Accident benefits claims dismissed due to applicant's severe credibility issues, misrepresentations, and exaggerated claims.
The applicant sought statutory accident benefits following a motor vehicle accident, including medical, attendant care, and housekeeping benefits.
The arbitrator found the applicant's credibility severely compromised due to material misrepresentations, inflated claims, and failure to provide accurate medical histories to his assessors.
The applicant admitted to submitting claims for periods when he had no symptoms and required no assistance.
The arbitrator gave little weight to the applicant's medical expert due to incomplete information and bias against the Pre-approved Framework (PAF).
Preferring the insurer's assessments, the arbitrator dismissed all of the applicant's claims for accident benefits.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesFeb 24, 2012
