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Certas Direct Insurance Company v. T.T. (17-000272)

  • December 18, 2017

The insurer sought repayment of income replacement benefits, asserting the claimant failed to disclose post-accident income. The claimant did not participate in the hearing. Adjudicator Sandeep Johal determined that the claimant was indeed employed during the payment period, and that the insurer had given adequate and timely notice regarding repayment. Furthermore, the claimant committed a willful misrepresentation when he informed his IE assessors that he did not return to work. Accordingly, the insurer’s claim for repayment was allowed with interest.

Full decision here

TGP Analysis

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  • FILED UNDER Repayment, Material Misrepresentation
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