Application for accident benefits dismissed as applicant failed to provide objective medical evidence supporting claims.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for medical treatment, housekeeping, and the cost of an orthopaedic examination.
The insurer denied the claims based on an insurer's examination which concluded the applicant had sustained an uncomplicated soft tissue injury that did not require further treatment.
The arbitrator dismissed the application, finding the applicant failed to provide objective medical evidence or call treating practitioners to support his claims.
The arbitrator accepted the insurer's expert evidence and found the applicant's evidence regarding his living arrangements and housekeeping needs to be implausible and contradictory.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJan 8, 2013
