The defendant insurer brought a motion for summary judgment dismissing the plaintiff’s action for statutory accident benefits as statute‑barred.
The plaintiff sought non‑earner benefits following a motor vehicle accident but did not request mediation until several years after the insurer’s written refusal.
The court held that the insurer’s OCF‑9 form clearly denied the benefit and triggered the two‑year limitation period under the Statutory Accident Benefits Schedule and the Insurance Act.
Although the plaintiff argued the denial contained a misleading explanation and that she did not understand her entitlement, the court found that once she retained counsel in early 2006 she was deemed to know of the limitation period and her rights.
The mediation request and subsequent claim were therefore well outside the limitation period.
The action and the request to amend the claim to plead negligent misstatement were dismissed.