Applicant entitled to ongoing weekly benefits due to chronic pain, but housekeeping benefits reduced.
The applicant was seriously injured in a motor vehicle accident and received statutory accident benefits for 156 weeks before the insurer terminated them.
She sought reinstatement of weekly income benefits and housekeeping expenses, as well as reimbursement for prescriptions.
The arbitrator found that the applicant suffered from chronic pain syndrome and depression, and that her honest belief in her disability rendered her incapable of returning to work, entitling her to ongoing weekly benefits.
However, the arbitrator found she was capable of performing more household tasks than she admitted and reduced her housekeeping benefits to five hours per week.
Prescription expenses were awarded in full.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesOct 19, 1998
