Author Archives: Admin2

August 29, 2019

Establishing Fault in an Auto Accident in Ontario
The process of establishing fault for an auto accident involves identifying who acted negligently or ‘carelessly.’ It is never easy to tell which driver or entity was responsible for a crash and, therefore, it is in your best interest to consult with an experienced lawyer.  Complicating things further is the possibility that multiple parties may be to blame for the accident.  
 
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Expanding Scope of Practice

The Minister of Health has asked the College to submit regulations to enable an expanded scope of practice for pharmacists to ensure that patients have streamlined care pathways that make connections easier in the health care system, and that there is access to minor and routine care in the community. 
 
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Pre Accident Medical Records Are Not Producible “as of right, or on demand” in Injury Claims

In today’s case (Holmberg v. McMullen) the Plaintiff suffered “significant injuries” as a result of two vehicle collisions and sued for damages.  In litigation the Defendants requested various pre accident medical records and pharmacological records arguing that when serious injuries are alleged such documents must be produced.  A Master disagreed and dismissed the application.  The Master’s decision was appealed which was also dismissed. 
 
 

August 27, 2019

Proposed auto insurance changes a good start: Vaughan

Proposed changes to regulations governing Ontario’s auto insurance are welcome, even though it’s not clear if they will be extensive enough, says insurance defence lawyer Heather Vaughan.

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Car Insurance Isn’t Sexy

Let’s face it – car insurance is a boring subject. Unless you get injured in a car accident. Or your mom does. Or your kid. Only after that happens will you get a crash course (no pun intended) on the unique forms of compensation available to car accident victims in Ontario, including compensation from your own car insurance company. 
 
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Are Ontario‘s new distracted driving penalties changing dangerous behaviours?

The Financial Services Commission of Ontario (FSCO) recently pointed to distracted driving as one of the factors contributing to the ongoing rise in auto insurance rates in Canada, while in a survey released in May, the Insurance Bureau of Canada (IBC) found that 75% of Canadian drivers are distracted at the wheel
 
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Canada: Overview Of The Motor Vehicle Accident Claims Fund

A person injured in a motor vehicle collision in Ontario can submit a claim for accident benefits, Ontario’s system of no-fault insurance, and, if the collision is someone else’s fault, can sue the other driver for negligence (a tort claim). In both circumstances, the injured victim will primarily be dealing with insurance companies who are obligated to respond to the claims on behalf of their policyholders. 
 
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Artificial intelligence tool for personal injury law firms launched in Toronto

In a statement, the Toronto-based company said that its Continuity of Care concierge program combines telemedicine consultations with artificial intelligence-based technology.  According to Illumina, the program is designed to “free up time, money and resources for law firms and increase efficiencies by making objective medical evidence available to the legal team from the onset.” 
 
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Why this American auto insurer lost its priority dispute in Canada

An Ontario judge found last Thursday that the priority dispute provisions in the province’s Insurance Act do indeed apply to U.S.-based insurers, thus ruling against GMAC Insurance Company. 
 
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Johnson & Johnson ordered to pay $572M for fuelling Oklahoma’s opioid crisis

An Oklahoma judge has found Johnson & Johnson and its subsidiaries helped fuel the state’s opioid drug crisis and ordered the consumer products giant to pay $572 million US to help address the problem. 
 
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For those following the James Sears story:
Jail time for promoting hatred sends a ‘strong message,’ advocates say

James Sears of Your Ward News was sentenced to a year in jail Thursday after he was found guilty of two charges of wilful promotion of hatred against women and Jews in January. 
 
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Ex-lawyer John Findlay gets 30-month prison sentence for $1.7 million class-action lawsuit fraud

Ontario Court Justice Tory Colvin also ordered Findlay to pay restitution of $1.7 million to the Law Society of Ontario, which was required to use its compensation fund to reimburse the Ontario government for the money taken by Findlay. 
 
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Concussion rates are twice what we thought and knowing that is a good thing

Fewer people are treating an episode of “seeing stars” by prescribing themselves a little rest on the couch. We’re much more likely to seek medical attention. Further, the doctors we see are better informed and more able to diagnosis concussions. That’s all good. 
 

August 22, 2019

Auto insurance social contract ‘an illusion’ for many Ontarians

Our financial assistance ranges from a few hundred dollars a month to keep food on the table, to tens or hundreds of thousands of dollars to pay for vital rehab services, prosthetic limbs, residential care and even home modifications for wheelchair accessibility where insurers deny their claims for any number of reasons. 
 
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One reason why there’s little relief in sight for auto rates

Vehicle technology is designed to reduce crashes – or at least, the severity – but insurance brokers shouldn’t expect to be able to offer their clients any relief when it comes to their premiums. 
 
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How old Ontario auto cat claims affect Intact’s bottom line

Canada’s largest P&C insurer has been taken by surprise by the number of old Ontario auto claims in which accident victims are trying to get benefits for catastrophic impairment. 
 
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Limiting occupiers’ liability notice to impact accident victims

Proposed legislation that will require individuals to bring claims within 10 days for injuries sustained on private property as a result of negligent snow or ice removal has the potential to bar innocent accident victims from recovering for their losses, says London personal injury lawyer Maia Bent.

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Litigation transformation in-house

Insurance companies and other legal departments are beefing up their in-house litigation teams with an eye to gaining greater control in defending matters and pursuing issues proactively on behalf of the organizations they represent. 
 
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What could carriers do if auto regs are loosened?

High loss ratios are creating a cascading series of negative effects and its time to do something about it, says one insurance professional. 
 
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Adverse Costs Insurance an “Access to Justice Issue” -Stewart et al. v. Wood et al., 2019 ONSC 3931

Mr. Stewart, the plaintiff, was driving along an unlit road at night on his way to work when he came on two horses on the road. One horse managed to escape, hit struck the other with the car. The crash severely damaged the car and killed the horse. Mr. Stewart suffered concussion and soft tissue injuries to his neck and back. 
 
