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Fixing Auto Insurance
http://www.fairassociation.ca/2019/02/fsra-speech-tammy-kirkwood-feb-7-2019/
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[92] Having found that there is a real and substantial risk that Bon will be found incapable of managing his award after he turns 18, I must award compensation based on the likelihood that the risk will materialize and also based on whether he is likely to be incapable for the entire duration of his life.
[93] It is a certainty that Bon, who is now 14 years old, will require a guardian for property for the next four years, until he turns 18. Based on the evidence, I find that there is a 75 per cent chance that he will also require a guardian for six years from age 18 age to 24 and a 50 per cent chance thereafter.
[94] I will adopt the five per cent management fee the Court of Appeal recently found in Cadieux to be reasonable and apply it to the amount of Bon’s jury award plus prejudgment interest and the amount of his SABs settlement. As noted above, the result is $54,000.00. In a somewhat rough and ready effort to adjust this fee to reflect my assessment of the likelihood that Bon will require a guardian in the future, I will assume that Bon’s life expectancy is approximately 80 years[6] and that, as he is now 14, 66 years remain. I will award five per cent of the $54,000.00 for the first four of the 66 years, 75 per cent of five per cent for next six years and 50 per cent of five per cent for the remaining 56 years.
[95] The result is approximately $30,000.00 which is the amount of the management fee I award to Bon.
J. C. v B. G. M., 2019 CanLII 1192 (ON HPARB), <http://canlii.ca/t/hwz85
28. In its analysis regarding this aspect of the Applicant’s complaint the Committee came to the following conclusions:
• the relationship between the Respondent and the Applicant was that of examiner- examinee and not that of the physician-patient;
• it expressed no concerns regarding the Respondent’s billing, found it reasonable and consistent with the Ontario Medical Association’s Guide to Uninsured. Services and, thus, did not amount to a “bribe” or fee splitting;
• under PIPEDA, the Respondent was not required to provide information regarding his fees since this is commercial information between the Respondent and CIRA and not personal information. Similarly, the Respondent was not required to provide emails, unless the emails were the only place where personal information was recorded;
• it explained that physicians bill the party that retains them to prepare the third-party report which in this case was CIRA, and the amount the insurer pays to CIRA is not relevant to the issue at hand. The Committee noted that the SABS impose limits on the amount an insurer may pay for medical assessments, but this provision is directed at insurers and not physicians;
• it concluded that the various amounts billed by the Respondent as evidenced by his invoices were all below the limit of $2000 for fees and expenses for any one assessment as set out in the SABS; it noted that the Committee has jurisdiction over physicians conduct and is not required to determine whether an insurer has met their obligations under the SABS or any other legislation; and
• it found that there was nothing in the Record to suggest that the Respondent was splitting fees with CIRA in exchange for CIRA’s referral of the matter to him.
29. It is common ground that the SABS regulates the rights and responsibilities of the parties regarding automobile insurance policies issued in Ontario.
30. The Committee, in a clear line of analysis concluded that the SABS regime imposes a limit of $2000 for payments an insurer may make for each medical assessment and that this provision applies to insurers and not to physicians. It explained that the amounts billed by the Respondent were consistent with the OMA’s Guide to Uninsured Services, were reasonable and did not amount to a bribe.
31. Counsel for the Respondent referenced a previous decision of this Board, J.T. v B.M. CanLII 62879 where the Board concluded at paragraph 58 that:
… the focus of section 25 (5) is on the maximum amount that an insurer shall pay (emphasis added). This issue is separate and distinct from the question of whether or not a physician has charged a reasonable fee for the services provided. While the Committee has the ability to consider, as a matter of professional conduct, whether a physician’s fees are reasonable, the question of whether an insurer has complied with section 25 of the SABS is not within the Committee’s authority.
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FSRA speech – Tammy Kirkwood Feb 7 2019
Since 2010 our coverage has been slashed and reduced by the insurers lobbying for changes that increases their profits on the backs of MVA survivors and their families and ultimately us, the tax payer. With every cut to coverage we move closer to public auto insurance. With every ‘threshold’ insurers create, there is a new barrier to access recovery tools.
Our premiums keep rising and now the standard or basic coverage is not enough to provide necessary resources or funding for seriously injured people.
This has led to an enormous number of auto insurance related cases in our courts and a lack of faith in the industry overall……read more
Personal Injury firm to pay an estimated $4 million to settle class-action with former clients
A personal injury law firm has agreed to pay an estimated $4 million to settle claims that the firm double-dipped from the settlements of nearly 1,800 accident victims it represented.
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NEINSTEIN CLASS ACTION SETTLED
A judge approved a settlement in a certified class action that alleged a breach of the Solicitors Act, according to Neinstein LLP, the firm named in the case, Hodge v. Neinstein.
