12 total
Insurer ordered to pay treatment plan and 25% award for unreasonable delay after removing applicant from MIG.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied several treatment plans on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the respondent's denial of a $2,803.60 chiropractic treatment plan was non-compliant with s. 38(8) of the Schedule because it applied the MIG after the applicant had already been removed from it due to a psychological condition.
Consequently, the applicant was entitled to payment under s. 38(11).
The Tribunal also awarded a 25% penalty under s. 10 of Reg. 664 for the respondent's unreasonable delay of nearly two years in approving other treatment plans after removing the applicant from the MIG.
Application for statutory accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant sought entitlement to statutory accident benefits for various physiotherapy, chiropractic, and psychological treatment plans following a motor vehicle accident.
The adjudicator found that the applicant failed to meet her burden of proving the treatment plans were reasonable and necessary.
The adjudicator relied on section 44 insurer examination reports which concluded the applicant had reached maximum medical recovery and lacked objective evidence of ongoing accident-related pathology.
The application was dismissed.
Application for accident benefits dismissed after self-represented applicant failed to attend the hearing.
The applicant sought statutory accident benefits following a motor vehicle accident, including non-earner benefits and treatment plans outside the Minor Injury Guideline.
The applicant failed to attend the scheduled videoconference hearing and had not communicated with the Tribunal since his representative withdrew.
The Tribunal proceeded in his absence under Rule 3.7.1.
As the applicant presented no evidence or arguments, he failed to meet his onus to prove entitlement to the disputed benefits.
The Tribunal declined to award costs to the respondent, noting that penalizing a self-represented party for procedural lapses could discourage access to justice.
Application for non-earner benefits dismissed as the applicant failed to prove a complete inability to carry on a normal life.
The applicant sought a non-earner benefit, an award, and interest following a motor vehicle accident.
The adjudicator drew an adverse inference against the applicant for failing to produce ordered medical and employment records without explanation.
Relying on the respondent's medical assessments, the adjudicator found that the applicant did not suffer a complete inability to carry on a normal life, as he remained independent with self-care, household tasks, and his studies.
The application was dismissed, and claims for an award and interest were denied as no benefits were owed.
Application for accident benefits dismissed; applicant failed to prove injuries fell outside Minor Injury Guideline.
The respondent denied the benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant argued for removal from the MIG based on psychological impairments and chronic pain.
The Tribunal found that the applicant failed to meet the evidentiary burden to prove a psychological impairment or chronic pain condition that would warrant treatment outside the MIG limits.
The application for disputed treatment plans and assessments was dismissed.
Accident benefits claim dismissed as applicant failed to prove injuries warranted removal from Minor Injury Guideline.
The respondent denied the benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG) and the $3,500 limit had been exhausted.
The Tribunal drew a negative inference against the applicant for failing to produce relevant medical records as ordered in a Case Conference Report and Order.
The Tribunal found the applicant failed to provide sufficient medical evidence to demonstrate that his physical, psychological, or chronic pain injuries warranted removal from the MIG.
As the MIG limits were exhausted, the claims for disputed treatment plans and interest were dismissed.
Insurer's motion to dismiss or stay application for non-compliance with production order denied.
The respondent insurer brought a motion to dismiss the application without a hearing or, in the alternative, to stay the proceeding due to the applicant's failure to comply with a production order from a Case Conference Report and Order.
The Tribunal denied the motion, finding that the respondent failed to show how the statutory requirements for bringing the appeal were not met under Rule 3.4(c).
The Tribunal also held that a stay of proceedings is not an appropriate remedy for non-compliance with a production order, as the hearing adjudicator can grant relief such as attaching diminished weight or drawing adverse inferences.
Application for accident benefits dismissed after applicant failed to file submissions or evidence.
The applicant sought statutory accident benefits following an incident.
The respondent denied benefits, arguing the incident was not an 'accident' under the Schedule.
A written hearing was scheduled to determine this preliminary issue.
The applicant failed to file any written submissions or evidence and did not request an extension.
The Tribunal proceeded with the written hearing in the applicant's absence and dismissed the application, finding the applicant failed to meet his evidentiary burden to establish he was involved in an accident.
The court approved a settlement but refused to seal the supporting affidavits, emphasizing the open court principle.
This endorsement addresses a request to seal supplemental affidavits filed in support of a settlement approval.
While the settlement was approved, the court largely denied the request to seal the affidavits, emphasizing the foundational principle of transparency and the open court principle.
The judge found no basis to seal information regarding the merits of the plaintiffs' case post-settlement approval or the terms of counsel's retainer, citing section 137 of the Courts of Justice Act.
The affidavits were ordered to remain sealed for 60 days, with a requirement for a formal application, served on all parties and the media, to extend the sealing order.
Motion to adjourn and consolidate official plan amendment appeals dismissed due to prejudice and delay.
Nicholyn Farms Inc. brought a motion to adjourn the hearing of appeals regarding County of Simcoe Official Plan Amendment No. 2 (COPA 2) and to consolidate it with the hearing for appeals of County Official Plan Amendment No. 5 (COPA 5).
The County of Simcoe and the Ministry of Municipal Affairs and Housing opposed the motion, arguing that COPA 5 was not properly appealed and that an adjournment would cause significant prejudice and delay to the County's waste management objectives.
The Tribunal found that an adjournment would prejudice the County and the Ministry, and that the moving party failed to justify the delay.
The motion was dismissed.
Tribunal issues procedural order for hearing on proposed waste management facility in Springwater Township.
The Ontario Land Tribunal issued a procedural order for the hearing of appeals concerning the Township of Springwater's proposed Official Plan Amendment No. 2 and Zoning By-law Amendment, which would permit a waste management facility in the Freele County Forest.
The order sets out the organization of the hearing, which will be conducted by videoconference in two parts, and establishes the requirements for the parties before the hearing, including the exchange of witness lists, expert witness meetings, and the filing of participant statements.
Motion to amend statement of claim dismissed as proposed amendments raised a statute-barred new cause of action.
The plaintiff, who was injured after falling from scaffolding while doing drywall work at the defendants' home, sought to amend his statement of claim after the expiry of the limitation period.
The original claim was framed in occupiers' liability, alleging acts of omission.
The proposed amendments alleged acts of commission, specifically that the defendant distracted the plaintiff or bumped the scaffolding.
The court dismissed the motion, finding that the amendments raised a new cause of action that was statute-barred, as the plaintiff knew or ought to have known of the facts giving rise to the new claim on the date of the incident.