Insured ordered to repay over $92,000 in accident benefits after surveillance revealed undisclosed post-accident work.
The applicants were injured in a motor vehicle accident and sought statutory accident benefits.
The insurer terminated the husband's weekly income benefits, prompting an arbitration.
The arbitrator found that the husband was entitled to benefits for a limited period but had failed to disclose post-accident self-employment income, resulting in a substantial overpayment.
Surveillance evidence demonstrated the husband was capable of performing his pre-accident work.
The husband was ordered to repay over $92,000 to the insurer.
The wife was found to have been underpaid and was awarded the balance owed.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesNov 5, 1996
