Applicant awarded limited income replacement benefits after arbitrator found pre-existing conditions caused ongoing disability.
The applicant was injured in a motor vehicle accident and sought income replacement benefits and treatment expenses from the insurer.
The insurer had terminated benefits a few months after the accident, arguing the applicant's ongoing symptoms were due to pre-existing conditions.
The arbitrator found the applicant to be an unreliable historian regarding his pre-accident health, relying instead on the clinical notes of his family physician which documented extensive pre-existing chronic pain and depression.
However, the arbitrator accepted that the accident exacerbated the applicant's neck pain and anxiety, causing a substantial inability to perform his pre-accident job as a snowplow operator for a limited period.
The applicant was awarded income replacement benefits until December 1, 1994, but his claim for ongoing benefits and treatment expenses was dismissed.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesAug 20, 2002