Insurer ordered to reinstate weekly income benefits and pay a $2,000 special award for unreasonable termination.
The applicant was injured in a motor vehicle accident and received weekly income benefits until the insurer terminated them based on surveillance video showing him moving furniture.
The applicant applied for arbitration.
The arbitrator found that the applicant, a heavy equipment operator, remained substantially unable to perform his essential tasks and reinstated the $600 weekly benefits.
The arbitrator also found the insurer acted unreasonably in terminating benefits without further medical investigation or discussing the video with the applicant, awarding a $2,000 special award to the applicant.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesOct 29, 1993
