Application for income replacement and medical benefits dismissed; applicant failed to prove inability to work.
The applicant sought Income Replacement Benefits (IRBs) and medical benefits following a rear-end motor vehicle accident.
The insurer denied the claims, arguing the applicant did not suffer a substantial or complete inability to work and that the medical treatments were not reasonable and necessary.
The arbitrator found that the applicant continued to work for 14 months post-accident and that her subsequent medical complaints, including blackouts and incontinence, were not causally linked to the accident by the medical experts.
The arbitrator dismissed the application, concluding the applicant failed to prove entitlement to IRBs, medical benefits, or a special award.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesDec 5, 2016