13 total
Application for income replacement benefits dismissed as surveillance evidence contradicted claims of inability to work.
The applicant sought income replacement benefits (IRB) following a motor vehicle accident, claiming that physical and psychological injuries prevented him from working as a self-employed electrician.
The Tribunal found that the applicant failed to meet his burden of proving a substantial inability to perform the essential tasks of his employment.
The applicant's medical evidence was given little weight as it lacked objective support and did not address his ability to work.
Conversely, the respondent's medical assessments and video surveillance evidence, which showed the applicant performing work-related tasks without apparent difficulty, were accepted.
The application for IRB and interest was dismissed.
Application for accident benefits dismissed; physical evidence contradicted claimant's account of the collision.
The applicant sought statutory accident benefits following a reported motor vehicle collision.
The insurer denied the claim on the basis that the incident was not an 'accident' under s. 3(1) of the Schedule, alleging it was staged.
The Tribunal reviewed extensive accident reconstruction evidence and found that the physical damage to the vehicles was incompatible with the applicant's and passengers' consistent reports that the other vehicle had turned right into their path.
Given the significant inconsistencies in the applicant's evidence and the lack of corroborating witnesses, the Tribunal concluded the applicant failed to meet his evidentiary burden to prove the incident occurred as reported.
The application was dismissed.
Tribunal finds claimant was not involved in an 'accident' due to inconsistent evidence and expert reconstruction.
The applicant insurer sought repayment of medical and rehabilitation benefits paid to the respondent, arguing that the motor vehicle collision was not an 'accident' under s. 3(1) of the Statutory Accident Benefits Schedule.
The Tribunal assessed the credibility of the respondent and related witnesses, noting numerous inconsistencies in their accounts of the collision.
Relying on expert collision reconstruction evidence that contradicted the claimants' narrative, the Tribunal found the respondent failed to prove on a balance of probabilities that the incident occurred as reported.
The Tribunal concluded the respondent was not involved in an accident and is not entitled to accident benefits.
Claim for accident benefits dismissed as physical evidence contradicted claimants' narrative, suggesting a staged collision.
The applicant insurer sought repayment of medical and rehabilitation benefits paid to the respondent, arguing that the motor vehicle collision was staged and therefore not an 'accident' under s. 3(1) of the Statutory Accident Benefits Schedule.
The respondent and other occupants claimed the collision occurred when another vehicle suddenly turned right into their path.
However, expert accident reconstruction evidence from both parties concluded that the physical damage to the vehicles was incompatible with the reported sequence of events.
The adjudicator found the respondent's evidence lacked credibility due to numerous inconsistencies and the failure to call the other driver as a witness.
The Tribunal concluded the respondent failed to meet his evidentiary burden to prove the incident was an accident, and he was therefore not entitled to claim accident benefits.
Application for non-earner benefits and removal from the Minor Injury Guideline dismissed for insufficient medical evidence.
The applicant sought statutory accident benefits following a motor vehicle accident, claiming entitlement to non-earner benefits, removal from the Minor Injury Guideline (MIG), and approval of four treatment plans.
The Licence Appeal Tribunal dismissed the application, finding the applicant failed to prove a complete inability to carry on a normal life, as medical records showed his pre-existing conditions were not exacerbated by the accident.
The Tribunal held the applicant's injuries were predominantly minor, keeping him within the MIG and disentitling him to the disputed treatment plans and interest.
Accident benefits claim dismissed after applicant and counsel failed to attend hearing; costs denied.
The applicant sought statutory accident benefits following a motor vehicle accident.
Neither the applicant nor her counsel attended the scheduled videoconference hearing, and no evidence was filed.
The Tribunal proceeded in their absence under section 7 of the Statutory Powers Procedure Act and dismissed the claims for lack of evidence.
The respondent's request for costs was also dismissed, as the Tribunal found that the failure to attend and comply with orders was attributable to the applicant's counsel, and awarding costs would unfairly punish the applicant.
Applicant ordered to repay $8,884.29 in accident benefits after adjudicator found the accident was staged.
The applicant sought statutory accident benefits, claiming he was injured in a motor vehicle accident.
The insurer denied the claim, alleging the accident was staged and the applicant was not a passenger in the vehicle.
At a preliminary issue hearing, the adjudicator found the applicant's evidence inconsistent and unreliable, drawing a negative inference from his failure to call corroborating witnesses.
Cell phone records also proved the applicant was not at the location of the alleged accident.
