Accident benefits claims dismissed due to lack of credible medical evidence; applicant ordered to repay missed assessment fee.
The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer denied claims for medical and rehabilitation benefits, housekeeping benefits, and assessment costs.
The arbitrator dismissed the applicant's claims, finding her evidence regarding the necessity of treatments and assessments lacked credibility and was contradicted by independent DAC assessments.
The arbitrator also ordered the applicant to repay the insurer for a missed DAC appointment, rejecting her explanation that she did not open her mail.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesOct 30, 2007
