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Investigation into auto body repairs reveals inflated charges, incomplete work

It started with a customer complaint after a minor fender bender. It ended with an alarming investigation.

A Toronto driver claimed an auto body shop deliberately damaged his vehicle in order to charge his insurance company more money for the repairs.

https://www.ctvnews.ca/w5/inve stigation-into-auto-body-repai rs-reveals-inflated-charges- incomplete-work-1.3836092

Insurance company uncovers ‘pervasive’ auto body shop scams in Ontario, urges action

Workers at auto body shops deliberately damaged cars, installed used parts but billed for new ones, or invoiced for phantom repairs, according to an investigation by a Canadian insurer that is calling on the government to help in curbing the problem.

http://www.cbc.ca/news/canada/ toronto/insurance-company-unco vers-pervasive-auto-body-shop- scams-in-ontario-urges-action- 1.4571582

What If My Insurance Broker Doesn’t Tell Me About Optional Benefits?

As previously discussed on the OTLA Blog, everyone should consider buying optional automobile insurance Accident Benefits.

In 2016, Accident Benefits were slashed by the Ontario Government.  But, consumers can buy back the old coverage levels (and more) by purchasing optional benefits.

http://otlablog.com/insurance- broker-doesnt-tell-optional-be nefits/

Decision in insurance case a big win for the ‘little guy’

A recent case in which an insurance company was ordered to pay more than $230,000 in legal costs to an elderly woman it dragged through the courts for nine years is not only a nice win for the little guy, but an example of what personal injury lawyers are up against, Ottawa personal injury lawyer David Hollingsworthtells AdvocateDai ly.com.

http://www.advocatedaily.com/d avid-hollingsworth-decision-in -insurance-case-a-big-win-for- the-little-guy.html

Why hiring more judges won’t necessarily speed up the justice system

The under-resourcing of the backlogged criminal justice system has become a courtroom battle cry in Ontario, with some judges routinely calling on the government to loosen the purse strings so more of them can be hired.

https://www.thestar.com/news/g ta/2018/03/09/why-hiring-more- judges-wont-necessarily-speed- up-the-justice-system.html

The new Canada caregiver credit

Do you support a spouse or common-law partner, or a dependant with a physical or mental impairment? The Canada caregiver credit (CCC) is a non-refundable tax credit that may be available to you.

The CCC combines three previous credits: the caregiver credit, the family caregiver credit, and the credit for infirm dependants age 18 or older. If you previously claimed any or all of these credits and your situation remains the same as in 2016, then your 2017 CCC claim will stay about the same as in 2016. In some cases, your claim may increase.

https://www.canada.ca/en/reven ue-agency/services/tax/individ uals/topics/about-your-tax- return/tax-return/completing- a-tax-return/deductions- credits-expenses/family- caregiver-amount.html

The other opioid crisis: Doctors weaning patients off much-needed painkillers

For the past 15 years, John has relied on a doctor-prescribed dose of opioids to numb his chronic pain and help him function in day-to-day life.

But after new guidelines were released amid a nation-wide spate of opioid-linked deaths, John’s doctor single-handedly decided it was time for him to cut back.

https://www.ctvnews.ca/health/ the-other-opioid-crisis-doctor s-weaning-patients-off-much- needed-painkillers-1.3837163

The Costs of Acquired Brain Injury in Ontario

Every year, about 18 thousand people in Ontario sustain a brain injury. Due to advances in medical treatments and technology, many now survive a brain injury who would have previously died. However, the costs of care for a brain injured person can be astronomical, both financially and emotionally, and family members often play a substantial role in care and recovery.

https://www.ilolaw.ca/blogpost /the-costs-of-acquired-brain- injury-in-ontario

Can a insurer Doctor certify and admit a plaintiff to hospital against their will?

They could try and if nothing else they can intimidate innocent and sometimes brain injured car accident survivors into believing it may happen. Medical examination consent forms used in personal injury cases raises some serious questions about how car accident victims are intimidated by their insure’s choice of medical assessor and by the consent forms they are pressured into signing. How would you feel if you were faced with this form after being injured?