The adjudicator concluded the applicant was not involved in an accident under s. 3(1) of the Schedule and had willfully misrepresented material facts.
The applicant's claim was dismissed, and he was ordered to repay $8,884.29 in accident benefits to the insurer.
Application for accident benefits dismissed and repayment ordered after Tribunal found collision was a staged accident.
The applicant sought statutory accident benefits following an alleged motor vehicle collision.
The respondent insurer denied the claim and sought repayment of benefits paid, arguing the collision was a staged accident and the applicant was not a passenger in the vehicle.
Following a preliminary issue hearing, the Tribunal found the applicant was not involved in an accident within the meaning of s. 3(1) of the Statutory Accident Benefits Schedule.
The Tribunal drew a negative inference from the applicant's failure to call corroborating witnesses and found his testimony inconsistent with documentary evidence, including cell phone records.
The Tribunal concluded the applicant made a willful misrepresentation and ordered him to repay $8,884.29 in benefits to the respondent pursuant to s. 52 of the Schedule.
Application for accident benefits dismissed and repayment ordered after Tribunal found the collision was staged.
The respondent denied benefits, arguing the collision was a staged accident and the applicant wilfully misrepresented material facts.
The Licence Appeal Tribunal found numerous inconsistencies in the applicant's testimony and accepted the respondent's uncontradicted forensic engineering evidence, which indicated the collision was staged.
The Tribunal concluded the applicant was not involved in an accident under s. 3(1) of the Schedule and had wilfully misrepresented material facts.
The respondent was entitled to terminate benefits under s. 53 and was awarded a repayment of $8,189.25 under s. 52(1)(a).
Request for reconsideration dismissed; slip and fall after refuelling vehicle did not constitute an accident.
The applicant sought reconsideration of a decision denying her claim for accident benefits after she slipped and fell at a gas station.
The adjudicator had previously found that the incident did not meet the definition of an 'accident' under the Statutory Accident Benefits Schedule.
On reconsideration, the applicant argued that the adjudicator erred in applying the two-part test for an accident.
The adjudicator dismissed the request, finding no error of law or fact in the application of the purpose and causation tests, as the applicant had completed refuelling and was walking away from her vehicle when she fell.
Slip and fall after refuelling vehicle does not constitute an accident under the Statutory Accident Benefits Schedule.
The applicant sought statutory accident benefits after slipping and falling at a gas station after refuelling her vehicle.
The respondent denied the claim on the basis that the incident was not an 'accident' under section 3(1) of the Statutory Accident Benefits Schedule.
The Licence Appeal Tribunal held a preliminary issue hearing to determine if the incident met the definition of an accident.
The Tribunal applied the two-part purpose and causation test and found that the applicant was walking away from her car when she fell, meaning the ordinary use of the vehicle had ended.
Furthermore, the fall was an intervening act and the direct cause of her injuries, not the use or operation of the vehicle.
The Tribunal also dismissed the applicant's motion to compel and exclude evidence.
Rollerblader's fall while taking evasive action to avoid a van qualifies as an accident.
The applicant sought statutory accident benefits after falling while rollerblading to avoid a van that failed to yield.
The respondent denied the claim, arguing the incident did not meet the definition of an 'accident' under the Schedule because there was no contact with a vehicle and a police officer's statement contradicted the applicant's version of events.
The Tribunal accepted the applicant's evidence over the officer's delayed statement, finding that the use or operation of a motor vehicle directly caused the impairment.
The Tribunal concluded the incident met the causation test and qualified as an accident.
Motion to add defendants after the limitation period expired is dismissed due to prejudice.
The plaintiff, Lavern Delores Martin, brought a motion under Rules 5.04(2) and 26.01 of the Rules of Civil Procedure to amend her statement of claim to add Jeffrey Walton (driver) and Marvin Rosenshein (owner) as defendants, more than two years after the accident.
The plaintiff argued that the limitation period had not expired due to discoverability and that the proposed amendments were permissible under the doctrine of misnomer.
The court dismissed the motion, finding that the plaintiff failed to demonstrate reasonable diligence in discovering the identity of the other driver within the presumptive limitation period.
While the court found that Mr. Walton could be identified under the doctrine of misnomer, it exercised its residual discretion to deny the amendment due to significant prejudice to the proposed defendants, particularly the lack of evidence regarding the preservation of relevant evidence and the delay in investigation.
The doctrine of misnomer was found not to apply to Mr. Rosenshein.