Accident benefits claims dismissed due to failure to submit disability certificate and lack of supporting evidence.
The applicant was injured in a motor vehicle accident and sought accident benefits, including non-earner benefits and medical benefits for physiotherapy and a psychological assessment.
The insurer denied the claims.
At arbitration, the arbitrator dismissed the claim for non-earner benefits because the applicant failed to submit a completed disability certificate within 104 weeks of the accident, statutorily barring the claim, and otherwise failed to provide sufficient evidence of entitlement.
The claims for medical benefits were also dismissed as the treatment plans were unsigned, not proven to be reasonable and necessary, and could not be causally linked to the subject accident due to an intervening second accident.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJul 10, 2017
