Applicant awarded income replacement benefits after being struck by van; housekeeping claim dismissed due to fabricated receipts.
The applicant sought statutory accident benefits after being struck by a van at a self-storage facility.
The insurer denied benefits, arguing the incident was not an 'accident' and the application was out of time.
The arbitrator found the incident met the Amos test for an accident and the applicant had a reasonable excuse for the delay.
The applicant was awarded income replacement benefits for a closed period, but claims for supplementary medical and housekeeping expenses were dismissed, with the arbitrator finding the housekeeping receipts were fabricated.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJul 14, 1999
