FAQ Group: Denied/Terminated

Why do I have 2 lawsuits arising out of the same Motor Vehicle Accident? by Patricia Santucci

You may hear your lawyer talking about your “tort” case and your “accident benefits” case. In Ontario you are entitled to accident benefits through your own insurance company. Sometimes you have to sue your own insurance company if they wrongfully deny or cut off your benefits, or if you disagree about the amount of benefits […]

What happens if I do not agree with my insurance company’s decision regarding my accident benefits? by Patricia Santucci

If your insurance company denies your claim for benefits, or cuts off your benefits, or if you disagree about the amount of the benefits that you do receive, you can access a dispute resolution service, which is provided by the Financial Services Commission (FSCO). FSCO is a government body and its dispute resolution services include […]

What if I refuse treatment or refuse to follow advice to go back to work? by Patricia Santucci

If you refuse to participate in rehabilitation or treatments that are reasonable, then your insurance company will be entitled to deny or cut off your accident benefits. If you are able to return to work or to obtain other employment for which you are trained but do not make a reasonable effort to do so, […]

What is an insurer examination? by Patricia Santucci

Your insurance company can send you to an insurer examination, which is with an independent examiner. They do this in order to obtain an opinion on your condition and/or the treatment that you require to get better. The insurer examinations are conducted by regulated health professionals. Your insurance company is obligated to send you a […]

Does anything disqualify me from receiving Accident Benefits? by Patricia Santucci

The legislation sets out specific circumstances that disqualify you from receiving certain accident benefits. These situations include: – driving without a valid driver’s license – driving a vehicle when you knew or should have known that you were driving without the owner’s consent – being a passenger who knew or should have known that the […]