Income replacement benefits granted but attendant care, housekeeping, and medical benefits denied due to unreliable evidence.
The applicant sought statutory accident benefits following a motor vehicle accident, including income replacement, attendant care, housekeeping, and medical benefits.
The insurer denied the claims, arguing the accident did not occur as described and the applicant was untruthful.
The arbitrator found the applicant proved the accident occurred and was entitled to income replacement benefits due to a substantial inability to perform his pre-accident employment.
However, the claims for attendant care, housekeeping, and medical benefits were dismissed due to insufficient, unreliable, and exaggerated evidence.
The applicant was awarded interest on overdue payments, and both parties were ordered to bear their own arbitration expenses.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMay 7, 2014
