Accident benefits claims dismissed due to applicant's lack of credibility and failure to disclose pre-existing conditions.
The applicant sought statutory accident benefits following a 2008 motor vehicle accident, including costs for a psychiatric evaluation, an OCF-19, attendant care, and housekeeping benefits.
The arbitrator dismissed all claims, finding that the applicant failed to seek pre-approval for the psychiatric evaluation and that the charge for the OCF-19 was unreasonable.
Furthermore, the arbitrator found the applicant and his spouse lacked credibility, noting significant inconsistencies in their evidence and a failure to disclose relevant pre-existing medical conditions to assessors.
As the substantive claims were denied, claims for interest and a special award were also dismissed.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 31, 2016
