Application for caregiver and housekeeping benefits dismissed due to unreliable and fabricated expense invoices.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for caregiving and housekeeping expenses.
The insurer terminated these benefits based on in-home assessments and independent medical examinations indicating the applicant was not substantially disabled.
The applicant submitted invoices for services allegedly provided by her sister and a neighbour.
The arbitrator found the invoices to be unreliable and fabricated, noting they contradicted the applicant's own statements to assessors and the testimony of the service providers.
The application for benefits and a special award was dismissed, and the insurer was awarded its expenses of the arbitration proceeding.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMay 17, 2007