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In defence of the jury system in Ontario

On matters concerning injury victims, it is not very often that my views align with those of the defence bar in Ontario. So when I read the submissions made by the Canadian Defence Lawyers (CDL) about the proposed revamping of the jury system and agreed with most of their general points, I must confess that this caused me some concern. As a plaintiff lawyer representing only injury victims, how could it be that I was seemingly on the same page on such an important issue as those who so often stand between victims and their pursuit of justice? 
 
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Crown calls for five year prison sentence for executive who stole $3.4 million from her company

Ruth Seguin, 57, pleaded guilty in June to defrauding Dan Lawrie Insurance Brokers in Hamilton over a period of five years from 2011 to 2016. Much of it was done at the bank by cashing cheques made out to the company, or transferring money from Lawrie accounts to her personal account. 
 
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ICBC unveils overhauled basic insurance premium calculation

As it continues to face intense scrutiny for the province’s high auto insurance rates, the Insurance Corporation of British Columbia (ICBC) has revealed details about its revised basic insurance premium calculation. 
 
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Car Seat Safety Information that Every Parent should Know

Car collisions are the leading cause of death of children in Canada. 1 Some of these tragic outcomes can be prevented or lessened with the correct use of car seats and booster seats, which are carefully engineered to ensure the safety of the most precious little ones in our lives. 
 
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Canadian Pain Patient Survey

One in four Canadians experience Chronic Pain. An estimated 1 million live with severe Chronic Pain.https://chronicpaincanada.com/
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Brian Goldfinger Discussing Brain Injury in Personal Injury Claims (Ontario)

Brain injury is right up there with the most serious injury one can get in a bad motor vehicle collision, or accident not caused by motor vehicle collision.The thing about brain injury is that it can often be overlooked, or misunderstood by the general public, or even doctors.
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6 Basic Principles of Neuroplasticity

Neuroplasticity is an umbrella term referring to the various capabilities of your brain to reorganize itself throughout life due to your environment, behavior, and internal experiences. To ensure the survival of the species, the human nervous system evolved to adapt to its environment — based on learning from past experiences. This is true for all organisms with a nervous system. 
 
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Symptoms of Brain Damage

The number of traumatic brain injuries are on the rise in Canada. And for this reason, people need to be more informed about the symptoms that brain damage can bring into life.The more that you understand the symptoms, the better you can be prepared to act if you or a loved one starts to show signs of having a brain injury.
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Scientists Create Spinal Cord and Brain Injury “EpiPen” – NatureWorldNews.com

New research has led to the creation of what many are calling an “EpiPen” for spinal cord and brain injuries. The new treatment method comes after new research in nanoparticles. Researchers demonstrated the effectiveness of nanoparticles to “program” the body’s immune cells.The body’s natural response to injury can often cause unintended damage.

August 20, 2019

Privacy class-action lawsuit against insurer over credit scores could settle

A privacy class-action lawsuit against The Personal Insurance Company could be settled for about $2.2 million, the plaintiffs’ law firm said Friday. 
 
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Second Round of Catastrophic Insurer Examinations and The Obligation to Produce Records

Being involved in a motor vehicle accident is traumatic and recovering from injury can certainly be difficult. When we consider that the claims experience can also be challenging and invasive, we can appreciate the exceptional pressure and strain that our clients experience. We must always remain sensitive to protecting the well-being and privacy rights of those who have been injured in accidents. 
 
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Changes to auto insurance a good start: Hoffman

The Ontario government’s plan to modernize and streamline the auto insurance industry is a good start, but more needs to be done, says Toronto personal injury lawyer Jennifer Hoffman.

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Ontario regulator considering ‘file and use’ for private passenger auto

A “file-and-use” system for private passenger auto rate changes could be coming to Ontario if a proposal from the province’s Financial Services Regulatory Authority comes to fruition. 
 
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Decision mean insurer ‘cannot rescind a contract prior to a loss,’ says lawyer

Recently, in Merino v. ING Insurance Company of Canada, 2019 ONCA 326, the court ruled that Merino was entitled to sue the insurance company, even though the insurer had tried to argue that it had terminated coverage for the driver, Timothy Klue, and his wife, Sonia Abou-Khalil, before the crash occurred. The insurance company had said due to “misrepresentations in the application regarding Ms. Abou-Khalil’s driving record,” it had rescinded the policy before the crash happened. 
 
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Aviva Canada CEO thanks brokers after “tough action” turnaround

Things are turning around at Aviva Canada. After 18 months of “really tough action” and “hard conversations” for the insurer’s significant broker force, the firm finally has something to celebrate – at least in a calm, ‘pat on the back’ sort of manner. 
 
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Brian Goldfinger on what’s wrong with car accident cases in Ontario

Often bad things happen to very good people. This can have a devastating impact on the lives of the injured party, along with the lives of their families and loved ones. The future of one’s life can be altered for the worst in an instant thanks to some bad decisions. 
 
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Allstate ponders appeal in $700,000 lawsuit over Brampton auto insurance allegations

Allstate officials are considering appealing last week’s Ontario court judgement that rejected the company’s $700,000 counter-suit against a former employee. 
 
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Ontario loses ‘top notch’ insurance law firm in Hughes Amys, says lawyer

For the first time since 1918, Ontario’s legal scene will not include insurance law firm Hughes Amys LLP.

The Hamilton- and Toronto-based firm’s website now says it has “ceased operations,” despite having a fully functional web page archived as of June 14, earlier this summer.

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What is a Catastrophic Impairment?

If you have been in a car accident, lawyers, health care professionals, and those in the insurance industry will often raise the question of whether you have sustained a catastrophic injury. In the auto insurance world, “catastrophic” means much more than the common-sense notion of that term. 
 
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What To Consider When Choosing An Expert

In its seminal decision of Westerhof v Gee Estate,the Court of Appeal for Ontario provided the general framework for the admissibility of expert evidence in Ontario. Specifically, it clarified the role of participant experts at trial and confirmed that compliance with Rule 53.03 of the Rules of Civil Procedure was not required for their evidence to be admissible, as opposed to the evidence of litigation experts. 
 
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Women 73% more likely to suffer Death or Serious Injury in a Car Crash 

Although automobiles are safer than they ever were, thanks to engineering innovations, women are far more likely to sustain fatal, serious and catastrophic injuries than men, when comparing the outcomes in collisions of equal severity. And, the primary reason for this is that auto safety tests have been almost exclusively carried out on crash test dummies that simulate the male physique, and automobile design and safety features have evolved based on the results of these tests. 
 
