Insurer ordered to pay special award for unreasonably terminating weekly income benefits without updated medical evidence.
The Applicant was injured in a motor vehicle accident and received weekly income benefits.
The Insurer terminated these benefits based on outdated medical predictions without providing notice or seeking updated medical information.
At the arbitration hearing, the Insurer conceded that the Applicant remained disabled and was entitled to ongoing benefits.
The arbitrator found that the Insurer acted unreasonably in withholding the benefits and ordered a special award under section 282(10) of the Insurance Act, with the quantum to be determined after further submissions.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJun 2, 1992
