Insurer unreasonably suspended benefits by demanding an undertaking for future examinations; special award granted.
The applicant was injured in two motor vehicle accidents and applied for statutory accident benefits.
The insurer terminated attendant care, housekeeping, and caregiver benefits, and suspended benefits due to the applicant's refusal to attend insurer examinations.
The arbitrator found that the applicant was entitled to additional benefits for specific periods, but not beyond the end of 2004, as the medical evidence did not support ongoing disability.
The arbitrator also held that the insurer unreasonably suspended benefits by requiring the applicant to sign an undertaking to attend future examinations, and awarded a $500 special award.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesAug 30, 2005
