Sentences with phrase «statutory accident benefit insurer»

Not exact matches

The Plaintiff applied for and received statutory accident benefits from her insurer, for the total amount of $ 45,641.00.

(3) A second party insurer under a policy insuring a heavy commercial vehicle is obligated under section 275 of the Act to indemnify a first party insurer unless the person receiving statutory accident benefits first party insurer is claiming them under a policy insuring a heavy commercial vehicle.

This creates tremendous risk and exposure to the insurer because of the «open ended» nature of its statutory obligation and creates a tremendous incentive to negotiate a «cash out» of accident benefit claims.

It would also include experts retained by a non-party to the litigation (for example, statutory accident benefits («SABS») insurers), who form opinions based on personal observations or examinations relating to the subject matter of the litigation for a purpose other than the litigation (referred to in these reasons as «non-party experts»).

(2) If an insurer in respect of which a winding - up order has been made under the Winding - up and Restructuring Act (Canada) is liable to pay statutory accident benefits, the benefits, including any benefits that were outstanding at the time the order was made, shall be paid out of the Motor Vehicle Accident Claims Fund.

(8) Where the Statutory Accident Benefits Schedule provides that the insurer will pay a particular statutory accident benefit pending resolution of any dispute between the insurer and an insured, the insurer shall pay the benefit until the dispute is Statutory Accident Benefits Schedule provides that the insurer will pay a particular statutory accident benefit pending resolution of any dispute between the insurer and an insured, the insurer shall pay the benefit until the dispute is statutory accident benefit pending resolution of any dispute between the insurer and an insured, the insurer shall pay the benefit until the dispute is resolved.

268.0.1 (1) The making of a winding - up order in respect of an insurer under the Winding - up and Restructuring Act (Canada) shall not be taken into account in determining under section 268 whether the insurer is liable to pay statutory accident benefits.

(5) Despite subsection (4), if a person is a named insured under a contract evidenced by a motor vehicle liability policy or the person is the spouse or a dependant, as defined in the Statutory Accident Benefits Schedule, of a named insured, the person shall claim statutory accident benefits against the insurer under thaStatutory Accident Benefits Schedule, of a named insured, the person shall claim statutory accident benefits against the insurer under thatBenefits Schedule, of a named insured, the person shall claim statutory accident benefits against the insurer under thastatutory accident benefits against the insurer under thatbenefits against the insurer under that policy.

288.4 (1) The holder of a service provider's licence is eligible to be paid directly by an insurer for listed expenses in connection with statutory accident benefits.

(3) An insurer against whom a person has recourse for the payment of statutory accident benefits is liable to pay the benefits.

if recovery is unavailable under subparagraph i or ii, the occupant has recourse against the insurer of any other automobile involved in the incident from which the entitlement to statutory accident benefits arose,

10.4 governing the procedure for determining who is liable to pay statutory accident benefits under section 268, including requiring insurers to resolve disputes about liability through an arbitration process established by the regulations and requiring the interim payment of benefits pending the determination of liability;

(3) It is a condition of a service provider's licence that the licensee is required to submit invoices to the applicable insurer, or to such other person or entity as the insurer directs, for payment of listed expenses in connection with statutory accident benefits.

In any action in Ontario against the licensed insurer or its insured arising out of an automobile accident in Ontario, the insurer shall appear and shall not set up any defence to a claim under a contract made outside Ontario, including any defence as to the limit or limits of liability under the contract, that might not be set up if the contract were evidenced by a motor vehicle liability policy issued in Ontario and such contract made outside Ontario shall be deemed to include the statutory accident benefits referred to in subsection 268 (1).

(5.2) If there is more than one insurer against which a person may claim benefits under subsection (5) and the person was, at the time of the incident, an occupant of an automobile in respect of which the person is the named insured or the spouse or a dependant of the named insured, the person shall claim statutory accident benefits against the insurer of the automobile in which the person was an occupant.

(4) If, under subparagraph i or iii of paragraph 1 or subparagraph i or iii of paragraph 2 of subsection (2), a person has recourse against more than one insurer for the payment of statutory accident benefits, the person, in his or her absolute discretion, may decide the insurer from which he or she will claim the benefits.

Her current practice focuses on the defence of statutory accident benefits claims, including acting on behalf of auto insurers in loss transfer and priority disputes between insurers, and tort claims.

Your own auto insurer will provide your statutory accident benefit coverage.

He acted as lead counsel in this case where the insurer had denied that D.M. had been involved in an «accident» in accordance with the definition sections of the Statutory Accident Benefits Schedule.

(9) Clause (2)(a) shall not be interpreted as prohibiting an additional examination of the applicant under oath, under Ontario Regulation 283/95 (Disputes Between Insurers) made under the Act, at the insurer's request that is conducted for the purpose of determining who is liable under section 268 of the Act to pay statutory accident benefits in respect of the accident.

if recovery is unavailable under subparagraph i or ii, the non-occupant has recourse against the insurer of any automobile involved in the incident from which the entitlement to statutory accident benefits arose, iv.

30 days after the accident â $ «The injured person must complete their application for statutory accident benefits with their own auto insurer.

The decision in Intact Insurance Company v. Allstate Insurance Company of Canada, 2016 ONCA 609 involved an insurance arbitrator's determination of a priority dispute between two insurers concerning the payment of statutory accident benefits.

As of December 1, 2014, service providers who submit OCF - 21 forms through Health Claims for Auto Insurance (HCAI) must be licensed with the Financial Services Commission of Ontario (FSCO) to invoice and receive direct payment from automobile insurers for specific «listed expenses» in connection with statutory accident benefits.

The other was a «priority dispute» between insurers in the statutory accident benefits context to determine which insurer was responsible to pay SABs to the accident victims.

This appeal arose in the context of a dispute between insurers with respect to the payment of statutory accident benefits («SABS»), and the determination by the arbitrator of a preliminary issue.

As of December 1, 2014, service providers who submit OCF - 21 forms through Health Claims for Auto Insurance (HCAI)[New Window] must be licensed with the Financial Services Commission of Ontario (FSCO) to invoice and receive direct payment from automobile insurers for specific «listed expenses» in connection with statutory accident benefits.

• Employment disputes; • Contract disputes; • Property disputes; • Bodily injury claims; • Tax issues; • Legal defence; • Total loss valuation disputes arising from motor vehicle accident; • Statutory Accident Benefit claims against your automobile insurer; • Driver's licence protection • Issues arising from driving or being a passenger in vehicles owned by another person; • Court attendance expenses.

FSCO regulates the insurance sector; pension plans; loan and trust companies; credit unions and caisses populaires; the mortgage brokering sector; co-operative corporations in Ontario; and service providers who invoice auto insurers for statutory accident benefits claims.