Benefit menu keyed to the wrong date
What was checked
- Rule
- Accident benefits version selector: two keys
- Version selected
- Prior benefit set
- Instrument
- O. Reg. 383/24 (amending O. Reg. 34/10), Benefit menu and payer order, in force 1 July 2026
- Enforcement
- reference, routes to review or escalation
- Verification status
- VERIFIED Reform and in-force date (FSRA, RIBO)VERIFIED Benefit menu keyed to policy dateCOUNSEL-CONFIRMS Payer order section and subsection numbers
- Policy sources
What it rests on
| Input | Value | Basis | Source |
|---|---|---|---|
| Policy renewal date | 2026-03-01 | Inferred, needs counsel | |
| Next renewal | 2027-03-01 | Inferred, needs counsel | |
| Declarations page | Not on file | Missing | no document |
| Written agreement changing coverage | Not on file | Missing | no document |
| Date the memo used to choose the benefit menu | Accident date | From a document | |
| What the client was told | Income replacement not available | From a document | |
| Accident date | 2026-08-14 | From a document |
Deterministic reasoning
- Key 1, benefit menu: the policy date. 2026-03-01 (inferred from a broker email).
- 2026-03-01 is before 1 July 2026, so the edition is "Policy renewed before 1 July 2026".
- The memo keyed the menu to the accident date (2026-08-14). That is the key for payer order, not the menu.
- The declarations page is not on file; the policy date stays inferred until it arrives.
The record's slots
- Confidence
- Inferred, needs counsel
- Question
- Upload the declarations page. Is there a written agreement changing coverage before renewal? (benefits clerk)Which date selects the benefit menu on this file: the accident date or the policy renewal date? (knowledge partner)
- Reviewer
- empty
- Tier
- SHADOW v1.0 May raise a question. Cannot block, bind or stand as authority (SHADOW-01).
- Outcome
- empty while the file is open
- Coverage
- 6 documents on file, all extracted
Evidence packFalcon
A one-page PDF a carrier or the Law Society could read, and a JSON file a machine can check. Built only from this record and its sources.
This record is in shadow. The pack says so: it raises a question and cannot stand as authority.