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The Fund may recover pre-arbitration expenses in court via unjust enrichment when insurers accept priority without arbitration.
The Minister of Public and Business Service Delivery, operating the Motor Vehicle Accident Claims Fund, sought to recover pre-arbitration expenses from two insurers who had accepted priority for Statutory Accident Benefits claims without proceeding to arbitration.
The insurers argued that the Fund was required to arbitrate the dispute and that pre-arbitration expenses were not recoverable.
The Superior Court of Justice held that the 'proper case' exception allowed the Fund to seek restitution in court because there was no dispute over the payment of benefits to arbitrate.
The court found that the insurers were unjustly enriched by the Fund's investigative work and ordered them to reimburse the Fund for its pre-arbitration expenses.
The Court of Appeal upheld the denial of leave to amend a statement of claim due to unexplained delay and non-compensable prejudice.
The appellants, Orllyn Loney and Yvonne Prouty, appealed the dismissal of their motion to amend their statement of claim to correctly name the driver and owner of a tractor-trailer (Michael George Alexander Mills and 564242 Ontario Limited, also known as Liftlock) as defendants, replacing "John Doe" and "ABC Corporation".
The motion was brought almost ten years after the accident and over three years after the action was set down for trial.
The motion judge denied leave, finding no sudden change in circumstances and non-compensable prejudice due to the lengthy, unexplained delay.
The Court of Appeal upheld the motion judge's decision, finding no palpable and overriding error in her exercise of discretion.
The court emphasized the importance of adhering to limitation periods and the actual prejudice caused by the delay, including the loss of timely discovery opportunities for the proposed defendants.
The court upheld an arbitrator's decision that two insurers were jointly responsible for a minor's accident benefits, finding equal financial dependency on both parents.
This case involves a three-way insurance company priority dispute concerning accident benefits for a minor, Alyssia Lafontaine-Greenwood, who was 17 at the time of her single-vehicle accident.
The dispute, initially decided by an Arbitrator, centered on whether Gore Mutual (father's insurer), Dominion (mother's insurer), or Certas (driver's insurer) had primary responsibility.
The Arbitrator found Alyssia equally dependent on both parents, making Gore and Dominion jointly responsible.
Gore and Dominion appealed this decision.
The court upheld the Arbitrator's finding, applying the "palpable and overriding error" standard of review for mixed fact and law, and affirmed that non-obligatory contributions from a third party (grandmother) should not be factored into the dependency equation.
The Court of Appeal dismissed the appellant's motion to set aside the administrative dismissal of her appeal due to extensive, unjustified delays.
The appellant sought to set aside a motion judge's order dismissing her motion to set aside the administrative dismissal of her appeal.
The appeal had been administratively dismissed twice due to the appellant's repeated failure to meet perfection deadlines, despite extensions.
The Court of Appeal dismissed the appellant's motion, finding no basis to interfere with the motion judge's discretion, noting the extensive delay, the unconvincing justification for non-perfection, and the lack of proof for the appellant's claims of material tampering or respondent non-cooperation.
Appeal from dismissal for delay denied; judge correctly considered entire history of delay.
The appellants appealed an order dismissing their action for delay under Rule 48.14.
The action had been struck from the trial list because the appellants were not ready for trial, and they failed to restore it within 180 days.
The Court of Appeal upheld the status hearing judge's decision, finding no error in considering the entire history of the delay rather than just the 180-day period, and concluding that the judge's finding of no reasonable explanation for the delay was supported by the evidence.
Successful defendants awarded equal fixed costs after dismissal of long‑delayed action.
Following dismissal of the plaintiffs’ action after a status hearing, the successful defendants sought costs.
The court determined that partial indemnity costs were appropriate because there were no offers to settle affecting the scale of costs.
The litigation involved a relatively simple breach of contract and negligence claim concerning alleged defects in a house purchased by the plaintiffs, with limited procedural activity over several years before dismissal.
The court also held that additional disbursements arising from a defendant’s decision to retain out‑of‑town counsel should not be borne by the unsuccessful plaintiffs.
Each successful defendant was awarded a fixed all‑inclusive costs amount.
Action dismissed after plaintiffs failed to justify prolonged litigation delay.
At a status hearing under Rule 48.14 of the Rules of Civil Procedure, the plaintiffs were required to show cause why their action should not be dismissed for delay after it was struck from the trial list and not restored within 180 days.
The court applied the two-part test requiring a reasonable explanation for delay and proof that the defendants would not suffer non-compensable prejudice.
Although the court found little evidence of actual prejudice given earlier discovery evidence and expert reports, the plaintiffs failed to provide any reasonable explanation for prolonged inactivity in prosecuting the action.
Significant unexplained delays occurred both before and after the action was struck from the trial list.
The court concluded that the plaintiffs failed to satisfy their onus and dismissed the action for delay.
Accident benefits denied due to severe credibility issues; applicant penalized for abusive hearing conduct.
The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer alleged the accident was staged and part of a fraud ring.
Mid-hearing, the applicant's representative unsuccessfully sought an adjournment and to withdraw the application, then abandoned the hearing.
The arbitrator found the insurer failed to prove the accident was staged, but dismissed all benefit claims due to severe credibility issues and lack of evidence regarding the applicant's employment and housekeeping needs.
The arbitrator awarded the insurer $5,000 in expenses and a $1,500 assessment fee due to the applicant's frivolous claims and abusive conduct.
Claims for caregiver and housekeeping benefits dismissed due to lack of credible evidence of incurred expenses.
The applicant was injured in a motor vehicle accident and claimed statutory accident benefits, including caregiver and housekeeping benefits, as well as medical expenses.
The insurer denied the claims, arguing the applicant was not the primary caregiver and that the expenses were not reasonable or necessary.
The arbitrator dismissed the applicant's claims, finding her evidence regarding the payment for caregiving and housekeeping services to be imprecise and inconsistent, thus failing to prove she incurred the expenses.
The claims for medical expenses were also dismissed as the applicant failed to prove how much OHIP would contribute.
The insurer's request for repayment of its assessment fee was denied because the application was not found to be frivolous or vexatious from the outset.
Arbitrator dismisses claims for accident benefits due to insufficient evidence and denies insurer's request for assessment fee repayment.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits, including income replacement benefits, medical benefits for physiotherapy and chiropractic treatment, and expenses for treatment plans and family physician fees.
The insurer terminated income replacement benefits based on an orthopaedic assessment and disputed the other claims.
The arbitrator dismissed the applicant's claims, finding insufficient evidence to support her inability to work or the necessity of the disputed medical expenses.
The arbitrator also dismissed the insurer's claim for repayment of its assessment fee, concluding the arbitration was not frivolous or vexatious from the outset.