Inc.;
2. The
“powers” referred to in subsection 2(1) of the Federal Courts Act are
not confined to those powers that have to be exercised on a judicial or
quasi-judicial basis. However the phrase “jurisdiction or powers” refers to
jurisdiction or powers of a public character: Thomas W. Wilcox;
3. The powers
referred to in subsection 2(1) do not include the private powers exercisable by
an ordinary corporation created under a federal statute which are merely
incidents of its legal personality or authorized business: Thomas W. Wilcox;
4. Although
the character of the institution is significant to the analysis, it is the
character of the powers being exercised that determines whether the decision
maker is a federal board, commission or other tribunal for the purposes of
section 18.1 of the Federal Courts Act: Aeric;
5. The fact
that an institution was created to be at arm’s length from the government, the
discretion conferred on the institution to manage its business, and the government’s
lack of control over the finances of the institution are all indicators that
the institution is not a “federal board, commission or other tribunal”: Toronto
Independent Dance Enterprise;
6. The fact
that the institution was created by the government is not, by itself,
determinative of the question: Toronto Independent Dance Enterprise;
7. The mere
exercise of statutory powers alone is not sufficient to bring an institution
under subsection 2(1) of the Federal Courts Act. All of the circumstances
of the case have to be considered in order to determine whether, in exercising
the powers in issue, the institution was acting as a “federal board, commission
or other tribunal”: Cairns;
8. While an
organization may be a “federal board, commission or other tribunal” for some
purposes, it is not necessarily so for all purposes. In determining whether an
organization is a “federal board, commission or other tribunal” in a given
situation, it is necessary to have regard to the nature of the powers being
exercised: Jackson.
[49]
In
this case, the Authority was created by letters patent, which are not
regulations within the meaning of the Statutory Instruments Act (Exhibit
D-1).
[50]
These
letters patent were issued by the Treasury Board on the recommendation of the National
Joint Council of the Public Service, in accordance with subsection 7.2(1) of
the Financial Administration Act.
[51]
The
letters patent specify certain elements whose responsibilities must be assumed
by the Authority.
[52]
Among
these responsibilities, it is stipulated that the Authority must consider the
request for an appeal of the decision of the Plan Administrator (see paragraph 3.2(c)
of the letters patent D-1).
[53]
However,
the exercise of this responsibility is not spelled out or defined in detail.
[54]
At
first blush, a mere consideration of these factors might lead one to believe
that the Authority is a federal board, commission or other tribunal, thereby
falling under the Federal Court’s jurisdiction pursuant to sections 2 and 18.1
of the Federal Courts Act.
[55]
It
is necessary to analyze the nature of the power exercised by the Authority and
the circumstances surrounding its creation in order to determine its true
nature.
[56]
The
fact that the Authority was created by the Treasury Board is not, by itself,
determinative: Toronto Independent Dance Enterprise v. Canada Council,
[1989] 3 FC 516.
[57]
The
Authority is at arm’s length from the government.
[58]
The
only power exercised by the Treasury Board in relation to the Authority is the
appointment of directors to the Board of Directors, in accordance with section
7.3 of the Financial Administration Act.
[59]
However,
when the Board makes such appointments, it does so as an employer with whom the
bargaining agents have come to an agreement for the implementation of the PSHCP.
[60]
Moreover,
the other members of the Board of Directors are appointed by the bargaining
agents.
[61]
In
addition, the Authority does not report to the government, but reports and is
accountable to the Partners Committee composed of employer representatives, bargaining
agents of the NJC and a representative from the Federal Superannuates National Association.
[62]
The
Authority has all the powers of a natural person, except for the limitations
set out at section 3.5 of the letters patent (D-1). Among other things, it may
take legal action, but it may not:
a. Borrow
or lend monies;
b. Acquire
real property, but may enter into leases for terms not exceeding ten years;
c. Amend
the PSHCP.
[63]
It
is therefore free to organize the management of its corporation and has
complete discretion in managing its affairs.
[64]
The
fact that the Authority is at arm’s length from the government and that it
enjoys complete discretion in the management of its affairs are factors which
argue in favour of the view that the Authority is not a federal board,
commission or other tribunal (Toronto Independent Dance Enterprise,
above).
