We held the Insurer responsible for failing to respond to our client’s claim within the prescribed timelines.

In I.V. v Intact Insurance Company, the Tribunal agreed with Mr. Mortezaei’s submissions that the insurance company failed to respond to our client’s much-needed treatments within the prescribed timelines of the Statutory Accident Benefits Schedule. The Adjudicator ordered payment of incurred medical expenses in favour of our client.

Under the law in Accident Benefits, an insurance company must respond to a treatment plan within 10 business days. In this case, the insurance company did not respond within 10 days. Therefore, the Tribunal concluded that the insurance company did not comply with relevant regulations, as we had correctly predicted.

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