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The Trauma-Informed Courtroom

Why do judges and other justice professionals need to be cognizant of trauma as it relates to court cases?  Like it or not, trauma seems to be the overwhelming negative factor affecting many people who come to court.  From treatment court participants to those who have experienced child abuse and neglect, “adverse childhood events” (ACE) seem to be present in many cases.  Tragically, people may leave the courtroom worse off than when they came in having suffered “Jurigenic Harm.”[1]
 
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Ontario Government is reducing Pain Injection Treatments

Dear Patient with Chronic Pain and their Families and Friends,
The Government of Ontario is desperately looking at ways to reduce Ontario’s debt. The Ministry of Health has submitted recommendations to limit to cut certain health care services in Ontario. If implemented, these limitations and cut will directly affect your care as a pain patient. 
 
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18-000247 v Certas Direct Insurance Company, 2019 CanLII 72195 (ON LAT), <http://canlii.ca/t/j1sx2  

Relief from the Limitation Period: Legislation Changes

[54]         Prior to April 1, 2016, under the Financial Services Commission of Ontario (“FSCO”) regime, an applicant was required to mediate and either commence an arbitration or action within two years of the refusals.  Under this regime, an applicant had an extra 90 days after the Report of Mediator in which to file for a proceeding that was, essentially, equivalent to an application at the Tribunal. The 90-day grace period was removed by the changes to the legislation on April 1, 2016, when the Tribunal assumed jurisdiction over automobile accident benefits claims.  Certas submits that the limitation period of two years, however, did not change after April 1, 2016.
[55]         In her submissions, E.L. makes reference to the change in the legislation, noting that she filed for mediation with FSCO initially on August 25, 2014 (for a single benefit which is not the basis of this preliminary hearing issue), and again on October 23, 2015 for an additional 15 benefits.  Following a mediation that concluded on March 23, 2016, 30 claims for benefits were included in the Report of Mediator dated March 29, 2016 that were the subject of this failed mediation.[8]
[56]         E.L. commenced a superior court of justice action on February 3, 2015, which dealt with the one benefit sought from her initial Application for Mediation dated August 25, 2014.  Following the second failed mediation at FSCO, E.L., through her counsel at that time, moved the 30 issues into arbitration by commencing an arbitration at FSCO.  However, on September 9, 2016, E.L. terminated counsel and withdrew her application for arbitration on these 30 issues.
[57]         E.L. then brought a motion to amend her statement of claim to include the items from her second mediation at FSCO, several other disputed benefits that were never the subject of any arbitration, and additional damages.  This motion was heard on January 31, 2017 and the decision was released on February 2, 2017.  E.L., however, did not file her motion materials as evidence for the preliminary hearing, so it is unclear what benefits, in addition to those from her October 23, 2015 application for mediation, she was requesting to be added to her statement of claim.
[58]         E.L.’s motion to amend her statement of claim was dismissed.  The court found that after E.L.’s withdrawal of her request to arbitrate with FSCO, E.L.’s only option was to apply to the Tribunal if she wished to continue her dispute. The court held that to allow E.L. to amend her statement of claim to include failed issues from the March 2016 mediation would effectively circumvent the effect of the law as it existed after April 1, 2016.[59]         E.L. submits that the limitation period stopped upon her submission of her first and second mediation to FSCO.  I do not agree with E.L.’s submission and she has provided no support for this position.
[60]         E.L. also argues that the two year limitation period would not start to run until after the court made its ruling on February 2, 2017.  I also disagree with E.L.’s submission, as she provides no support for this position either.  Furthermore, the court reviewed the change in the legislation in its decision and confirmed that s. 280(1) and (2) of the Insurance Act directed all disputes initiated after April 1, 2016 to proceed to the Tribunal.
[61]         E.L. submits that she was caught in a time of change in the legislation and that she should not be penalized for this.  The decision of 16-001976 v Co-operators General Insurance Company[9] that was submitted by Certas directly addressed the limitation period set out in s. 56 of the Schedule for disputes that arose during this time.  In 16-001976, Adjudicator Sewratten made no determination of whether the limitation period in s. 56 of the Schedulecould be relaxed due to the switch from FSCO to the Tribunal, and held, “to the extent that this power exists, however, this is not the case in which it applies.”[10]
[62]         Section 7 of Licence Appeal Tribunal Act, 1999 (the “LAT Act”) gives the Tribunal power to extend the time, despite any limitation of time fixed by or under any Act, if the Tribunal is satisfied that there are reasonable grounds for applying for the extension and for granting relief.  Neither party, however, referred to this provision in their argument and declined to make further submissions regarding same following my request.  Nevertheless, I am obliged to consider s. 7 of the LAT Act despite neither party citing this section.[11]
[63]         In determining whether to grant an extension of time under s. 7 of the LAT Act, the Tribunal generally weighs the following four factors in order to determine whether the justice of the case requires that the extension be granted:                       
(i)      the existence of a bona fide intention to appeal within the appeal period;                       
(ii)     the length of the delay;                     
(iii)     prejudice to the other party; and,                     
(iv)     the merits of the appeal.[12]
[64]         I find that this is not a case in which I am prepared to exercise my discretion to extend the limitation period for the the benefit in dispute of $660.00 for chiropractic services set out in the March 6, 2014 OCF-18.  As the limitation period for this benefit began to run on March 28, 2014, I cannot conclude that E.L. had a bona fide intention to appeal within the appeal period as, similar to 16-001976,[13] there is no satisfactory explanation for her delay in applying to the Tribunal on January 10, 2018 after she was explicitly directed to do so by the court on February 2, 2017.  Furthermore, the delay and resulting prejudice to Certas is significant, as E.L. did not apply to the Tribunal until 10 months after the expiry of the limitation period.  While Certas remains liable for payment for any incurred goods, services, assessments and examinations described in the March 6, 2014 OCF-18 for the period starting on March 21, 2014, and ending on March 28, 2014, I find that E.L. is statute barred from proceeding with her claim for any incurred amounts of the $660.00 for chiropractic service outside of this period.
[65]         I do find, however, that this is a case in which I am prepared to exercise my discretion under s. 7 of the LAT Act to extend the limitation period for the benefits in dispute where the limitation began to run on December 8, 2015 and December 18, 2015.  The two year limitation period for these benefits in dispute expired on December 7, 2017 and December 17, 2017 respectively.  Therefore, there was a minimal delay in E.L. applying to the Tribunal for a determination of these benefits on January 10, 2018 of approximately one month and Certas has made no submissions on how it is prejudiced by this minimal delay.  

