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State Farm and Waldock Decision Date: 2016-07-27 Appeal, Motion, FSCO 4967

 
https://www5.fsco.gov.on.ca/AD/4847

This is is not an attempt by the Appellant to re-open the “expense hearing.”  While the record suggests that the parties consented to a process, it is less clear what that process was and what issues it was meant to address.  Thus, while the Insurer may have consented on June 25, 2015 to filing written submissions, it is hotly contested whether the Arbitrator’s oral and written directions to the parties were clear and unequivocal so that all parties knew the issues they were to address in those written submissions and whether there would be an opportunity later for a reconvening of the oral hearing.

In circumstances where at least a prima facie case of procedural unfairness has been established, it is unlikely that details of procedural irregularities will appear on the face of the impugned decision.  That evidence will often have to come from other sources, such as: a transcript (if the proceedings were recorded); correspondence between the parties or between the tribunal and one or both parties; or, sworn evidence from persons who were involved.  Thus, whether the affidavit of Eric Grigg can remain part of the appeal record is not properly characterized as a question of whether “fresh” evidence ought to be admitted on appeal.  It is evidence that is relevant to the Insurer’s allegation that it was denied a fair hearing and was not given proper notice of the issues in dispute and a fair opportunity to address those issues.  Seen in this context, I believe that the case law upon which the Respondent seeks to rely about the circumstances under which fresh evidence can be adduced on appeal is irrelevant with respect to this affidavit.

Wynne non-committal on ending cash-for-access fundraising

Responding on Thursday for the first time to a Globe and Mail investigation into cash-for-access events – in which corporate and union leaders paid up to $10,000 to spend time with Ms. Wynne and members of her cabinet – the Premier said she was “very open to having that conversation” on the future of the practice, but repeatedly would not commit to ending it.

http://www.theglobeandmail.com/news/national/wynne-non-committal-on-ending-cash-for-access-fundraising/article31286327/

ICBC blamed by judge for woman’s “ongoing misery”

Purportedly, the insurance corporation wrongfully denied 60-year-old Lois Powell’s permanent disability benefits, which later led to her losing her White Rock home and her begrudging move to Victoria to ask help from her children.

http://www.insurancebusiness.ca/news/icbc-blamed-by-judge-for-womans-ongoing-misery-211630.aspx

Why ‘no, money down’ is more than an old Simpsons reference, according to the Ontario Court of Appeal

It’s become so pervasive the Law Society of Upper Canada has recently launched a review into how lawyers advertise their firms and their contingency fee agreements. But contingency fees themselves aren’t on the chopping block, as Osgoode Hall Law School professor Allan Hutchinson explained, those fees are a necessary part of the legal system. By allowing people to retain a lawyer in exchange for an set percentage of any future settlement, they ensure people who can’t afford to pay a retainer up front are able to access to the justice system.

http://news.nationalpost.com/news/canada/why-no-money-down-is-more-than-an-old-simpsons-reference-according-to-the-ontario-court-of-appeal

Accident benefits hard to recover even as insurance rates climb

“Attendant care benefits were slashed to $36,000 from $72,000, caregiver benefits have been eliminated along with housekeeping benefit under standard auto policies while statutory deductibles in case of auto accidents were increased to $36,540 from $30,000,” he explains.

http://www.advocatedaily.com/brian-goldfinger-accident-benefits-hard-to-recover-even-as-insurance-rates-climb.html

More tips on completing the OCF-18 Treatment Plan after a car accident in Ontario

One of the most commonly asked questions of our personal injury lawyers is how innocent car accident victims can get the insurance company to pay for their medical/rehab treatment following a car accident. This involves the proposed service provider completing the OCF-18 Treatment Plan Form.The Toronto Injury Lawyer Blog has already written on the topic of completing the OCF-18 Treatment Plan Form. This previous entry can be accessed here. But, since this question is asked of us so much, we thought it would be of great use to re-visit the topic. After all; getting the car insurer to pay for your post accident treatment is important to your rehabilitation and peace of mind. It certainly seems unfair if you would have to pay for the treatment out of your own pocket when you’re not able to earn an income following a serious collision.

http://www.torontoinjurylawyerblog.com/2016/08/tips-completing-ocf-18-treatment-plan-car-accident-ontario.html

Legal Matters: Understanding your health benefits and insurance after an automobile accident

The law governing accident benefits in Ontario requires you to exhaust any other available insurance prior to accessing the benefits available to you from your auto insurer (statutory accident benefits). The Statutory Accident Benefits Schedule specifically states that payment of a medical, rehabilitative or attendant care benefit is not required for any portion of an expense for which payment is reasonably available under an insurance plan.

http://www.thespec.com/shopping-story/6792023-legal-matters-understanding-your-health-benefits-and-insurance-after-an-automobile-accident/

MKD provides surveillance for insurance companies, corporations

MKD International Inc. is often hired by insurance companies, law firms and corporations to conduct surveillance for a host of matters including workers’ compensation, personal injury, insurance fraud investigations and employee-related issues, says the firm’s managing director Jim Downs.

http://www.advocatedaily.com/jim-downs-mkd-provides-surveillance-for-insurance-companies-corporations.html

Cost Consequences of a Failure to Mediate

The court began by commenting on the “astonishingly aggressive opposition by the defendant” to any settlement, including all of the post-judgement issues in dispute. The Insurance Act requires insurers to settle claims as expeditiously as possible and to mediate disputed claims. The plaintiff argued that the defendant didn’t participate in mediation in any meaningful way.

http://www.slaw.ca/2016/08/02/cost-consequences-of-a-failure-to-mediate/

Automobiles Owned by the Insured or Spouse are “Uninsured Automobiles” when Taken without Consent

In the recent case Skunk v Ketash, 2016 ONSC 2019, the Ontario Superior Court of Justice examined the availability of uninsured and underinsured coverage to a policyholder’s spouse where the vehicle is operated without the consent of the owner.

http://www.millerthomson.com/en/blog/ontario-insurance-litigation-blog/automobiles-owned-by-the-insured-or-spouse