How do death and funeral benefits work under the SABS?

-Under section 26(1) of the the said Regulation,  an insurance company shall pay a death benefit. -Under s. 27(1) an insurance company shall pay a funeral benefit for the insured who dies as a result of the accident. However, the time limits and monetary restrictions apply. -S. 43(1) states that if a claimant is entitled to a death benefit and a funeral benefit, the insurance … Read More

The driver died in a car accident. How does CPP death benefit work?

<The Canada Pension Plan (CPP) death benefit> -It is a one-time payment, payable to the estate or other eligible individuals, on behalf of a deceased CPP contributor. -The amount of the death benefit is a single payment of $2,500 for which you need to apply as soon as possible after the contributor’s death. -In order to qualify … Read More

How is the self-employment income calculated under the SABS?

The claimant was earning the annual income of $150,000.00 during the last fiscal year before the subject motor vehicle accident.   $150,000.00 (gross employment income –> a self-employed person may designate his gross employment income from the last fiscal year of the business that ended before the accident as his “gross annual employment income.”) –   … Read More

About FSRA (The Financial Services Regulatory Authority of Ontario)

FSRA was established to replace the Financial Services Commission of Ontario (FSCO) and regulates the following sectors: Property and casualty insurance Life and health insurance Credit unions and caisses populaires Loan and trust companies Mortgage brokers Health services providers (related to auto insurance) Pension plan administrators Financial planners and advisors (proposed) 2. Regulations by the … Read More

How do we determine if the plaintiff’s threshold has been met in Tort action?

Ontario Regulation 381/03 states comprehensive definitions and procedures that must be followed for determining whether or not the plaintiff’s threshold has been met. “Permanent serious impairment of an important physical, mental or psychological function” means impairment of a person that meets the criteria set out in section 4.2.             4.2  (1)  A person suffers from … Read More

How are the defendants protected from their liability for the plaintiff’s Tort action for his pain and suffering in Ontario?

S. 267.5 (5) of the Insurance Act protects the defendants from their liability for the plaintiff’s pain and suffering in the motor vehicle Tort action. In order for the plaintiff to be entitled to recover his general damages for his pain and suffering, he must satisfy the court that he has sustained “permanent serious impairment … Read More

The court tossed the action for the denied Long Term Disability Benefits.

Hutton v. The Manufacturers Life Insurance Company, 2019 ONSC 279 – The plaintiff, Ms. Hutton has sued the defendant Manufacturers Life Insurance Company for denial of Long Term Disability Benefits (LTD) under an insurance policy issued by the defendant contracted by the plaintiff’s employer, Quinte Health Care (“QHC”).  However, the plaintiff was bound by the … Read More

Why do you need to read and understand the policy of your disability benefits insurance companies?

While your disability benefits insurance companies are to pay your short-term and long-term disability benefits until you cease to be disabled, your policy contains the definition of disability and duration of your benefits.  Here are examples of how the policy of disability benefits insurer is laid out: CIGNA Life Insurance Company of Canada (from Moore … 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