“Total Disability” or “Totally Disabled” In the London Life Insurance Policy:

-The plaintiff, who was diagnosed as suffering from Chronic Fatigue Syndrome (“CFS”), brought an action against the insurer he was entitled to long-term disability benefits under the disability insurance policy issued by the defendant, and for punitive and aggravated damages. -The defendant did not dispute the diagnosis of CFS but took the position that the … Read More

Claimant opted out of the WSIB benefits – May 1, 2022

The claimant was employed at the time of MVA and received Workers Safety Insurance Benefits (“WSIB”). And, subsequently, the claimant elected to opt out of the WSIB benefits and instead elected to pursue (a) a lawsuit (“tort action”) against the unidentified driver. Under s.61 of the SABS, if a claimant makes an election under the … Read More

– April 20, 2022

Intact Insurance: Can you tell me why your MVA client is only seeking acupuncture therapies vs. other traditional facility based treatments? Our Legal Services: The trend is that MVA clients can choose whatever physical treatments work best for their future recovery. Intact Insurance: Thank you for providing this explanation. It makes sense to me. We … Read More

Duty to Accommodate

<Duty to Accommodate> -Given the war in Ukraine, it is critical to consider whether the Ukrainian-Canadian employees have been properly accommodated by their employers with this deadly war in Ukraine. -Some of those employees have their families/parents still in Ukraine. -It is our duty to counsel all clients including Ukrainian-Canadian employees about their potential rights … Read More

Test for NEBs:

Heath v. Economical Mutual Insurance Company, 2009 ONCA 391 (“Heath”) provides the framework for the Non-Earner Benefits analysis into whether the claimant (involved in MVA) suffers a complete inability to carry on a normal life. To meet the test for Non-Earner Benefits, the claimants must be continuously prevented from engaging in substantially all of their … Read More