Arbitrator denied caregiver and medical benefits but awarded partial housekeeping benefits following a motor vehicle accident.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits from the insurer, including caregiver, housekeeping, and medical benefits.
The insurer terminated caregiver and housekeeping benefits after an occupational therapy in-home assessment.
The arbitrator found that the applicant was not substantially unable to perform her pre-accident caregiving activities, as she could still perform the essential tasks, and denied caregiver benefits.
The claim for medical benefits was denied for lack of evidence.
However, the arbitrator found the applicant was substantially unable to perform some of her pre-accident housekeeping tasks due to pain, and awarded housekeeping benefits at a reduced rate of $50 per week.
Each party was ordered to bear their own arbitration expenses.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesApr 17, 2009