July 30, 2019

Review of Family and Civil Legislation, Regulations, and Processes

Parliamentary Assistant to the Attorney General, Lindsey Park, has commenced a review of family and civil legislation, regulations, and processes. The review will explore ways to simplify family and civil court processes, reduce costs and delays, and encourage the earlier resolution of disputes. 
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Here’s what FAIR sent in to the review on Civil litigation:  

All of this, the unpaid legal costs at LAT, the $38,000 ‘deductible’ on civil tort claim thresholds, the utter lack of accountability or sanctions on insurers who overuse and abuse the court system, add up to an access to justice issue. And it means considerable taxpayer dollars are used to beef up insurer profits because a court system that favors one party over another means that more unpaid and seriously injured victims are downloaded onto taxpayer funded supports such as welfare and ODSP.

If it sounds too complicated it’s because it is and insurers have had more than two decades to unravel our justice system in order to maximize profits. It can’t all be put into a few pages. FAIR would be more than happy to meet with you to discuss the problems and a plan of action to put more accountability into a system that is broken and now undermines access to justice. 

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Auto insurance rates rise again – report

The Canadian struggle to provide affordable car insurance rages on. According to online comparison site, LowestRates.ca, auto insurance rates shot up significantly in multiple Canadian provinces in the second quarter (Q2) of 2019. 
 
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Woman Sues Insurance Company After Allegedly Denying Auto Insurance to Brampton Residents

Late last year, a former agency manager for Allstate in Milton was terminated after she confronted supervisors about an unwritten managerial directive to stop offering auto insurance policies in Brampton. 
 
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Adverse costs insurance a compensable disbursement

Over the past 10 years, adverse costs insurance has become more prevalent in Ontario, particularly in the field of personal injury law. For those not familiar with adverse costs insurance, it provides insurance if a party’s legal action fails and the party is ordered to pay costs to the other side of the litigation. Adverse costs insurance is commonly referred to as “after the event insurance” (ATE). 
 
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Vision Zero in Ontario: What’s New?

We’ve written about Vision Zero–a proven set of road safety principles that is gaining momentum across Canada— several times over the last few years.  Where are things at here in Ontario in 2019? Let’s take a look at what’s been happening with Vision Zero in our province. 
 
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In pursuit of fairness: A call for CPP disability reform

For Canadians struggling with a disability, the Canada Pension Plan disability benefits (CPP benefits) can prove essential to their health and well-being. However, the plan’s limitations can make it difficult for some Canadians to find the support they need. 
 
 
 

July 25, 2019

Allstate loses bid to sue whistleblower who alleged policy discrimination

TORONTO — An insurance company was trying to stifle criticism when it sued a former employee who alleged the corporation was discriminating against visible minority drivers, an Ontario court has found. 
 
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Claimant loses appeal over whether Ontario court can hear bad-faith claim

When the Ontario government moved accident benefits dispute resolution to the Licence Appeal Tribunal in 2016, it did not intend for two similar issues in a disputed claim to be adjudicated both in court and before the LAT, the Court of Appeal for Ontario suggests. 
 
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LAT ‘fully entitled’ to make awards in bad faith claims

A recent Court of Appeal decision has opened the door for accident victims who are poorly treated by their insurers to pursue bad faith claims at the Licence Appeal Tribunal (LAT), says Ontario personal injury lawyer Patrick Brown
 
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Auto insurance reform falls short: Paciocco

plan to allow for new types of discounts under the Ontario government’s auto insurance reforms still needs work, says Windsor personal injury lawyer Gino Paciocco
 
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Auto reform update: Fasten your seatbelts

Fasten your seatbelts, everyone, because the rate of auto reform is going to resemble a low-speed chase through a turbulent market cycle. 
 
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Ontario’s Worst Cities for Driving 2019

Your driving record and history has a direct impact on the auto insurance premiums you pay. With tickets and collisions on your record, you can expect to pay more for your auto insurance than if you didn’t. It’s a reality that most drivers know and expect. 
 
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Litigation funding offers law firms a competitive edge

The litigation funding market is set for explosive growth in Canada in the next five years, as the public and the legal community discover its many benefits, says Katie Armstrong, director of international development at TheJudge Global.

https://www.advocatedaily.com/thejudge—katie-armstrong-litigation-funding-offers-law-firms-a-competitive-edge.html

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National Self Represented Litigants Project

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Getting the Police Report for your Car Accident Case

At the scene of the car accident, police officers are required to take notes. Some officers notes are more detailed (and legible) than others. The police officers may also prepare an accident report at the scene of the collision, or back at the station. Those officers may (or may not) give you a copy of the accident report on the scene. Or, it may be provided to you at a later date (at a charge). 
 
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Guest post: Dawn McKay on brain injury & chronic pain after a car accident

Dawne McKay created a Facebook group, Motor Vehicle Accident – Support and Recovery Group and also blogs about her own personal experience as an survivor of a horrific collision.  Her online support group for survivors is Motor Vehicle Accident – Support & Recovery group. 
 
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Chronic pain treatment, including use of opioids, needs major overhaul: report

One in five Canadians lives with chronic pain, according to a new report by the Canadian Pain Task Force.
It’s one of the findings from the report which lays out the current state of chronic pain in Canada and is meant to guide the government on how to help those living in pain.
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V902 – Income Replacement Benefit – Navigating the Issue of Outstanding Taxes

When a person is disabled from employment following a car accident, they often turn to their accident benefit insurer for an income replacement benefit. When reviewing entitlement to a benefit, the insurer will base its calculation on the person’s average pre-accident earnings. It is noteworthy that the Statutory Accident Benefit Schedule includes a clause providing that any pre-accident income that has not been reported for tax purposes ought not to be included in the calculation. 
 
