ACCIDENT BENEFITS


DATE

PRACTICE AREA

November 9, 2010 Accident Benefits

State Farm Mutual Automobile Insurance Company v. Subashini Yogesvaran: Insured’s must prove substantive entitlement despite Insurers non-compliance with the SABS

The appeal decision in Yogesvaran and State Farm was recently released. This was the decision where arbitrator Miller awarded IRBs and Housekeeping/Home Maintenance solely because the insurer failed to request a new disability certificate before having the insured attend an IE.

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DATE

PRACTICE AREA

November 2, 2010 Accident Benefits

AB Insurers Beware: Adjusting decisions will be closely scrutinized

In Everliston Cowans and Motors Insurance Corporation (October 15, 2010), the parties settled all outstanding claims except for entitlement to a special award. A stand alone special award claim then proceeded before arbitrator Wilson.

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DATE

PRACTICE AREA

January 21, 2009 Accident Benefits

Award of Arbitrator Brown

This arbitration arose out of a motor vehicle accident that occurred on July 18, 2006. Elaine Crow sustained injuries when struck by an automobile while riding her bicycle. The automobile was insured by the applicant, ING Insurance Company of Canada.

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DATE

PRACTICE AREA

December 18, 2008 Accident Benefits

Decision on a Preliminary Issue

The Applicant Therese West, was injured in a motor vehicle accident on April 4, 2002. She applied for and received statutory accident benefits from Aviva Canada Inc. (“Aviva”), payable under the Schedule.

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DATE

PRACTICE AREA

September 12, 2008 Accident Benefits

Decision on a Motion

The Applicant moves for an order excluding the expert reports Aviva Canada Inc. (“Aviva”) obtained from Brigham Associates Inc. from the arbitration hearing and, in the alternative, an order requiring Aviva to fund replies to these reports.

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