Claim for ongoing income replacement benefits dismissed as knee injury was not disabling.
The applicant was injured in a motor vehicle accident and received income replacement benefits until the insurer terminated them.
The applicant claimed ongoing disability due to a knee injury (a torn ACL) and sought further benefits, interest, and a special award.
The arbitrator found that the applicant's knee pain was not disabling and that the ACL injury was not caused by the accident, relying on medical evidence that the applicant could work without surgery.
The claim for ongoing benefits was dismissed.
However, the arbitrator awarded interest on late payments made prior to termination and a small amount for a four-day deficiency in the notice of termination.
The claim for a special award was dismissed as the insurer's conduct was not unreasonable.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesOct 17, 2003