Champions With Heart.

The Importance of Choosing the Right Team

In a recent decision of the Licence Appeal Tribunal (LAT), 17-007471 v RBC General Insurance Company (2018 CanLII 83526), the applicant, a pedestrian, was struck by a reversing car in a parking lot.  He suffered whiplash and other injuries, including aggravation of pre-existing shoulder pain.  RBC, his Accident Benefits insurer, determined that his initial injuries fell within the scope of the Minor Injury Guideline (MIG).  As a result, his medical benefits were subject to a cap of $3,500. Once the $3,500 was exhausted, the applicant sought additional treatment including ongoing Chiropractic care and a Psychological Assessment.  RBC denied these treatment plans, claiming that no evidence had been provided that the applicant’s ongoing impairments exceeded the definition of a “minor injury” under the MIG (which include a sprain, strain, whiplash associated disorder, contusion, abrasion, laceration or subluxation and any clinically associated sequelae).  The parties were unable to resolve their dispute which led to a hearing in writing.

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Accident Benefits Update: Divisional Court Confirms Smith Test for 20-Year-Old IRB Claim

Recently, in Aviva Canada Inc. v. Sidhu et al (2018 ONSC 6506), the Divisional Court heard an Application for judicial review by Aviva from a 2017 Financial Services Commission of Ontario (FSCO) appeal. The appeal had upheld a preliminary ruling by the Arbitrator that the claimant, Mr. Sidhu’s income replacement benefits (IRBs) claim was not statute-barred under the Limitations Act.

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What You Need To Know About Our Insurance Act And Car Accidents

Many of you do not know that our legal system is prejudiced against plaintiffs who are injured in car accidents.  In response to pressure from the Insurance industry, our Insurance Act has built-in relief for defendant insurance companies from paying damages to plaintiffs.  Briefly, damages under a certain amount are subject to an automatic deductible which stays in the defendant insurer’s pocket.  So, if a jury awards you $70,000 for pain and suffering, you will only receive $40,000.  The jury is not told that this happens.

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Does failure to attend an insurer’s examination forbid an accident victim to apply for accident benefits?

The decision of the Licence Appeal Tribunal (LAT) in the case called S.L. v Certas Home and Auto Insurance Company answers the question on whether or not the failure to attend an insurer’s examination (IE) forbid an accident victim to apply for accident benefits.

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Licence Appeal Tribunal (LAT) Awards Cost After Insurance Company Fails to Provide Documents

The case called
B. F. v Wawanesa Mutual Insurance Company decided by the Licence Appeal Tribunal (LAT) on January 30, 2017 emphasizes the importance of following the orders of the Tribunal. B.F., the applicant in this case, was injured in a motor vehicle accident on February 28, 2014. As a result of the accident, B. F. filed an accident benefit claim with her insurer Wawanesa Mutual Insurance Company. A disagreement arose between B. F. and Wawanesa regarding B. F.’s entitlement to accident benefits under the
Statutory Accident Benefits Schedule. As a result of the disagreement, B. F. submitted an application for dispute resolution with the LAT.