Weekly income benefits denied as ongoing cognitive impairments stemmed from pre-existing personality disorder, not the accident.
The Applicant was struck by a car and claimed statutory accident benefits, including weekly income benefits and supplementary medical and rehabilitation benefits.
The Insurer terminated weekly income benefits, arguing the Applicant could return to work as a car salesman.
The Applicant claimed ongoing disability due to a head injury causing cognitive and psychological impairments.
The Arbitrator found that the Applicant's ongoing impairments were rooted in a severe pre-existing personality disorder and not the accident.
Claims for weekly income benefits and case management services were dismissed.
However, the Arbitrator awarded certain transportation expenses and a special award of $100 because the Insurer unreasonably withheld payment of transportation expenses pending the dispute.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesNov 30, 1995