A.V.de V. v. Intact Insurance Company (16-002061)

The claimant sought an adjournment of the LAT hearing after receipt of insurer addendums occurred two weeks before the hearing. Those addendums were completed late in the process because the claimant had himself served the insurer with s.25 reports just five weeks prior. Vice Chair Flude concluded that an adjournment was warranted to allow a full hearing on the merits. He also ordered both the claimant’s assessors and the insurer’s assessors to produce their entire files and records.

M.T. v. Optimum Insurance Company (16-002744)

In advance of the scheduled LAT hearing, the insurer sought the production of the complete clinical notes and records from a variety of medical practitioners. Adjudicator Markovits rejected the insurer’s motion, reasoning that the Case Conference adjudicator clearly set out the documents that the parties had agreed to exchange prior to the hearing. The newly requested records were not discussed during the LAT Case Conference. The insurer was obliged to list the documents it was seeking at that time.

S-A. A. v. TD General Insurance Company (16-004361)

The claimant had sought production of all of clinical notes and records of the insurer’s IE assessors prior to the LAT hearing. Those records had not been produced in accordance with the Case Conference order. The claimant sought an order extending the deadline for his opening statements. Adjudicator Lester granted the claimant’s motion and issued a further Order setting out the dates by which all documents must be produced, and stated that any records not produced by a particular date could not be considered by the hearing adjudicator.

M.R. v. Aviva Insurance (16-001739)

The insurer filed a motion in advance of the LAT hearing seeking an order for unredacted clinical notes and records and OHIP summary. Adjudicator Lester declined to make an order in advance of the hearing and directed the parties to argue the motion before the hearing adjudicator.

M.R. v. Aviva Insurance (16-001739)

The insurer filed a motion in advance of the LAT hearing seeking an order for unredacted clinical notes and records and OHIP summary. Adjudicator Lester declined to make an order in advance of the hearing and directed the parties to argue the motion before the hearing adjudicator.

D.R. v. Echelon Insurance (16-004276)

The claimant sought an extension of time for submissions to commission an affidavit and psychiatric report. The Tribunal was advised that the claimant’s mental health had severely declined. The insurer did not file submissions. Vice Chair Hunter granted the extension.

S.L.L. v. Certas Home and Auto Insurance Company (16-000213)

One day before the scheduled hearing, the claimant’s counsel notified the LAT and the insurer that the claimant had travelled to China for a family emergency. The hearing was adjourned to a later date, which neither the claimant nor his counsel attended. The insurer sought the dismissal of the claim as abandoned. Adjudicator Gottfried held that the claimant’s actions prevented the efficient, proportional, and timely resolution of the claim, and dismissed the matter as abandoned. No costs were awarded.

Applicant v. Wawanesa Mutual Insurance Company (16-000324)

Following the claimant’s success in entitlement to a claimed medical benefit, the insurer sought reconsideration on the basis that the LAT adjudicator should not have admitted late medical documents. Executive Chair Lamoureux held that the Tribunal maintained the discretion to admit any late materials. Further, she wrote that the insurer should have objected to the late documents upon receipt of the late documents, rather than waiting until it filed its submissions on the merits of the claimant’s case.

Y.S. v. The Guarantee Company of North America (17-000781)

The claimant failed to participate in the initial LAT Case Conference or the resumed Case Conference. Adjudicator Markovits dismissed the claim over the objections of the claimant’s counsel.

Applicant v. Wawanesa Mutual Insurance Company (16-000324)

Following the claimant’s success in entitlement to a claimed medical benefit, the insurer sought reconsideration on the basis that the LAT adjudicator should not have admitted late medical documents. Executive Chair Lamoureux held that the Tribunal maintained the discretion to admit any late materials. Further, she wrote that the insurer should have objected to the late documents upon receipt of the late documents, rather than waiting until it filed its submissions on the merits of the claimant’s case.