Insured awarded ongoing income replacement, medical, and housekeeping benefits, plus a special award against the insurer.
The applicant, a self-employed plumber, was injured in a motor vehicle accident and sought statutory accident benefits.
The insurer terminated income replacement and housekeeping benefits and denied various medical benefits.
The arbitrator found that the applicant suffered a complete inability to engage in suitable employment due to his injuries, which aggravated pre-existing conditions, and awarded ongoing income replacement benefits.
The arbitrator also awarded the claimed medical benefits, housekeeping benefits, the cost of an MRI, and interest at 2% per month.
A special award was granted against the insurer for unreasonably withholding payments, with the amount to be determined.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 23, 2012
