Approved Services Received Pursuant To Approved Treatment And Assessments Plans Should Always Be Paid By Accident Benefit Insurers

Approved Services Received Pursuant To Approved Treatment And Assessments Plans Should Always Be Paid By Accident Benefit Insurers Ontario car accident victims are entitled to reasonable and necessary treatment paid for by their accident benefit insurer, albeit subject to various limitations set out in the legislation. To ensure that the accident benefit insurer is legally bound to pay for required treatment, healthcare providers must submit treatment and assessment plans (called OCF-18s) to the … Continued

Mandamin v. Pafco: You cannot SOLELY dispute a CAT denial at the LAT

Posted August 29, 2017

Deanna Gilbert In the decision of Mandamin v. Pafco Insurance Company, released on July 31, 2017, an Arbitrator at the Financial Services Commission of Ontario (“FSCO”) held that the Licence Appeal Tribunal (“LAT”) does not have the jurisdiction under s. 280(1) of the Insurance Act to hear an Arbitration that solely involves a dispute over whether or … Continued