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Neuropsychological Assessments and the $2,000 AB Cap

In September of 2010, the Statutory Accident Benefits Schedule (SABS) were amended with respect to Costs of Examinations.  A cap of $2,000.00 was placed on each assessment completed, either for the insured or the insurer.

http://blog.smitiuchinjurylaw.com/accident-benefits/neuropsychological-assessments-2000-ab-cap/

The Case in Support of Contingency Fee Agreements (Ontario)

The National Post recently ran an article which highlighted a study financially backed by the Insurance Bureau of Canada (IBC) called “A Study of the Costs of Legal Services in Personal Injury Litigation in Ontario“. In case you didn’t know, the IBC is the industry or lobby group which represents the interests of large insurance companies. They are the ones who donate to political parties and influence the way the laws are shaped such that they sway in favour of large, deep pocketed insurers, rather than in favour of innocent accident victims (aka the general public who pay auto insurance premiums).

http://www.torontoinjurylawyerblog.com/2017/01/case-support-contingency-fee-agreements-ontario.html

Researchers Develop “Holy Grail” Concussion Test

Researchers at the University of Western Ontario have published research in the Metabolics Journal showing a very promising blood test to identify whether someone has sustained a concussion. The researchers tested a series of blood samples, measuring 174 metabolites, molecules that are produced or involved in cell metabolism. Rather than trying to identify changes in individual metabolites, they looked at the picture as a whole

http://otlablog.com/holy-grail-concussion-test/

Basic income idea supported; Guaranteed pay could be around $1,320 per month

“We don’t think we should have to wait to consult on a pilot project, to do the pilot project, to evaluate the pilot project and then we’ll see a whole different government in place that will forget about it anyway.”

http://www.chroniclejournal.com/news/basic-income-idea-supported-guaranteed-pay-could-be-around-per/article_4094bcde-df27-11e6-93b5-8ba83007319e.html

Written Submissions By:, 2016 CanLII 96168 (ON LAT)

http://canlii.ca/t/gx0m2
  1. On October 20, 2016, the Licence Appeal Tribunal (the “Tribunal”) issued an Order following a Motion in S.  G. and The Personal Insurance Company. The order excluded an audio recording (the “recording”) from being admitted as evidence at the upcoming hearing. The recording was made by the applicant while attending an insurer’s examination conducted by Dr. Mascarenhas on January 16, 2015.

Ability to Cross Examine

 

  1. 19.The applicant submits that the Tribunal erred by improperly limiting the applicant’s ability to cross-examine a witness’ credibility. By excluding the recording evidence without considering whether the probative value outweighs its prejudicial effect, the Tribunal improperly limited the scope of the applicant’s cross-examination.

 

  1. 20.The applicant submits that the Tribunal erred in law because the applicant is not able to put forth any questions to the expert witness on cross-examination that relates to inadmissible evidence.  Therefore, if the recording is excluded then the applicant will not be able to question the witness’ credibility.

 

  1. 21.I agree with the respondent’s submission that the Tribunal found that the purpose of the recording was to assess the credibility of Dr. Mascarenhas and that this can be accomplished at the hearing through the evidence of the parties.

 

  1. 22.The applicant can provide oral testimony at the hearing regarding the assessment and his interactions with the doctor and then cross-examine the doctor on any alleged discrepancies.

 

Abbas and Aviva 2017-01-09, Arbitration, Preliminary Issue, FSCO 5108

The case is not on point here, where the Ontario legislature created concurrent schemes for adjudicating accident benefit claims at both FSCO and the LAT. Each scheme is separate and comprehensive and, in accordance with the transitional provisions of the Insurance Act, the legislature intended that the two tribunals operate concurrently for a short period while FSCO winds down its operations. During the transition periodeach tribunal maintains the legitimacy and integrity of its own adjudicative processes.

            Legislative intent

Aviva argues that, if the legislature had intended for FSCO to add issues after April 1, 2016, it would have so expressly legislated. However, that is not my understanding of the rules of statutory interpretation in consumer protection legislation. Rather, any limitations on the rights of insured persons must be made explicit.

