Pare v. TD Insurance et al., 2025 ONSC 5788

On summary judgment about competing OPCF 44R endorsements, the Court held that the plaintiff qualified under his employer’s Allstate policy but not under his father’s TD motorcycle policy. Section 22 makes the 44R a change form with priority where it provides otherwise, and section 1.6(b) effectively defines “other automobile” and limits exclusions to vehicles owned or leased by the named insured, not to regular or frequent use. That ousted OAP 1 Special Condition 6.

Reading Kahlon and Hesch together, the court found that the plaintiff satisfied Allstate’s 1.6(b) definition of “insured person,” so Allstate’s 44R responded. Under the TD policy, the plaintiff did not meet 1.6(a)’s “insured person” definition once the proviso regarding coverage under another 44R was applied. Ultimately, only Allstate owed 44R benefits, and TD was entitled to reimbursement of the settlement it had paid.

Rodriguez-Vergara v. Lamoureux, 2025 ONCA 620

The Court of Appeal affirmed a Rule 21 determination on insurance priority. After the at-fault driver’s $300,000 automobile liability limits were exhausted, the plaintiff’s OPCF 44R responded next up to $700,000, with the defendant’s personal liability umbrella policy (PLUP) responding only thereafter. The court accepted that policy-interpretation issues were questions of law reviewed for correctness and saw no basis to interfere.

Interpreting s. 7 of the OPCF 44R within Ontario’s regulated automobile insurance scheme, the court held that “insurers of the inadequately insured motorist” referred to motor vehicle liability insurers and instruments in lieu of such insurance, not to a PLUP. The court concluded it would be incoherent to cap the OPCF 44R by reference to “motor vehicle liability insurance” while also ranking it behind non-automobile coverages.

The court also upheld the motions judge’s conclusions that the OPCF 44R insurer could not deduct the PLUP limits in calculating what it owed, could not subrogate against the at-fault defendants for amounts paid under the OPCF 44R, and could not issue a third-party claim against the PLUP insurer.

Tuffnail v. Meekes, 2020 ONCA 340

The plaintiff was severely injured in a motor vehicle accident after he and the driver of his vehicle were overserved at a wedding. The trial judge originally concluded that the OPCF-44 defendant, State Farm, was required to pay $800,000.00 (being the $1 million auto insurance limit less the $200,000.00 available from the driver). The Court of Appeal reversed that aspect of the decision and held that the OPCF-44’s exposure could take into account the available insurance from the bartender, even though the bartender was a third party to the action, having been sued by State Farm, rather than the plaintiff. The Court of Appeal also rejected the trial judge’s conclusion that the bartender was severally liable only to the wedding host. The Court explained that while State Farm had no independent right to claim against the bartender (and therefore could not claim contribution and indemnity under s.1 of the Negligence Act), it did have a right of subrogation under the terms of the OPCF-44 and s. 278 of the Insurance Act. In essence, State Farm “stepped into the shoes” of the plaintiff to claim against the bartender, making his policy available and to be deducted from the net exposure to State Farm.

Hartley v. Security National Insurance Company, 2017 ONCA 715

The Plaintiff was involved in a MVA in Minnesota and sued the state for compensation. He received the maximum allowable payment under Minnesota law of $500,000.00. Given his significant injuries, the Plaintiff brought an action against his own Ontario insurer, Security National, under the OPCF44. The motion judge ordered Security National to pay the Plaintiff up to its limits of $1 million and awarded the Plaintiff special damages equivalent to the costs he paid to his US lawyers (approximately $114,000.00). On appeal, the Ontario Court of Appeal upheld the order regarding the first issue and agreed that Minnesota was an “inadequately insured motorist” under the OPCF44. The Court of Appeal reversed on the second issue and held that the OPCF44 did not require the insurer to pay special damages to compensate the Plaintiff for legal fees that he incurred in pursuing his claim in Minnesota.