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V901 – Psychotherapy Rates and Access to Care

The maximum rates that may be charged by most health care providers, in the context of an accident benefit claim, are detailed within the Professional Services Fee Guideline. For those providers who are not listed in the Guideline, we are simply directed that the amounts payable for services are to be determined by the parties involved. 
 

July 23, 2019

TD Insurance fined over $3 million

The Financial Services Commission of Ontario’s Superintendent of Financial Institutions slapped the four insurance subsidiaries of TD Bank with whopping fines totalling $3.2 million  
 
Auto Insurance Rates for the Second Quarter of 2019
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You Can’t Hurry Love: LAT refuses to consider interim Order for Benefits

In the most recent case, there was a lag of over year between the date of the application for accident benefits and the in-person hearing on the issue of attendant care. In that period, the applicant claimed to have incurred more than $18,000 in attendant care. The applicant argued that this financial burden created a risk that he would not be able to receive adequate care before the LAT hearing on the issue of attendant care benefits. The Applicant wanted an order awarding him attendant care benefits until such time as the issue was decided before the LAT. 
 
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How hitting a bicycle can lead to six-figure liability claim

In St. Marthe v. O’Connor, released this past Monday, Ontario Superior Court Justice Patrick Hurley awarded Peter St. Marthe $380,000 (including sales taxes and disbursements) for his legal bills alone to pursue his tort claim. 
 
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The New Litigators Guide: Your First Discovery

You have one advantage over more senior lawyers: your time is less valuable. You can, and should, spend far more time preparing for a discovery then a senior lawyer ever would. Senior lawyers will probably know the law better than you. But with time on your side, you can know the facts better than a senior lawyer. In that vein, be the most prepared person in the room. 
 
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Hard Questions About Justice

That number is by now fairly recognizable among many in social justice circles. It originates from an April report issued by the Global Task Force on Justice, citing 5.1 billion as the number of people around the world who lack access to justice in one form or another.

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Ontario should switch to no-cost class actions, law commission says

An independent study by Ontario’s legal reform watchdog suggests major changes to how lawyers approach the more than 100 class actions filed each year. 
 
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Accident Benefits and the Challenge of Chronic Pain

Claimants injured in a motor vehicle accident have access to benefits under their own insurance (or through another driver’s insurance policy, or the Motor Vehicle Accident Claims Fund) to help compensate for losses such as, but not limited to, medical and rehabilitative benefits, income replacement, lost educational expenses, attendant care and damaged clothing or medical devices. 
 
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Canadian Pain Task Force Report: June 2019

The Canadian Pain Task Force was established in March 2019 to help the Government of Canada better understand and address the needs of Canadians who live with pain. Through to December 2021, the Task Force is mandated to provide advice and information to guide government decision-makers towards an improved approach to the prevention and management of chronic pain in this country.
 

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This case follows the over $300,000.00 in costs awarded against Aviva who consistently offered $0.00 even when their own expert stated that the collision caused the Plaintiff chronic pain. (St. Marthe v. O’Connor, 2019 ONSC 4279 (CanLII), <http://canlii.ca/t/j1gzs  )

Brophy v. Harrison, 2019 ONSC 4377 (CanLII), <http://canlii.ca/t/j1kb9  

[22]           With respect to the defendant’s submissions regarding the Small Claims Court jurisdiction, in my view it was reasonable for the plaintiff to bring her action in Superior Court under the regular rules.  Her case had merit and her decision to continue to trial was reasonable in the absence of any offers from the defendant.  I reject the defendant’s position that the plaintiff’s award of costs should be reduced because the ultimate verdict of the jury was less than the Small Claims Court limits.

[23]           In terms of proportionality, I look to the decision of Hackland J. in Corbett v. Odorico2016 ONSC 2961 (CanLII), in which he held that:

In my view, to impose a rule arbitrarily limiting the amount of costs to some proportion of the recovery when there has been no offer of settlement, or only a nominal offer as in this case, would undermine the purpose of Rule 49, which is to encourage settlement by attaching costs consequences for failure to make or accept reasonable offers. It would also encourage the type of “hard ball” approach to settlement employed in this case.

[24]           Justice Hackland also refenced Aacurate v. Tarasco2015 ONSC 5980 (CanLII), where McCarthy J. comments that declining to make realistic costs awards in modest cases would send a message to litigants that it is not worth one’s while to pursue legitimate claims in court, because one cannot possibly make it cost effective to do so.

[25]           I find favour with McCarthy J.’s conclusion that limiting the losing party’s exposure to costs proportionate to the size of the claim would encourage those resisting legitimate but modest claims to take unreasonable positions.

Conclusion

[26]           The defendant urges that if the court is not prepared to award costs within the jurisdiction of the Small Claims Court, then proportionality should be the yardstick against which costs are measured.

[27]           To accede to this argument would unduly shave the plaintiff’s costs, based solely or primarily on an undue emphasis on the application of proportionality: Persampieri v. Hobbs2018 ONSC 368 (CanLII), at para 95.

[28]           When assessing costs, not only are the reasonable expectations of the successful party to be considered, the court must also look to the reasonable expectations of the unsuccessful party: Boucher.

[29]           Despite my direction that a Bill of Costs was to be included with written submissions, the defendant chose not to do so.  Without knowing what the defendant’s costs were for this trial, I cannot complete the “reasonable expectation” analysis.  The inference to be drawn is that the quantum of the defendant’s costs approaches those of the plaintiff. 

[30]           The defendant took what I would view to be a hard-ball approach to this claim, and now must accept the consequences of that decision.

[31]           After considering all of the above, the plaintiff is awarded costs in the amount of $210,587.20, plus disbursements of $64,869.40 (both figures inclusive of HST), for a total of $275,456.60.  There has been no reduction for costs thrown away for trial preparation.

July 18, 2019

Who is at Fault in a Motor Vehicle Accident?

Many motor vehicle accidents have a clear-cut “perpetrator” on whom to cast blame. Running a traffic light, failing to stop at a stop sign, or rear-ending a parked vehicle are cases where fault is likely easy to determine. 
 
