Author Archives: Admin2

February 7, 2019

Fixing Auto Insurance 

Will the Ontario government’s decision to launch a public review of the province’s auto insurance system lead to positive changes for drivers across the province? 
 
How to find the TVO station https://www.tvo.org/faqs
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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. 

http://www.fairassociation.ca/2019/02/fsra-speech-tammy-kirkwood-feb-7-2019/ 

FAIR Submission to Proposed FY 2019-20 FSRA Priorities and Budget Consultation Document

 
Proposed FY 2019-20 FSRA Priorities and Budget Consultation Document January 21, 2019  
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Has Intact noticed the impact of pot legalization on auto claims?

Recreational cannabis has been legal for nearly four months, but it’s too early for Canada’s largest property and casualty insurer to tell whether it’s having an impact on auto claims frequency. 
 
 
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Dr. Stephen Wiseman: Attorney-General David Eby promoting two-tier medicine, something NDP normally opposes

An RCA provides rapid second opinions to doctors who are unable to make a clear diagnosis or whose injured patients are facing delays or complications. An RCA must have competence in musculoskeletal injuries, acute and chronic pain and/or mental health and other psychosocial issues. The idea is that a patient is referred to a chosen RCA within 90 days of the accident and must be seen within 15 days. 
 

February 6, 2019

2019-001: Assessments and Fees – FSRA consultation continues

Comments Due: 2019-02-25 
 
Tomorrow, FAIR Vice Chair will be participating in the round table to advocate for consumers affected by a dysfunctional mandate product via the insurance industry.
 
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Ignore LAT Rules and Case Conference Orders on Production Timelines at Your Peril: 18-005028 v. Allstate

On December 10, 2018, Andrew McKague, on behalf of Allstate responded to a motion before the License and Appeal Tribunal (LAT).  The Claimant moved to have new documents admitted as evidence at the LAT hearing, which was to start that day; the documents themselves were first provided on December 3, 2018 along with the Notice of Motion. Allstate opposed the relief sought. 
 
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Aviva rolls out automated claim notification at collision reporting centres

Motorists insured by Aviva Canada will no longer have to make their own first notice of loss (FNOL) to the carrier if they report the accident to a collision reporting centre. 
 
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How to Stop Comparing Yourself to Others

Who do you most frequently compare yourself to?If you’re not sure, try this question: Who have you compared yourself to in the last 24 hours?
 

February 5, 2019

The Agenda – Fixing Auto Insurance; A Wild Time in Public Office Thursday February 7 at 8 and 11 pm

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Insurance battle after car bursts into flames

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Bike Safety Is Everyone’s Responsibility

Canadians love their bikes. I love my bike!  No matter the season, you’ll find cyclists out on the roads, rain or shine – and even snow (although winter is a bit hardcore for me personally). And why not? Cycling is not only great exercise, it’s a healthy and budget-friendly way to traverse our city streets and avoid the congestion on our roadways – and in our subways too. 
 
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5 Ways to Work With Your Mind to Stop Negative Thoughts

I’ve seen estimates that somewhere around  60 to 80 percent of our thoughts are negative. And if that weren’t bad enough, most of our thoughts are repetitive. I’ve read as high as 98 percent. That’s a lot of negativity. 
 
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2019-001: Assessments and Fees – FSRA consultation continues

Comments Due: 2019-02-25 
 
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Bon Rathwell Howland v. The Estate of Pamela Howland, 2019 ONSC 749 (CanLII), <http://canlii.ca/t/hx806  
 

[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),

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.

February 4, 2019

Lynn Martin Show Interviewed Partner Jennifer Bezaire on Concerns About “Liability Chill”

On Tuesday morning at 9 a.m., partner Jennifer E. Bezaire was a guest on the Lynn Martin show on a.m. 800. Bezaire was on to discuss why municipalities are concerned about joint and several liability and to explain this legal concept and the obligations it imposes on municipalities and property owners. 
 
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Terence Corcoran: CBC admits it wrongly reported hyped-up insurance ‘climate risks’

The Insurance Bureau of Canada’s decades-long campaign to raise alarms about the ravages of floods continued last week with an appearance by Blair Feltmate, a favourite star climate-change witness for the biggest insurers, at the Lake Simcoe Region Conservation Authority’s annual meeting. Feltmate heads the industry-funded Intact Centre on Climate Adaptation at Waterloo University, which claims climate change has triggered a surge in flood events in recent years. 
 
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Is the SABs unconstitutional – Sovereign General Insurance Company and Abdirahman Abyan and Insurance Bureau of Canada Ontario Trial Lawyers Association and Attorney General of Ontario

Sovereign General Insurance Company appeals the order of Arbitrator Drory dated September 14, 2017. The Arbitrator found that two provisions of the SABS–2010 were unconstitutional, namely the definition of “minor injury” insofar as it includes chronic pain arising from minor injuries, and the requirement for a pre-accident condition to be documented in order to escape the effects of the “minor injury” definition. 
 
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Should a LAT member be allowed to reconsider their own decision?

New amendments to rules surrounding the Licence Appeal Tribunal (LAT) in Ontario “have sent a dagger into the heart” of one insurance defence lawyer. 
 
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Insurance company reinstates long-term disability coverage after Global News report, legal action

major Canadian insurance company is restoring long-term disability coverage to an Ontario woman following a Global News report on legal action taken against the insurer. 
 
