Docket: T-210-12
Citation: 2019 FC 1349
Ottawa, Ontario, October 28, 2019
PRESENT: Madam Prothonotary Mandy Aylen
| BETWEEN:
|
| JENNIFER MCCREA
|
| Plaintiff
|
| and
|
| HER MAJESTY THE QUEEN IN RIGHT OF CANADA
Defendant
|
| and
|
| SUE CAMPOS
|
| Claimant
|
JUDGMENT AND REASONS
[1]
The Claimant, Sue Campos, brings this application for review of claims decision determination pursuant to Section 8 of the Settlement Agreement reached in the context of this class action proceeding and approved by the Honourable Madam Justice Kane in her Order and Reasons dated January 29, 2019. Ms. Campos seeks review of the determination of the Administrator of the EI Sickness Benefits Class Action dated August 27, 2019, which denied her claim for sickness benefits.
[2]
For the reasons that follow, I find that Ms. Campos does not meet the class definition and accordingly, the determination of the Administrator is upheld.
I.
Background
[3]
The background to the underlying class action is described in detail in McCrea v Canada (Attorney General), 2013 FC 1278, [2013] FCJ No 1444 [McCrea 2013], McCrea v Canada (Attorney General), 2015 FC 592, [2015] FCJ No 1225 (QL) [McCrea 2015] and the Order and Reasons of Madam Justice Kane dated January 29, 2019.
[4]
In summary, the class action involved a claim by the representative Plaintiff that she and other individuals who became ill while in receipt of parental benefits were unlawfully denied sickness benefits under the Employment Insurance Act. The class action was certified but with a modified class definition. The Court refused to expand the class definition to include persons who, during the relevant period, were “advised orally or in writing by the defendants, the Commission or HRSDC, that they did not qualify for sickness leave because they were on parental leave or not otherwise available to work at the time of their sickness leave application, on which advice and representations they relied in not applying for sickness leave”
.
[5]
For the purpose of this application, the details of the Settlement Agreement, its implementation and the application for review process are key.
[6]
Section 4.02 of the Settlement Agreement defines the class as follows:
All persons who, during the period from March 3, 2002 to, and including, March 23, 2013:
i) Applied for and were paid parental benefits under the EI Act or corresponding types of benefits under Quebec’s An Act Respecting Parental Insurance;
ii) Suffered from an illness, injury or quarantine while in receipt of parental benefits;
iii) Applied for sickness benefits in respect of an illness, injury or quarantine referred to in ii; and
iv) Were denied a conversion of parental benefits to sickness benefits because:
a) the person was not otherwise available for work; or
b) the person had not previously received at least one week of sickness benefits during the benefit period in which the parental benefits were received.
[7]
Pursuant to Section 5.01 of the Settlement Agreement, any person who can establish that they meet the class definition and received less than 15 weeks of sickness benefits during the benefit period in which the original application to convert to sickness benefits was made is eligible for an Individual Payment (as defined in the Settlement Agreement).
[8]
The Settlement Agreement provides that certain persons who have been identified through the File Review Project are deemed eligible class members. For persons who are not identified through the File Review Project, it must be established that they meet the class definition. Section 5.03 of the Settlement Agreement provides:
Claimants who were not identified as a Class Member through the File Review Project will be eligible where it is established that they meet the class definition based on evidence in ESDC’s file of the application to convert to sickness benefits in either the: (a) SROC; (b) the checklist for conversion that was in use during the class period; or (c) another record made by ESDC. Alternatively, ESDC shall consider documentary evidence provided by the person that establishes they made an application to ESDC for a conversion.
[9]
Section 7 of the Settlement Agreement provides for a claims administration process for persons seeking to make a claim for benefits under the Settlement Agreement. The Administrator processes all claims and renders written determinations to claimants.
[10]
Pursuant to Section 8 of the Settlement Agreement, a claimant may seek a review of the Administrator’s determination by the Federal Court where the Administrator determines that a claim is not established and denies the claimant an Individual Payment.
[11]
Section 8.05 of the Settlement Agreement provides that a designated Prothonotary of the Federal Court shall determine whether the claimant is an Eligible Class Member (as defined in the Settlement Agreement) or not and thereafter either uphold the Administrator’s determination or reverse the Administrator’s determination and refer the claim back to the Administrator for calculation and processing of the Individual Payment to the claimant.
II.
The Administrator’s Determination
[12]
On May 22, 2019, the Claimant submitted a claim to the Administrator for sickness benefits for a period of six weeks commencing on April 8, 2006.
[13]
By letter dated August 27, 2019, the Administrator transmitted its determination to the Claimant denying her claim. The Administrator stated:
After a thorough review of your file, we have determined that you are not eligible for an Individual Payment in accordance with the approved Settlement Agreement for the Employment Insurance (EI) claim commencing October 9, 2005 because you do not meet the class action definition as you did not apply for EI sickness benefits while in receipt of EI parental benefits or corresponding types of benefits under Quebec’s An Act Respecting Parental Insurance (QPIP).
III.
Analysis
[14]
In her Application for Review of Claims Decision Determination form, the Claimant seeks a review of the Administrator’s determination on the following grounds:
As per your letter dated August 27, 2019 that states I am not eligible because I did not apply for EI sickness benefits while in receipt of EI parental benefits, I would like to inform you that I had called in and spoke to someone at the Unemployment/Service Canada office who told me that I would not qualify for sick benefits while on maternity leave. I inquired and was declined so why would I still apply if I was told I would not qualify. The representative should of suggested I send in my application but that’s not what the feedback was. I was ill while on maternity leave and I can provide supporting documents to prove that (if required).
[15]
In reaching my determination, I have reviewed the documentation produced by ESDC in accordance with Section 8.04 of the Settlement Agreement and the written submissions filed by ESDC. The Claimant has not filed any additional written submissions, despite being afforded the opportunity to do so. As such, the only submission that I have from the Claimant are the grounds for review detailed in paragraph 14 above.
[16]
In order to meet the class definition, the Claimant must have “applied for sickness benefits in respect of an illness, injury or quarantine”
during the period of March 3, 2002 to March 23, 2013. The evidence before the Court demonstrates that the Claimant applied for regular EI benefits on October 10, 2005 and thereafter received 15 weeks of regular benefits, followed by 35 weeks of parental benefits. However, there is no documentation before the Court, from ESDC’s file or from the Claimant, to support any application to convert to sickness benefits having being made by the Claimant.
[17]
To the contrary, the Claimant confirms in her written submissions that she spoke with an EI representatives and was told that she was not eligible for sickness benefits. As a result, the Claimant did not apply for sickness benefits. As noted above, persons who were advised by the Defendant, the Commission or HRSDC, that they did not qualify for sickness leave because they were on parental leave or not otherwise available for work at the time of their sickness leave application, on which advice and representations they relied in not applying for sickness leave, do not form part of the class as certified by the Court.
[18]
Accordingly, I find that the Claimant did not submit an application to convert her benefits to sickness benefits and therefore does not meet the class definition.
[19]
Having found that the Claimant does not meet the class definition, I find that the Claimant is not an Eligible Class Member (as defined in the Settlement Agreement). The Administrator properly applied Sections 4.02 and 5.03 of the Settlement Agreement and accordingly, the Administrator’s determination is upheld.
[20]
There shall be no award of costs on this application.
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