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Economical Mutual Insurance Company (17-002716)

  • January 11, 2018

The insurer sought repayment of overpaid income replacement benefits, as well as the cancellation fee for a missed examination under oath. Adjudicator Sandeep Johal reviewed the evidence of the insurer and determined that it failed to establish the claimant made a willful misrepresentation resulting in an error. Because a willful misrepresentation was not established, repayment could not be ordered. Moreover, the insurer did not provide any legal authority to order the payment of cancellation fees for a missed EUO. Accordingly, the insurer’s claims were dismissed.

Full decision here

TGP Analysis

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  • FILED UNDER Repayment
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150 York Street, Suite 1800
Toronto, Ontario M5H 3S5

416.507.1800

416.507.1850

eodonnell@tgplawyers.com