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D.M. v. Certas Direct Insurance Company (17-000180)

  • January 30, 2018

The insurer requested a preliminary issue hearing as to whether the incident in question was an automobile accident. The claimant had sustained injuries after she slipped and fell next to the passenger door of her parked vehicle. The claimant had sought benefits under the SABS, which the insurer denied as the incident did not qualify as an “accident.”  Adjudicator Anwar held that the incident was not an accident for the purposes of the SABS as the dominant feature causing the claimant’s injuries was the slip and fall itself, and the vehicle was not closely involved in the incident.

Full decision here

TGP Analysis

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  • FILED UNDER Accident Definition
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