9 total
Reconsideration request denied as the applicant failed to demonstrate material errors in the catastrophic impairment assessment.
The applicant requested a reconsideration of a Licence Appeal Tribunal decision that found he was not catastrophically impaired following a motor vehicle accident.
The applicant argued that the panel erred in its assessment of medical evidence from several experts and improperly applied the AMA Guides for impairment ratings under Criteria 6, 7, and 8.
The Vice-Chair dismissed the request, finding that the applicant was attempting to re-litigate the panel's factual findings and re-weigh the evidence.
The Vice-Chair concluded that the applicant failed to demonstrate any material errors of law or fact, or breaches of procedural fairness, that would have likely changed the outcome of the original decision.
Application for catastrophic impairment designation dismissed as applicant failed to meet the required impairment thresholds.
The applicant sought a determination that he sustained a catastrophic impairment (CAT) following a 2020 motor vehicle accident, claiming entitlement to extended medical benefits.
The Tribunal assessed the applicant's physical and psychological impairments under Criteria 6, 7, and 8 of the Statutory Accident Benefits Schedule.
The Tribunal found insufficient evidence of radiculopathy and rejected several of the applicant's expert ratings, ultimately determining a 25% physical whole person impairment (WPI).
Combined with psychological impairments, the applicant did not meet the 55% WPI threshold.
The Tribunal also found the applicant did not suffer three marked impairments in his spheres of functioning.
As the applicant did not meet the CAT threshold and the non-CAT limits were exhausted, the application for medical benefits, an award, and interest was dismissed.
Motion for leave to appeal dismissed without costs.
The moving parties, Joseph A. John and Intact Insurance Company, brought a motion for leave to appeal the decision of Justice Michael T. Doi dated April 16, 2024.
The Divisional Court dismissed the motion for leave to appeal without costs.
Application for income replacement and medical benefits dismissed due to insufficient evidence of impairment.
The applicant sought income replacement benefits and approval for various treatment plans following a motor vehicle accident.
The Licence Appeal Tribunal dismissed the application, finding that the applicant failed to prove on a balance of probabilities that he suffered a substantial inability to perform the essential tasks of his employment or a complete inability to engage in any employment.
The Tribunal preferred the respondent's medical evidence, noting inconsistencies in the applicant's expert reports and relying on the applicant's successful completion of a three-month accounting work placement.
The claims for treatment plans, an award, and interest were also dismissed.
Reconsideration request dismissed as moot after applicant withdrew the underlying accident benefits application.
The respondent requested a reconsideration of a motion order that found a treatment plan payable in its entirety under s. 38(8) of the Schedule.
The respondent argued it was only liable for incurred treatment between a deficient Explanation of Benefits and a cured one.
However, the applicant withdrew the application before the reconsideration was decided.
The Tribunal dismissed the reconsideration request, finding the issue moot and that it lacked jurisdiction to consider the matter further following the withdrawal.
Application for statutory accident benefits dismissed for abandonment after applicant failed to attend case conferences.
The applicant sought statutory accident benefits following a motor vehicle accident.
After failing to attend an initial case conference, the applicant and his counsel failed to attend the reconvened case conference despite being warned that failure to appear could result in dismissal.
The respondent moved to dismiss the application.
The adjudicator granted the motion and dismissed the application for abandonment under Rule 3.4 of the Licence Appeal Tribunal Rules of Practice and Procedure.
Insurer's appointment of joint counsel for contractor and municipality constituted an agreement to defend and indemnify.
The plaintiff sued the municipality for a slip and fall.
The municipality claimed contribution and indemnity from its winter maintenance contractor and the contractor's insurer.
The insurer appointed a single law firm to represent both the contractor and the municipality.
When the insurer later attempted to remove itself from representing the municipality, the municipality brought a motion to enforce a settlement agreement for full defence and indemnity.
The motion judge dismissed the motion.
The Court of Appeal allowed the appeal, holding that the appointment of joint counsel necessarily implied an agreement to both defend and indemnify the municipality, as any other interpretation would have placed counsel in an untenable conflict of interest.
Accident benefits claims dismissed and expenses awarded to insurer after applicant failed to attend arbitration hearing.
The applicant applied for statutory accident benefits following a motor vehicle accident.
After his representatives were removed from the record due to his unresponsiveness, the applicant failed to attend the scheduled arbitration hearing.
The arbitrator found that the applicant had been properly served with the Notice of Hearing at his last known address.
Because the applicant failed to participate and provide evidence, he failed to meet his burden of proof.
The claims were dismissed, and the insurer was awarded $750 in expenses due to the applicant's conduct in prolonging and obstructing the proceedings.
Settlement enforcement motion dismissed; parties lacked agreement on essential terms.
A municipality brought a motion to enforce an alleged settlement agreement regarding insurance coverage and joint legal representation with a contractor and its insurer in a slip‑and‑fall action involving winter maintenance.
The municipality argued that email correspondence created a binding settlement requiring the insurer to provide legal representation for all potential municipal liability.
The insurer contended that any agreement was limited to liability arising from the contractor’s conduct and did not extend to the municipality’s independent negligence.
The court held that the communications did not demonstrate a meeting of the minds on all essential terms and that factual disputes remained regarding the scope of any agreement.
As a result, the court found no enforceable settlement under Rule 49.09 of the Rules of Civil Procedure.