<Costs of examination for $20,765.25 including $19,000.00 for catastrophic determination assessments> Issue: “Is the claimant entitled to the costs of examination in the amount of $20,765.25 including $19,000.00 for catastrophic determination assessments, $1000.00 for transportation and $765.25 for interpretation services?” -1. Section 25(1)5 of the SABS stipulates that an insurer shall pay reasonable fees incurred by … Read More

What is the test to determine entitlement to payment for a Catastrophic Impairment Assessment?

16-002858 v State Farm Insurance Company, 2017 CanLII 85692 C.A. vs. Intact Insurance Company, 2018 ONLAT 18-000579/AABS Each constituent assessment that makes up the multidisciplinary catastrophic impairment determination assessment must be reasonable and necessary. The correct test for entitlement to a catastrophic impairment determination assessment is reasonable and necessary. The onus is on the claimant … Read More

-Section 25(1) of the Schedule says that the insurer shall pay for the reasonable fees charged for preparing an application under s. 45 for a determination of whether the insured person has sustained a catastrophic impairment, including any assessment or examination necessary for that purpose. -We have relied on several past LAT and FSCO cases … Read More

<CAT Assessment Funding> -Section 25(1) of the SABS states reasonable fees charged for preparing an application under s. 45 for a determination of whether the insured person has sustained a catastrophic impairment, including any assessment or examination necessary for that purpose. -The cost of CAT assessments do not come under the limits of s. 18 … Read More

<Preliminary Issue Decision in the Tribunal Hearing> -There was a following preliminary issue decision in the Tribunal hearing earlier today:. – Was the Aviva Insurance Company’s Notice of Denial to pay accident benefits containing straightforward and clear language enough to trigger a 2-year limitation under the SABS? – The answer was “No.” The adjudicator was … Read More

The time to apply to the Tribunal is extended.

–18-005114 v Allstate Insurance Company, 2018 CanLII 143515 (ON LAT) –A.F. v. North Blenheim Mutual Insurance Company, 2017 CanLII 87546 (ON LAT) (“Blenheim”) –Manuel v. Registrar, Motor Vehicle Dealers Act, 2002, 2012 ONSC 1492 (Ont. S.C.) -The Tribunal held a case conference on October 16, 2018. At the case conference, Adjudicator Ferguson ordered that the … Read More

Involved in unfortunate motor vehicle accidents, slip and falls or workplace accidents?

When you are involved in unfortunate motor vehicle accidents, slip and falls or workplace accidents, one of our priorities is to arrange for your physical, psychological treatments to help you recover from your sustained injuries from those accidents. We arrange multidisciplinary treatments with medical professionals who can cater to your needs – such as, physiotherapists, … Read More