Arbitrator dismisses accident benefits claim, orders applicant to repay $3,800 for misrepresented housekeeping expenses.
The applicant sought statutory accident benefits, including other disability benefits and housekeeping expenses, following a minor motor vehicle accident.
The arbitrator found that the applicant did not suffer a substantial inability to carry on his pre-accident household activities and dismissed the claims for ongoing benefits.
However, the arbitrator found that the insurer's notice of termination was slightly defective, entitling the applicant to a small payment of $105.71 for the notice period.
The arbitrator also found that the applicant had wilfully misrepresented his need for and receipt of housekeeping services, ordering him to repay $3,800 to the insurer.
The application was deemed frivolous, and the applicant was ordered to pay the insurer's $2,000 arbitration fee.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesApr 17, 1996
