Insurer ordered to pay caregiver, housekeeping, and medical benefits after arbitrator rejects DAC assessors' conclusions.
The applicant, a 65-year-old pedestrian, was struck by a motor vehicle and claimed statutory accident benefits for caregiver, housekeeping, and medical/rehabilitation expenses.
The insurer denied the benefits based on in-home and DAC assessments.
The arbitrator preferred the evidence of the applicant and her expert physiatrist over the insurer's assessors, finding that the applicant was the primary caregiver for her grandchildren and suffered a substantial inability to perform her pre-accident tasks.
The arbitrator awarded the claimed caregiver and housekeeping benefits, as well as the costs of ongoing chiropractic, massage, and physiotherapy treatments, medication, a medical report, and interest on overdue payments.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesNov 12, 2004
