Insurer ordered to pay income replacement benefits and a $5,000 special award for unreasonably withholding payments.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits, including income replacement, housekeeping, and attendant care benefits.
The insurer terminated these benefits based on insurer examinations.
The arbitrator found that the applicant remained substantially unable to perform the essential tasks of his pre-accident employment, noting the insurer failed to properly adjust the file when advised the applicant had not returned to work.
The arbitrator awarded income replacement benefits, partial housekeeping and attendant care benefits, and a $5,000 special award against the insurer for unreasonably withholding benefits.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 7, 2016