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Canadian Basic Income Recipients Are Suing Their Government

Members of an internationally lauded basic income pilot project in Canada are taking their province to court over its surprise cancellation, arguing that the Ontario government’s decision is unethical and that it was made in bad faith. 
 

Fixing Auto Insurance -The Agenda with Steve Paikin

Will the Ontario government’s decision to launch a public review of the province’s auto insurance system lead to positive changes for drivers across the province?

Ontario pays among the highest auto insurance premiums in the country, despite having among the lowest accident rates in North America. What reforms are needed?

https://t.co/FFmev45fVc

https://twitter.com/i/status/1093613873435951105

FSRA speech – Tammy Kirkwood Feb 7 2019

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

Hodge v. Neinstein

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/

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Hodge vNeinstein, 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:

  1.   that the Solicitors Act provides a complete code which bars the claims;
  2.   that Class Members cannot bring an independent cause of action for statutory breach;
  3.   that the Limitations Act, 2002 bars a majority of claims;
  4.   that in the alternative, there is no breach of the Solicitors Act as the fees charged were fair and reasonable;
  5.   that the aggregate fees charged between tort and accident benefits typically do not exceed the percentage fee in the Retainer Agreement and therefore there was no breach; and,
  6.     that disgorgement of fees is not an appropriate or available remedy on a class wide basis.

[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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  • 2.
    Hodge vNeinstein, 2017 ONCA 494 — 2017-06-15
    Court of Appeal for Ontario — Ontario
    common — class members — solicitor-client privilege — contingency fee — certification
     
  • 3.
    Hodge v Neinstein2015 ONSC 7345 — 2015-12-09
    Divisional Court — Ontario
    contingency fee agreement — class — unenforceable — fees — motion
     
  • 4.
    Hodge vNeinstein2014 ONSC 6366 — 2014-11-04
    Superior Court of Justice — Ontario
    certification motion — contingency fee — costs — class proceeding — access to justice
     
  • 5.
    Hodge vNeinstein2014 ONSC 4503 — 2014-07-29
    Superior Court of Justice — Ontario
    contingency fee agreement — client — solicitor — class proceeding — disbursements
     
  • 6.
    Hodge vNeinstein2014 ONSC 1723 — 2014-03-18
    Superior Court of Justice — Ontario
    costs — indemnity — omnibus motion — docketed — refused this request sought
     
  • 7.
    Hodge vNeinstein2014 ONSC 706 — 2014-01-30
    Superior Court of Justice — Ontario
    certification — refusals — motion — cross-examination — oppose
     
  • 8.
    Hodge vNeinstein2012 ONSC 7181 — 2012-12-18
    Superior Court of Justice — Ontario
    motion — third-party funder — third party funding — abandoned — costs

February 1, 2019

Careful what you wish for when it comes to private insurance

Imagine a land where drivers pay 55 per cent more for auto insurance than other drivers in Canada, a land where an insurance company may not cover you because of the city you live in, a land where your automobile insurance premiums isn’t based on your driving record but your postal code. 
 
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Slip-and-slide car accidents: When to tell your insurance and how to negotiate

It’s slip-and-slide season in Canada. Much of the country is covered in ice and snow and facing negative double-digit temperatures — it’s the kind of weather in which even snow plows occasionally find themselves drifting. 
 
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Can My Employer Make Me Pay for a Car Accident?

If you’ve caused a car accident while on the job, you may be wondering who is responsible for any damages or injuries that you, other drivers or pedestrians sustained. Learn about your rights in this situation, as well as the circumstances that could put you at fault.  
 
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The Civil Trial in Ontario: The Culture Shift from the “Sport of Kings” Towards the “One Judge Model”

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The Conundrum of the Difficult Client 

In the years that passed, hundreds, maybe thousands, of people have gotten in touch with me for legal information about their family law disputes. Unless I’m drowning in deadlines, I always took – and continue to take – the time to talk or write to them and shine some light into the murky depths of family law. 
 

January 31, 2019

Ontario court decisions have cut into accident settlements: Rastin

Barrie-area litigator Steve Rastin says recent Ontario court decisions highlight the continuing erosion of compensation for accident victims and the urgent need for the government to legislate an end to deductibles. 
 
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How much is my injury worth and what will it cost me to start a lawsuit?

To better understand you, as a resident of Simcoe County and your questions surrounding the law and your personal rights, our legal team conducted an analysis of all the calls our personal injury intake department received over the past year. In our findings, we noted that one of the most common questions asked of our staff was “is my injury worth starting a lawsuit?” and “what are the fees involved and how much will it cost me?” We completely understand where you are coming from and hope that this post will help answer your most pressing inquiries. 
 
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Why the human touch is sometimes bad for claims

The claims industry in Canada has to be wary about complicating the claims process by putting a “human process” in place where one is not needed, speakers said last week at the Ontario Insurance Adjusters Association’s 2019 Claims Conference in Toronto. 
 
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The Business of Personal Injury Law: The cost of expert reports in personal injury litigation and one solution

When I left law school, I was ill prepared for what it meant to be a lawyer. I knew I wanted to litigate and was keen to make my mark. At the same time, however, I knew nothing about the actual practice of law, or more importantly the business of law.