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How hitting a bicycle can lead to six-figure liability claim

In St. Marthe v. O’Connor released this past Monday, Justice Patrick Hurley of the Ontario Superior Court of Justice awarded Peter St. Marthe $380,000 (including sales taxes and disbursements) for his legal bills alone to pursue his tort claim. 
 
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The Role of Experts In Litigation

One aspect of litigation that we often discuss with clients is the role that experts will play in their case. The impartial opinion of an expert is very often an important part of supporting each litigant’s side of the case, whether as plaintiff or defendant. In many cases, the trier of fact will need to rely on a qualified expert who can provide an independent and objective opinion regarding key aspects of the case. 
 
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Were the CAT impairments due to the accident and were costs ‘incurred’ – Pucci v. Wawanesa Mutual Insurance Company, 2019 ONSC 1706

Ms. Pucci was in a car accident in June 2013 in Thunder Bay. She sought a declaration of CAT impairment due to a mental or behavioral disorder and continued entitlement to IRBs after the Post 104-week mark of the accident. Wawanesa paid the non-catastrophic limits but denied that Ms. Pucci suffered a CAT impairment as defined by the SABS. Ms. Pucci has a history of illness and anxiety and depression. 
 
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LTD claimants should be mindful with social media posts

Long-term disability claimants are providing free surveillance for insurers by posting publicly on social media, says Toronto personal injury and disability lawyer Nainesh Kotak
 
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How Long should my Long Term Disability Benefits Last?

The term “long term disability benefits” would lead one to believe that those benefits should last for a long time.
But the term “long” can be misleading and subject to interpretation. Like many things in the practice of the law, the devil’s in the details and you gotta read the fine print.
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Disbarred Hamilton lawyer John Findlay pleads guilty to class-action fraud

Former Hamilton lawyer John Findlay pleaded guilty to fraud on Monday for misappropriating $1.75 million from a class-action settlement fund.

He will appear in a Hamilton court on Aug. 20 for sentencing.

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One-two punch of Alberta’s auto insurance market lays out insureds

The problems in Alberta’s auto insurance marketplace are two-fold, according to one broker. Not only are brokers unable to find coverage for certain risks, but those clients who do purchase auto insurance can have difficulties making payments on their premiums. 
 
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Mobility Means Freedom

The loss of mobility is a serious concern when you’re living with a spinal cord injury. Getting around home as well as out and about present different challenges. But they can be overcome with determination, planning and the help of adaptive technologies. 
 
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Susan Clairmont: Injured girl denied insurance claim due to province’s bureaucratic glitch 

Glitch nearly cost struggling family up to $1 million in insurance money.
She doesn’t have time to unravel the bureaucratic knot that nearly cost her struggling family up to $1 million in insurance money.
In insurance law, there are three tiers of medical rehabilitation compensation. The first is for minor injuries with a payout up to $3,500. The second is for serious injuries and pays between $3,500 and $65,000. The third is for catastrophic injuries and ranges from $65,000 to $1 million.
The medical records for Sharon’s daughter showed she met two of the three criteria for the legal designation of a catastrophic brain injury: there were positive findings of “intracranial pathology” and test results indicated brain trauma.
But the third criteria derailed the claim.
That criteria insisted the claimant be an in-patient at a hospital listed in the Insurance Act Guidelines.
The guidelines list 12 trauma centres the province has decided qualify to properly diagnose and treat traumatic brain injuries. 
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St. Marthe v. O’Connor, 2019 ONSC 4279 (CanLII), <http://canlii.ca/t/j1gzs  

[1]      Following an 11 day trial, I granted judgment in favour of the plaintiff (2019 ONSC 1585 (CanLII)). This endorsement deals with three issues arising from that judgment: the statutory deductible for the non-pecuniary damages; the prejudgment interest rate; and the costs of the action.  

[14]      According to the plaintiff, the defendant attended at a mediation and judicial pretrial but declined to make any settlement proposals at them. He refused to participate in a mid-trial judicial settlement conference. The defendant did not explain in his written submissions why he was unwilling to make any settlement proposal other than the offer of August 20, 2018. In the absence of an explanation, I can only conclude that the defendant decided, at an early stage of this litigation, that he would not pay any amount, however modest, to settle the case.

[15]      This position is baffling in view of the admission of liability and the defence expert opinion. As I set out in my reasons, the defendant’s expert, Dr. Bednar, concluded that the plaintiff suffered from a chronic pain condition which was supported by objective findings and it was reasonable for him to retrain for a more sedentary occupation. The limitation period defence did not require a lengthy trial and, in any event, was an issue that could have been factored into a settlement that reflected a reasonable compromise on both sides.

[16]      The defendant’s approach to this litigation is an important consideration on costs because of the emphasis made in his submissions about proportionality. There is no doubt that this is a principle that I must take into account but I agree with the comments of Sanderson, J. inPersampieri v. Hobbs2018 ONSC 368, (CanLII) at paras. 93 – 103:

In my view, it is important to recognize that the legislature [or its delegate], by imposing stiffer costs consequences on Defendants where Plaintiffs have beat their own Offers to Settle than it has imposed on Plaintiffs where Defendants have beat their own Offers to Settle has signaled an intention to give greater costs protections to Plaintiffs than to Defendants.

A strict application of the proportionality principle in awarding costs to a Plaintiff who has obtained an order under Rule 49.01(1) for costs on a substantial indemnity basis, would be to deprive that plaintiff of that greater protection.

Like Firestone J, in Valentine, and the other Courts to which I have earlier alluded in this endorsement, I am of the view that to unduly shave Plaintiff’s costs, especially substantial indemnity costs ordered under Rule 49.01(1), based solely or primarily on an undue emphasis on the application of the proportionality factor (reasonableness of costs ordered relative to the amount awarded) would be unfair, especially in all of the circumstances here.

The proportionality principle is generally invoked to foster access to justice.

However, a strict application of the proportionality principle here could work against the achievement of that goal and could have the opposite effect.

Here, the party invoking the proportionality principle and thereby seeking to minimize the effects of a usual order for costs under Rule 49.01(1) is a sophisticated insurer that made a tactical decision to reject a Plaintiff’s formal Rule 49 Offer to Settle understanding the risk in costs that it was taking by so doing.

