[4] In this case, the appellant completed an OFC-19 form claim seeking a “catastrophic determination”. No claim was made for specific benefits. The respondent insurer denied the request for catastrophic impairment status. Its OFC-9 Explanation of Benefits gave the following reason for the denial: “Please note that the assessors have formed the consensus opinion that you have not sustained a Catastrophic Impairment and therefore you do not qualify for the increased benefits” [Emphasis added]. Part 4 of the respondent’s OFC-9 form’s list of specific benefits was left blank.
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FAIR – supporting auto accident victims through advocacy and education
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FAIR – supporting auto accident victims through advocacy and education
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FAIR – supporting auto accident victims through advocacy and education