Insurer ordered to pay medical, psychological, and housekeeping benefits; defective DAC notice did not disentitle applicant.
The applicant, a 69-year-old woman, was injured when the city bus she was riding stopped suddenly.
She applied for statutory accident benefits, but the insurer terminated medical benefits and refused to pay for housekeeping.
The arbitrator found that the applicant suffered physical and psychological impairments as a result of the accident, aggravating pre-existing conditions.
The arbitrator ordered the insurer to pay for physiotherapy, psychological treatment, medical assessments, and housekeeping expenses.
The insurer's argument that the applicant was disentitled to benefits for failing to attend a DAC assessment was rejected due to defective notice.
The applicant was awarded her arbitration expenses.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMay 23, 2002