Consent form IME psychiatric 2018

Lipovetsky v. Sun Life Assurance Company of Canada, 2018 ONSC 1664 (CanLII), <http://canlii.ca/t/hqxs0

[1]               The defendant brings this motion for an order compelling the plaintiff to attend an independent medical examination with Dr. Bentley or another doctor with a specialty in physiatry and an independent psychiatry examination with Dr. Siu without conditions attached to those attendances.   The defendant also seeks its costs thrown away as a result of the plaintiff’s failure to attend the IME that had been scheduled with Dr. Bentley on 31 January 2018.

[2]               The plaintiff is prepared to attend those IMEs but on conditions, namely that she be allowed to bring a companion with her to each IME as a support person to her and that she be allowed to audio record the examinations.

[3]               In the negotiation of these IMEs, counsel for the defendant took no position on the plaintiff’s request that she attend with a support person.  Counsel indicated that it would advise the doctors that the plaintiff may bring someone with her but that it would be up to the doctor whether he allowed the friend into the examination room.  In response to the plaintiff’s position, Dr. Bentley has advised that he does not allow for individuals to be present during an examination.

[4]               Defence counsel objects to the audio recording of the IME.  At the conclusion of the motion, I was advised that Dr. Siu has withdrawn as the potential psychiatry IME doctor.  As a result, the plaintiff has also withdrawn her request to audio record the psychiatric examination, given it is no longer being carried out by Dr. Siu.  Only the audio recording of Dr. Bentley is in issue.

[5]               Both the recording and the attendance of a companion are in the discretion of the court.  Rule 33.03 provides that the court may, on motion, determine any dispute relating to the scope of an examination.  That has included whether an examination may be recorded.  On the issue of a companion attending the examination, the starting point, as set out in Rule 33.05, is that no other person can be present at the IME, unless the court orders otherwise.  The cases are clear that these orders and terms are fact specific.

Miscellaneous

[21]           There was evidence in the record of consent forms that where required by either Dr. Siu or Dr. Bentley that contained terms outlining at least what Dr. Siu saw his professional obligation and to which he required the plaintiff’s consent.  While the plaintiff viewed those forms as consents, what they are are acknowledgements of the limitations on confidentiality in the circumstances of the examination.  For instance, one term particularly troubling to the plaintiff was that Dr. Siu could certify and admit the plaintiff to hospital against her will for psychiatric treatment if he felt she was a danger to herself.  The plaintiff is not prepared to sign such a form as a condition of the defendant’s chosen doctor conducting an IME.

[22]           As cited in Tanguay v. Brouse (2002) 20 C.P.C. (5th) 376 (S.C.J.):

In Bellamy v. Johnson, the court made the distinction in roles between that of a doctor conducting a defence medical assessment under s. 105 of the Courts of Justice Act and a doctor examining a patient within the bounds of the traditional doctor-patient relationship. That distinction lies at the core of this decision. In my view, a medical examination conducted under s. 105 of the Courts of Justice Act and Rule 33 enables a health practitioner in Ontario to (a) carry out the examination and (b) report his/her findings to the adversary of the party examined without fear of successful prosecution for professional misconduct based on the absence of written consent to do either or both of (a) and (b).

[23]           I adopt the dicta of Valin, J. in Tanguay, as follows:

I am of the view that s. 105 of the Courts of Justice Act and Rule 33 contain a complete code and procedure for court ordered medical examinations in Ontario. Neither s. 105 of the Act nor Rule 33 contain a requirement that the party being examined execute any consent, authorization or agreement presented by an examining health practitioner in advance of or during an examination.

[24]           I hold that the plaintiff is not required to sign a release, consent or agreement as a condition of undergoing the IMEs.

Car Insurance Fraud

Car insurance fraud continues to be huge business in Ontario. According to the Insurance Bureau of Canada it cost Ontario drivers $1.6 Billion dollars last year. To make that more personal, it means about $235 of your car insurance premium goes to paying for the fraud. We are paying for a lot of cheaters. I have posted extensively about the fact that Ontario drivers pay some of the highest premiums in the country. Stopping fraud would have a big impact on the claims we pay.

https://www.deutschmannlaw.com/blog/post/car-insurance-fraud