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Applicant awarded partial accident benefits from second insurer but ordered to repay first insurer due to misrepresentation.
The applicant sought statutory accident benefits following two motor vehicle accidents in June 1995 and July 1996.
The insurers disputed his claims for income replacement benefits, supplementary medical expenses, rehabilitation expenses, attendant care benefits, other pecuniary losses, and housekeeping expenses.
The first insurer also sought repayment of benefits.
The arbitrator found that the applicant was entitled to income replacement benefits from the second insurer for a specific period, as well as certain supplementary medical expenses, attendant care benefits, and other pecuniary losses.
The claims for rehabilitation and housekeeping expenses were dismissed.
The arbitrator also ordered the applicant to repay the first insurer for a period of income replacement benefits due to misrepresentation regarding his pre-accident abilities and receipt of short-term disability benefits.
Arbitrator dismisses accident benefits claim and orders applicant to repay fraudulent taxi expenses and insurer's filing fee.
The applicant sought ongoing statutory accident benefits following a motor vehicle accident where he struck a van while riding his bicycle.
The insurer terminated weekly income benefits after 156 weeks and sought repayment for overpaid taxi expenses.
The applicant failed to appear at the arbitration hearing.
The arbitrator found that the applicant suffered only minor soft tissue injuries that had resolved, and that his ongoing low back complaints were not accident-related.
The arbitrator dismissed the claims for ongoing weekly income and medical benefits, ordered the applicant to repay $4,726 for fraudulent taxi receipts, and ordered the applicant to reimburse the insurer's $1,000 filing fee due to the frivolous nature of the proceeding and his failure to appear.
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