Because it had framed its defence in the manner that it had, it knew that the resolution of the issues at a trial would involve the hearing of lengthy and costly evidence, including extensive medical evidence.

Sanctioning insurers’ litigation strategies involving:

(1) discouraging Plaintiffs from pursuing legitimate but modest claims by refusing to make any meaningful offer to pay damages and forcing those Plaintiffs to trial in circumstances where, because of defences the insurers have asserted, they cannot possibly be successful unless they call expensive medical and other evidence;

(2) then, raising the spectre of very serious adverse cost consequences of such trials;     

(3) then, even after Plaintiffs have chosen to take the serious adverse costs risks of such trials, and even after they have been successful at trial and have received costs awards under Rule 49.01(1) on a substantial indemnity scale;

(4) attempting to unduly minimize the quantum of otherwise usual amounts of costs including substantial indemnity costs on the basis of proportionality, would be, in my view, to sanction under compensation of Plaintiffs for costs legitimately incurred to make many lawsuits uneconomic and could generally discourage Plaintiffs with modest claims, even if valid from pursuing them.

If pursuing such an approach or strategy were to have the effect of generally discouraging Plaintiffs from bringing and pursuing modest sized claims, [even in cases such as here where liability has been admitted] the benefits to insurers could be significant and wide ranging.

If insurers were incentivized to pursue such a strategy and to generally resist settlement of such cases, in order to generally discourage such Plaintiffs from pursuing such actions, that could seriously jeopardize overall access to justice.

Insurers can, of course, pursue whatever strategy options they deem fit, but especially where such strategies may have wide ranging and adverse implications involving widespread denial of access to justice, the use of such strategies should not be encouraged by the giving of cost breaks on foreseeable costs consequences.

18]      The defendant had three lawyers at trial, all of whom are employees of Aviva Canada Inc. Lead counsel was Vanessa Tanner who was called in 2002. She was assisted for the most part by Vanessa De Sousa, a 2017 call. The third lawyer, Jeremy Shaw, was present during the trial but did not gown until final submissions. He was called in 2007. A law clerk also worked on the case. According to the defendant’s cost outline, their fees and disbursements inclusive of HST were $152,883.41 on a partial indemnity basis and $214,810.80 on a substantial indemnity basis. The disbursements were $30,185.75. The collective number of hours was 743.3. 

Conclusion

[31]      The plaintiff is asking for an amount in costs that is more than double the damages that were awarded. As other judges have done when faced with this issue, I cite the decision of Lane, J. in 163972 Canada Inc. v. Isacco[1997] O. J. 838:

That the costs significantly exceed the amounts at stake in the litigation is regrettable, but it is a common experience and is well known to counsel as one of the risks involved in pursuing or defending a case such as this to a bitter end rather than finding a compromised solution. To reduce the plaintiff’s otherwise reasonable costs on this basis would simply encourage the kind of intransigence displayed by the defendants in this case.

[32]      In   Persampieri, Sanderson, J. interpreted the Court of Appeal’s decision in Cobb to impose a notional upper limit for partial and substantial indemnity costs; the former should not exceed 9.035 times the net award and the latter should be fixed at 13.5525. Her decision does not apply in this case because the plaintiff is not seeking an award of costs that is anywhere near that notional upper limit. However, it is important for the confirmation, if such was needed, that a sophisticated litigant like the insurer in this case could reasonably expect to pay costs substantially in excess of the damages awarded, particularly when it takes an inflexible approach to settlement.

[33]      This does not mean that proportionality is ignored but reasonableness remains the primary consideration: Boucher v. Public Accountants Council for the Province of Ontario2004 CanLII  14579 and Davies v. Clarington (Municipality), 2009 ONCA 722 (CanLII). Applying this principle and taking into account the factors set out in rule 57.01, I fix the fees at $300,000 plus HST of $39,000 and the disbursements at $39,864.56 plus HST, payable by the defendant to the plaintiff within 30 days of the date of this order. I will leave it to the parties to agree on the amount of the applicable taxes on the disbursements. If they cannot do so I will decide the issue by written submissions.

 

Tammy Kirkwood submission to FSRA Draft Statement of Priorities 2019-007

Tammy Kirkwood submission to FSRA Draft Statement of Priorities 2019-007 

 
I was pleased to see the FSRA was creating committees like SAC, Stakeholder Advisory Committee for Property & Casualty (P&C) Insurance, and CAP, Consumer Advisory Panel.
 
I applied for the SAC and looking forward to being an Advocate and consumer participant.  It is unfortunate that the SAC committee’s only participants are from within the insurance industry.  It seems odd and unfair that FAIR, Fair association of victims for Accident  Insurance Reform, participated in the Working Groups with the other stakeholders for the Drivers Card and Assessment Form and yet isn’t included on this Committee.
 
There was a lot of information and ideas shared in the meetings over the summer months. Consumers had a voice and we thought that positive changes were going to be made to aid the insurance industry through the regulations and make it easier for consumers to maneuver the insurance process without it causing more trauma to accident victims.
 
I have reviewed the Draft F2020-21 FSRA Priorities and Budget and find that it is difficult to read and understand.  It’s written in terms and wording that leaves many questions.  
 
“• Develop new reporting and analytical tools to enable proactive regulatory monitoring and evidence-based policy decisions. FSRA will: • Report on the health of Ontario’s auto insurance system” How can you have a report on the health of the auto insurance scheme if you haven’t asked consumers whether it is working for them? Otherwise it is just a statement on how profitable or how happy insurers are isn’t it?
 
Consumers are definitely not being served and it shows in decisions like Tomec (see below) where it’s apparent insurers are not standing behind their product and contract of coverage or following the intent of the SABs. 
Comments like:
“effectively penalize the appellant for accessing benefits she is statutorily entitled to”  
OR “Statutes are to be interpreted in a manner that does not lead to absurd results. An interpretation is considered absurd if it “leads to ridiculous or frivolous consequences, if it is extremely unreasonable or inequitable, if it is illogical or incoherent, or if it is incompatible with other provisions or with the object of the Page: 16 legislative enactment”  
AND “This is an absurd result. To choose it, as the LAT did, is unreasonable.” 
 