It follows that only a clear and unambiguous statement in the statute that parties may not continue the practice of adding issues to FSCO arbitrations after April 1, 2016 can support an interpretation favourable to Aviva. Nowhere in the Insurance Act is there mention of the practice of adding issues to an arbitration. It is settled law that, where there is a doubt in legislation establishing and governing coverage and there are two possible interpretations of any aspect of coverage, the one more favourable to the insured should govern: July et al. v. Neal (1986).[9] The explanation for this principle is that contracts are interpreted contra proferentem (or “against the drafting party”) because the insurance industry has input into the content of the legislation, while individual insured persons have none. As such, if there is an ambiguity in the Insurance Act regarding whether a new issue may be added to an arbitrations, such an ambiguity must be resolved in favour of the insured.

Adding an issue to this arbitration is the fairest way of hearing it

            Avoids duplication

To the extent that Mrs. Abbas seeks to consolidate her claims at FSCO by adding an issue to her arbitration, I am persuaded that she is justified in doing so. Adding the issue of non-earner benefits to the existing arbitration avoids unnecessary duplication of proceedings. Hearings are costly to the parties and, where possible, one hearing should be held, instead of multiple ones. It is cheaper for the parties, more convenient for the witnesses and makes better use of adjudicative resources.

While Aviva acknowledges that a multiplicity of proceedings should generally be avoided, it says that the issue of non-earner benefits is new, discrete and “in no way” connected or affected by the determination of issues currently in dispute. I reject that argument. To have the same parties bring the same evidence of the same injuries from the same accident to two different tribunals is indisputably a duplication of resources for the parties, witnesses, the tribunals and any reviewing bodiesThere are issues of credibility, causation and disability common to both. To allow separate proceedings creates a risk of inconsistent findings and increases costs for the parties and the administration of justice.

[]

Conclusion 

For these reasons, I am satisfied that I have the jurisdiction to add an issue to this arbitration and that to do so is the fairest way of proceeding. 

I dismiss Aviva’s preliminary issue motion precluding Mrs. Abbas from adding an issue after April 1, 2016.

Al-Khunfusi and Aviva 2017-01-09 Arbitration, Preliminary Issue, FSCO 5109

Aviva argues the opposite — that the April 2016 amendments created an expectation in the industry that issues may not be added to existing arbitrations. I give little weight to this argument. Aviva did not lead evidence or argue that there has been a regular and established practice at FSCO of prohibiting parties from adding issues after April 1, 2016. Moreover, the practice of adding issues was common at FSCO long before April 2016 and, as such, appears to me to be more established than any expectation that may have been created after the April 2016 amendments. As such, the expectation that the practice continue is more reasonable and legitimate, in my view, than any expectation to the contrary.

            Supported by the SPPA

In addition, I agree with Mr. Al-Khunfusi that FSCOs practice of adding issues is supported by its obligations to uphold procedural fairness under the Statutory Powers Procedure Act.[6] Section 2 of the SPPA provides that the SPPA, and any rule made by a tribunal, shall be liberally construed so as to secure the just, most expeditious and cost-effective determination of every proceeding on its merits. The SPPA also grants a tribunal the power, under subsection 25.0.1, to determine its own procedures and practices and, for that purpose, permits tribunals to make orders with respect to the practices and procedures that apply in any particular proceeding. 

Consequently, I reject Avivas assertion that FSCO would breach section 2 of the SPPA by adding issues to arbitrations. This argument delegitimizes FSCO’s processes and procedures. If Aviva were correct, then FSCO would have been in breach of the SPPA for years.

PTSD: Beyond Trauma this Thursday on CBC

The facts are going to surprise you. Mention PTSD in almost any conversation and the immediate thought, the immediate image that will form in your brain is that of military men and women all too often in the news and all too often the news isn’t good. But the facts are, PTSD hits more civilians than soldiers, and more women than men.
 

Your Health Privacy Rights in Ontario

Ontario’s health privacy legislation, the Personal Health Information Protection Act (PHIPA), establishes a set of rules regarding your personal health information (PHI).

https://www.ipc.on.ca/health/your-health-privacy-rights-in-ontario/

Law professor questions whether contingency fees benefit clients

An Ontario law professor has conducted a study in which he concludes that contingency fee arrangements are a better deal for lawyers than their clients.

http://business.financialpost.com/legal-post/law-professor-questions-whether-contingency-fees-benefit-clients