https://www.lawtimesnews.com/article/monday-january-21-2019-16732/
COURT RULES CLASS ACTION CAN PROCEED JUne 26, 2017 https://www.lawtimesnews.com/article/monday-june-26-2017-13461/
Class action approved against Neinstein and Associates LLP Jan 4, 2016 https://www.lawtimesnews.com/article/monday-january-4-2016-12382/
Certification of class action over legal fees rejected Aug 11, 2014 https://www.lawtimesnews.com/author/yamri-taddese/certification-of-class-action-over-legal-fees-rejected-11398/
Hodge v. Neinstein, 2019 ONSC 439 — 2019-01-16
Superior Court of Justice — Ontario
settlement — class — honorarium — fees — fee
A. Introduction
[1] In 2012, Ms. Hodge commenced a class proceeding pursuant to the Class Proceedings Act, 1992[1] against Gary Neinstein and Neinstein & Associates LLP seeking repayment to Class Members of legal fees and disbursements paid by the Class Members upon the settlement of their motor vehicle personal injury claims. She alleged that Mr. Neinstein and the law firm had breached the Solicitors Act[2] and their fiduciary duties because they charged an amount for costs in addition to a percentage fee under a contingency fee retainer agreement. She further alleged that the lawyers charged excessive or inappropriate disbursements and interest on the disbursements. In September 2018, after six years of litigation and after nine months of negotiations, including three days of mediation before the Honourable Warren K. Winkler, Q.C., the parties reached a settlement. This is a motion for court approval of the settlement and also for court approval of Class Counsel’s request for legal fees and for an honorarium for Ms. Hodge.
B. Facts
1. The Class Action Proceedings
[2] In 2012, Ms. Hodge commenced a class proceeding against Gary Neinstein and Neinstein & Associates LLP seeking repayment to Class Members of legal fees and disbursements paid by the Class Members upon the settlement of their motor vehicle personal injury claims. She alleged that Mr. Neinstein and the law firm had breached the Solicitors Act and their fiduciary duties because they charged an amount for costs in addition to a percentage fee pursuant to a contingency fee retainer agreement. She further alleged that the lawyers had charged excessive or inappropriate disbursements and interest on the disbursements.
[3] To pursue the proposed class proceeding, Ms. Hodge retained Class Counsel pursuant to a Contingency Fee Retainer Agreement that provided a contingency fee percentage of 33.3% of all amounts recovered for the Class Members or in the alternative at Class Counsel’s option, a multiple of up to 9 of the lawyers’ hourly rates expended on the case.
[4] Mr. Neinstein and the lawyers of the law firm denied the allegations and opposed the certification of the action. They maintained that the question of whether or not fees charged in each particular client’s case was improper could be determined only on an individual basis following a review of solicitor-client privileged information, which would make a class action unmanageable.
[5] There were three contested motions prior to certification: an abandoned third-party funding motion, an omnibus motion by the Applicant addressing a number of discovery-related and other matters,[3] and an extensive refusals motion.
[6] In July 2014, I heard the certification motion. I refused to certify the proceeding. I concluded that it failed to satisfy the commonality and preferable procedure criteria for certification.[4] I concluded that the critical question raised in the case of whether the fees charged to a particular client contravened the Solicitors Act required an investigation from beginning to end of a lawyer and client relationship, between the individuals that formed that relationship and that assessments under the Solicitors Act were available and a preferable way to determine whether the fees in each case were fair and reasonable.
[7] My decision was reversed by the Divisional Court, and it certified the proceeding.[5] Subject to deleting one common issue, the Court of Appeal affirmed the Divisional Court’s decision.[6] The Supreme Court of Canada dismissed a motion for leave to appeal from the Court of Appeal’s decision on December 7, 2017.[7]
[8] The certified class includes clients of the law firm dating back almost 15 years. The class definition is as follows:
A client of Neinstein & Associates LLP or Gary Neinstein Q.C. that:
(a) signed or amended a contingency fee agreement or arrangement after October 1, 2004, and
(b) who has paid before December 9, 2015, being the date of certification, the respondents for their legal services on the completion of the matter in respect for which services were provided,
(c) except a client:
(i) for whom the court has approved the respondents’ fee;
(ii) for whom the court has assessed the respondents’ account; or
(iii) that have signed a release or settled any claim with respect to his or her contingency fee agreement or arrangement.
[9] On March 2, 2018, Mr. Neinstein and the law firm served a Statement of Defence and Counterclaim to the Amended Amended Notice of Application. They advanced several substantive defences including:
[10] Mr. Neinsten and the law firm advanced a counterclaim that included a claim for payment of fees on a quantum meruit basis.
[11] The merits of the Class Members’ claims remain to be resolved. A significant risk factor for Class Members is that if the litigation proceeds, the need for individual assessments will substantially delay recovery. Neinstein and his law firm submitted that the ultimate issue is whether the amount of compensation they received was fair and reasonable in light of the work they performed for each client in the circumstances of each individual.
[12] The litigation was complex and it involved novel points of law, including the unresolved issues of whether breaches of sections 28.1(8), 28.1(9) and33 of the Solicitors Act could be pursued by way of a class action and whether disgorgement of overcharged legal fees and disbursements was a viable remedy. There was considerable litigation risk.
[13] For fees, Class Counsel has expended approximately $1.3 million in lawyers’ time inclusive of HST but exclusive of time for preparation of the approval of the settlement motion and exclusive of the anticipated time to implement the settlement. To date, Class Counsel has received $361,702.98 inclusive of HST in partial indemnity costs from the interlocutory orders and appeals.
[14] Ms. Hodge has been active participant throughout these proceedings. She attended most hearings at each level of court, reviewed most of the court filings with Class Counsel and attended the two-day mediation. She has been cross-examined at length during the proceedings. Ms. Hodge’s participation in the proceeding has involved extensive travel. Over the course of the proceeding, Ms. Hodge made many trips from her home in Brooklin, Ontario to meet with Class Counsel in Toronto. Each round-trip commute was over 135 km and took 3 hours or more.
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