[65]
On
another note, subsection 7.2(6) of the Financial Administration Act
explicitly provides that the Authority is neither a Crown corporation nor an
agent of Her Majesty.
[66]
Nor
is it a “departmental corporation” within the meaning of section 2 of the Financial
Administration Act as it is not named in Schedule II to the said Act.
[67]
In
addition, it is not a “division or branch of the federal public administration”,
pursuant to paragraph 3(1)(a) of the Financial Administration Act,
as it not named in Schedule I.1 to the said Act.
[68]
Lastly,
it does not perform administrative, research, supervisory, advisory or
regulatory functions of a governmental nature, pursuant to paragraph 3(1)(a.1)
of the Financial Administration Act, as it is not named in Schedule II.
[69]
Thus,
the Authority is merely a corporation without share capital, an entity with a
legal personality that is distinct from the government, which is not its agent.
This is an analysis factor which indicates that the Authority is therefore not
a “federal board, commission or other tribunal”.
[70]
As
well, the Authority was created in order to administer a health care plan which
is a program established by the Treasury Board in accordance with subsection
7.1(1) of the Financial Administration Act.
[71]
This
program was developed in collaboration with the bargaining agents and the
representative of retired employees.
[72]
In
fact, on December 1, 1999, the three parties signed a Memorandum of Understanding
to establish a long-term financial and management framework for the PSHCP.
[73]
On
January 13, 2006, the Memorandum was modified in order to provide for, among
other things, the winding-up of the trust that had previously managed the PSHCP
and the setting-up of the corporation, namely, the Authority.
[74]
The
Treasury Board developed a Directive with the help of the NJC bargaining agents
to implement the Memorandum of Understanding (Exhibit R-14 at p. 1).
[75]
This
Directive explains the purpose, management, eligibility and workings of the
health care plan (Exhibit R-14).
[76]
It
also provides for an appeals procedure (Exhibit R-14 at p. 2).
[77]
The
Directive is administrative, not legislative, in nature and is not an “Act of
Parliament” within the meaning of section 2 of the Federal Courts Act (Mercier
v. Canada (Correctional Service), 2010 FCA 167 (application for leave to
appeal dismissed, [2010] SCCA No. 331); Martineau v. Matsqui Institution
Inmate Disciplinary Board, [1978] 1 S.C.R. 118).
[78]
Consequently,
when the Authority acts under the Directive, it is not exercising a power
conferred by an Act of Parliament.
[79]
Moreover,
neither the Directive (R-14) nor the Financial Administration Act nor
the letters patent (Exhibit D-1) govern the appeals procedure, which is an
indication that the institution is not a federal board, commission or other
tribunal within the meaning of Cairns v. Farm Credit Corp., [1992] 2 FC
115.
[80]
Furthermore,
the Treasury Board does not instruct the Authority with regard to the manner in
which it performs its duties.
[81]
The
government has no control over the decisions made by the Authority on appeal.
[82]
It
is expressly provided that the Authority would have complete discretion when it
made a decision following a request for appeal and that the appeal would be
final and binding (Directive, Exhibit R-14).
[83]
In
short, the Authority, when it interprets the wording of the Directive, is
therefore exercising the discretion to interpret a text that is not an Act of
Parliament.
[84]
It
is not a power of public interest or of interpretation of an Act of Parliament
which should be subject to review by the Federal Court.
[85]
In
summary, the Authority is an independent body established by the parties,
namely, the bargaining agents and the Treasury Board, to arbitrate disputes
arising in connection with the administration of a health care program, among
other things. The true nature of the Authority and its powers show that it is
not a federal board, commission or other tribunal and we submit that the
decisions of the Authority do not fall under federal jurisdiction.
2) With regard to the
applicants’ application for an extension of time, which is moot, the Court does
not have jurisdiction over this matter, as was explained above
[86]
Even
though the Court does not have jurisdiction, and even if it were to have
jurisdiction, the extension of time to file an application for judicial review
under subsection 18.1(2) of the Federal Courts Act would not have been
granted to the applicants under the current circumstances.
[87]
The
Court considers four factors when assessing an application for an extension of
time, as set out by the Federal Court of Appeal in Canada (Attorney General)
v. Hennelly (1999), 244 NR 399, 89 ACWS (3d) 376, which was cited by the
applicants:
1) a
continuing intention to pursue his or her application;
2) that
the application has some merit;
3) that
no prejudice to the respondent arises from the delay; and
4) that
a reasonable explanation for the delay exists.
