Income replacement benefits denied as applicant failed to prove accidents caused delayed onset of symptoms.
The applicant was involved in two motor vehicle accidents in 2002 and sought statutory accident benefits, including income replacement, medical, and housekeeping benefits.
The insurer denied the claims, arguing a lack of causation for symptoms that arose six months after the second accident.
The arbitrator found that while the applicant was substantially unable to perform his pre-accident employment duties after March 2003, he failed to establish on a balance of probabilities that either accident caused the delayed onset of his significant symptoms.
Consequently, the claims for income replacement benefits and further chiropractic treatment for the second accident were dismissed.
The arbitrator did award outstanding chiropractic expenses for the first accident and a small balance for housekeeping services, along with interest on the overdue amounts.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJan 28, 2008