This is not what you want to hear in reference to the hearings system for some of Ontario’s most vulnerable persons. Those statements and how the existing system is not serving consumers is exactly where the attention is most needed.
 
Now that there are no consumers included on the SAC, it is showing that a fair system is now far more unlikely to happen and there will be little improvement over the previous FSCO regulatory system. Consumers are not being represented when the Committee is welcoming only insurers to comment and influence policy.
 
Tammy Kirkwood
FAIR, Vice Chair
November 14, 2019
   
Tomec v. Economical Mutual Insurance Company, 2019 ONCA 882 DATE: 20191108 DOCKET: C66763  
 
Absurd Result 
[46] Statutes are to be interpreted in a manner that does not lead to absurd results. An interpretation is absurd if it “leads to ridiculous or frivolous consequences, if it is extremely unreasonable or inequitable, if it is illogical or incoherent, or if it is incompatible with other provisions or with the object of the Page: 16 legislative enactment”: Rizzo & Rizzo Shoes Ltd. (Re), [1998] 1 S.C.R. 27, 36 O.R. (3d) 418, at para. 27. 
 
[47] Here, the decisions below thrust the appellant into a Kafkaesque regulatory regime. A hard limitation period would bar the appellant from claiming enhanced benefits, before she was even eligible for those benefits. However, if the appellant had not claimed any benefits until she obtained CAT status in 2015, she would not be caught by the limitation period: Machaj v. RBC General Insurance Company, 2016 ONCA 257, at para. 6. Alternatively, if the appellant had coincidentally obtained CAT status before 2012, the hard limitation period would not bar her claim for enhanced benefits. 
 
[48] This outcome is absurd. There is no principled reason for barring the appellant’s claim for enhanced benefits in the first scenario but allowing the claim in the second and third scenario. To do so would effectively penalize the appellant for accessing benefits she is statutorily entitled to, or for developing CAT status too late. 
 
[49] The impossible position a hard limitation places the appellant is best illustrated by having regard to Economical’s counsel’s oral submissions. Counsel denied that the appellant was put in a lose-lose situation. She argued that the appellant could have applied to the LAT before the expiry of the limitation period for a declaration that, in the future, she would be entitled to extended benefits if she were subsequently found to be CAT. Page: 17 
 
[50] I start by noting that courts must be cognizant of the significant disparity in resources between large insurance companies and their insureds, who do not have unlimited resources to bring multiple proceedings, including prophylactic claims based on a future contingency: see MacDonald v. Chicago Title Insurance Company of Canada, 2015 ONCA 842, 127 O.R. (3d) 663, at para. 88, leave to appeal refused, [2016] S.C.C.A. No. 39. 
 
[51] In any event, if such a proceeding were commenced for a declaration, it is difficult to imagine how it could succeed. At best, the appellant could only lead speculative evidence that she might be CAT at some unknown point in the future. Faced with that evidentiary record, the LAT would likely decline to make the requested declaration.  
 
[52] In my view, the hard limitation period puts the appellant in an impossible situation, where the time for claiming a benefit commences when she is ineligible to make such a claim. This is an absurd result. To choose it, as the LAT did, is unreasonable.   

July 16, 2019

Review of Family and Civil Legislation, Regulations, and Processes

Parliamentary Assistant to the Attorney General, Lindsey Park, has commenced a review of family and civil legislation, regulations, and processes. The review will explore ways to simplify family and civil court processes, reduce costs and delays, and encourage the earlier resolution of disputes. 
 
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“There is a fundamental issue with inequality in terms of car safety development” – Women are 73% more likely to suffer fatal or serious injuries in car crashes

The design and safety testing of cars (and most other consumer goods) was long designed by male engineers and has historically focused on parameters reflecting males. For example tools are often sized for male hands, cupboard heights for male heights, and cars for male dimensions. 
 
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Top court cuts down “apples” approach to tort award reduction

Adjusters and insurance defence lawyers who think the “apples-to-apples” approach to deducting future no-fault benefits from tort awards is rotten will likely find relief in a Supreme Court of Canada ruling released Thursday. 
 
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For disability claimants who are unable to work, the process of having their long-term disability (LTD) claim denied or cut off can be frustrating and complicated, and it can cause a person to rocket into financial debt. Many claimants who are left in financial desperation often turn to disability claims lawyers for help. 
 
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Canada’s New Distracted Driving Laws To Take Effect Aug. 1, 2019

Police sources have confirmed that Canada’s new driving laws, which received royal assent earlier this year, will officially take effect in the province on Aug. 1, 2019.

Fines vary from province to province, but they can be up to $3000 in in provinces like British Columbia and Ontario, Quebec, Alberta, Nova Scotia, Manitoba, Newfoundland and Labrador.

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How SGI’s expansion into Ontario auto fared last year

Saskatchewan’s government-owned insurer has been blindsided by its Ontario auto line.

Regina-based Saskatchewan Government Insurance (SGI) reported Tuesday that SGI Canada’s 2018-19 loss ratio in Ontario was 91.9%, up 16.5 points from 75.4% in 2017-18. That increase was “largely due to unfavourable auto results,” SGI said in its annual report.

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Doctor discipline: Three of Ontario’s top-billing physicians have faced professional sanctions

Vineet Arora was a busy doctor. That’s not unusual in the field of ophthalmology, one of the highest-billing medical specialties based on seven years of OHIP data obtained by the Toronto Star.

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Patients who suffer from medical errors face ‘rigged system,’ critics say

When Anne Levac walked into a Toronto medical clinic nearly seven years ago, she didn’t realize that the procedure would leave her with permanent disabilities.

Levac visited the Rothbart Centre for Pain Care in 2012 in hopes of easing her chronic back pain. A doctor gave her injections into her spine, but the needles were infected with a harmful bacteria.

 
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Why Doctors Must Listen to People with Brain Injury

In the June 28, 2019 issue of New Scientist, Nicholas Schiff is quoted as saying: “They all seem to be in a vegetative state, but we know they are conscious. It’s to remind me they are out there and we are not helping them.”