Lack
of continuing intention by the applicant
[88]
It
was not until June 23, 2009, that the applicants filed a motion for damages
with the Superior Court of Quebec.
[89]
In
this motion, the applicants asked the Superior Court to interpret the health
care plan, to declare that they were entitled to receive certain insurance
benefits and to order payment thereof.
[90]
The
applicants also tried to circumvent the final decision of the Authority’s
Appeals Committee by asking the Superior Court to undertake an assessment of
the contractual obligations, without requesting that the decision of the Appeals
Committee be annulled.
[91]
It
was only after the Authority filed its motion for dismissal that the applicants
requested that the Authority’s decision be annulled, in accordance with
articles 947 et seq. of the Code of Civil Procedure.
[92]
On
another note, the Court of Appeal’s decision restored the parties to the
situation they were in before.
[93]
The
applicants’ motion to institute proceedings was filed one year after the
Authority’s decision.
[94]
The
applicants would therefore have been precluded from filing their application
for judicial review with the Federal Court or the provincial superior court, as
it was time-barred, although I would not wish to speak for the Quebec Superior
Court.
The
lack of a reasonable explanation for the applicant’s delay
[95]
In
Federal Court, the party requesting an extension of time must be able to
provide an explanation for the delay incurred for the entire period in question
(Arteaga v. Canada (Minister of Citizenship and Immigration), 2010 FC
868).
[96]
The
applicants argue that if there was any error on their part, it would be attributable
to their counsel.
[97]
In
Federal Court, the applicants therefore had to demonstrate the utmost diligence
in exercising their rights.
merit
[98]
In
the present case, this is a specialized field, i.e. the reimbursement of
medical expenses, managed by an experienced insurer (Sun Life), which is under
the supervision of the respondent’s Board of Directors, which includes
representatives of the beneficiaries (bargaining agents).
[99]
Review
of the decision of the Administrator (Sun Life) is an administrative issue and
this review must take the circumstances and objectives of the plan into
consideration.
[100] The
applicants take issue with the interpretation of the facts and argue that there
was a breach of the principles of natural justice.
[101] Essentially,
what emerges from the applicants’ submissions is that they disagree with the
Authority’s decision.
[102] Except
to the extent there are statutory provisions or regulations having the force of
law to the contrary, there is no requirement to conform to any particular
procedure or to abide by the rules of evidence generally applicable to judicial
or quasi-judicial tribunals or adversary proceedings (Ross v. Canada,
2003 FCA 296).
[103] The
applicants were able to assert their point of view within the framework
provided to that effect.
Prejudice
[104] Time
limits for filing applications for judicial review are mandatory, unless a
court grants an extension.
[105] In
this case, the applicants filed their originating motion over a year after the
decision of the Appeals Committee.
[106] In
light of the circumstances surrounding the case and the context in which the
applicants find themselves, the Court reiterates that, in the present case, the
Court of Appeal’s decision restored the parties to the situation they were in
before and, furthermore, the Court notes that the case law has recognized that
thirty days was a reasonable time limit, except under exceptional circumstances,
as the Court of Appeal held in the oft-cited Loyer v. Québec (Commission des
affaires sociales), above.
JUDGMENT
Following the applicants’ arguments, the
Federal Court concurs with the respondents’ position with regard to the Federal
Court’s jurisdiction, or, rather, its lack thereof in the present case;
After
having considered the documents filed with the Court and the submissions of the
parties;
Given
that this does not involve the interpretation of an Act of Parliament
which would be subject to review by the Federal Court,
the Federal Court does not have the requisite jurisdiction to entertain the
matter in question.
ACCORDINGLY,
THE COURT ORDERS that the applicants’ application is dismissed.
OBITER
Ms.
Pontbriand and Mr. Malo are seeking redress without knowing where to turn in
the aftermath of the stroke Mr. Malo suffered abroad for which the elderly
couple had to pay one hundred and forty thousand dollars ($140,000) for the
medical care he received. The couple is trying to find the right door to
approach to assert their rights in order to resolve the personal crisis they
are going through.
“Michel M.J. Shore”