Champions With Heart.

M.F.Z. V Aviva Insurance Canada – Beneficial Decision For Accident Victims

M.F.Z. v Aviva Insurance Canada (and its companion claim, J.C.C. v Aviva Insurance Company of Canada, which was argued on behalf of the passenger at the same time), a far-reaching beneficial decision for accident victims, was recently reconsidered by the executive chair of the Safety, Licensing Appeals and Standards Tribunals Ontario (“SLASTO”), Linda Lamoureux, at the insurer’s request.  

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INTACT INSURANCE COMPANY V. ALLSTATE INSURANCE COMPANY OF CANADA, 2016 ONCA 609, RELEASED AUGUST 3, 2016

This was an appeal by an insurer of a decision assigning priority for accident benefits to it instead of the first responder. The main issue on appeal was the question of dependency. Paula Chartrand and her 2 daughters, Athena and Destiny were injured in a collision on August 21, 2010.

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Accident Benefits Update – Catastrophic Assessment Report Slammed by LAT

The Licence Appeal Tribunal (LAT) recently released P.S. vs. Allstate Insurance (2020 CanLII 87980) a catastrophic impairment claim heard immediately before the COVID measures took effect. In this decision, Adjudicator Hines was required to determine whether P.S., the applicant was entitled to enhanced catastrophic benefits under the Statutory Accident Benefits Schedule (SABS).

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Changes to Accident Benefits Threaten Both Individuals and the Healthcare System

We have been really rattled over the recent budget for the year 2015-16 by the government with massive changes to auto insurance being tabled that will further restrict access to accident benefits for those injured, and put the medical and rehabilitative needs of Ontarians in jeopardy.  We feel compelled to reach out to others to help us advocate on behalf of those that need these benefits the most.

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Accident Benefits Update – LAT Considers Causation in IRB Claim

In Applicant and Aviva General Insurance, the Applicant sought Income Replacement Benefits (IRB) up to 104 weeks post-accident and ongoing.  He had been injured on August 10, 2015, and received IRBs from Aviva, his automobile insurer, from August 15, 2016 until November 15, 2016.  Aviva scheduled several medical examinations of the applicant during this period. Ultimately, it terminated his IRBs based on these examinations, which concluded that the applicant was able to perform the essential duties of his employment.

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Car-Surfing Injury Is an “Accident” -Divisional Court Upholds Lat Decision

In order to receive accident benefits under an auto insurance policy, a claimant must prove that they have been injured in an “Accident” as defined in the Statutory Accident Benefits Schedule (SABS). Under the two-part test set out by the Supreme Court of Canada, the claimant must how that the injuries were a) caused by or as a result of b) the ordinary and well-known use and operation of a motor vehicle.

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Accident Benefits Update: Legal System Is Prejudiced Against Plaintiffs

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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Accident Benefits Update

In A.M. v the Dominion of Canada General Insurance Company, 2019 CanLII58194 (ON LAT), a dispute arose over the A.M, the applicant’s Income Replacement Benefits (IRBs). He was injured on December 21, 2017 when his vehicle was rear-ended. He applied for “no-fault” accident benefits including IRBs under the Statutory Accident Benefits Schedule (SABS) from his auto insurer, Dominion.

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