Insurer ordered to pay for psychological treatment, interest, and a $5,000 special award for unreasonable delay.
The applicant was injured in multiple motor vehicle accidents, most notably in September 1996.
She claimed the cost of psychological treatment, which the insurer denied, arguing the need for treatment arose from subsequent accidents or life events.
The arbitrator found that the applicant's need for psychological treatment largely stemmed from the September 1996 accident and that the treatment was reasonable and necessary.
The arbitrator also found that the insurer unreasonably withheld and delayed payment of the benefits, failing to comply with its obligation to pay pending resolution of the dispute and failing to arrange a timely assessment.
The applicant was awarded the cost of the treatment, interest, and a special award of $5,000.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJun 29, 2009
