Insured entitled to loss of earning capacity benefits and special award despite signing release for income replacement.
The applicant was injured in two motor vehicle accidents and claimed various statutory accident benefits from her insurer.
The insurer argued she had signed a full and final release for her income replacement benefits, which also barred her claim for loss of earning capacity benefits (LECBs).
The arbitrator found the release only applied to income replacement benefits and that the applicant was entitled to an offer for LECBs because she was substantially unable to perform the essential tasks of her pre-accident employment at the 104-week mark.
The arbitrator also awarded supplementary medical expenses, housekeeping and attendant care benefits, and a special award against the insurer for unreasonably withholding certain benefits.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesFeb 28, 2002