Appeal dismissed; combination of incorrect documentation and another insurer's payment constituted reasonable excuse for delayed notice.
The appellant insurer appealed an arbitrator's decision finding it responsible for paying the respondent's accident benefits.
The appellant argued the respondent failed to provide notice of her claim within the statutory time limits and lacked a reasonable excuse for the 16-month delay.
The Director of Arbitrations dismissed the appeal, upholding the arbitrator's finding that a combination of factors—including the respondent's initial claim to another insurer who paid expenses, incorrect documentation, and personal circumstances—constituted a reasonable excuse for the delay under section 22(2) of the No-Fault Benefits Schedule.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 21, 1994