A rehabilitation clinic is not entitled to bring an action against an insurer for payment of treatment to an insured until the insured's action against his insurer is resolved

A rehabilitation clinic that provided services to two individual Insureds brought an action against the Insureds and their Insurer for payment for services rendered. The Court found that pursuant to section 258(1) of the Insurance Act, R.S.O. 1990, c. I.8, a judgment against the Insured was a prerequisite to bringing an action against the Insurer. The current action was therefore premature against the Insurer, but the Court entered judgment against the individual Defendants.

 1489018 Ontario Ltd. v. Vasile [2006] O.J. No. 5187.  Ontario Superior Court of Justice.  C.W. Kilian Deputy J.   December 29, 2006.

 

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First party benefits received by a plaintiff under his own automobile insurance policy are deductible from a tort award arsising from the accident that he was injured in.

The New Brunswick Court of Appeal dismissed an appeal by the Plaintiff from a dismissal of his application for an order declaring that no-fault insurance benefits were not deductible from his award for past income loss.

Williams v. Brown [2006] N.B.J. No. 583.  New Brunswick Court of Appeal.   J.E. Drapeau C.J.N.B., M.E.L. Larlee and A. Deschênes JJ.A.  December 28, 2006.

Here is a link to the decision.

 

 

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Failure by an insured to disclose that she underwent chest x-rays for an enlarged heart resulted in a denial of life insurance benefits

Ms. Quinn died of a heart attack.  She had life insurance policy with Canada Life Assurance Co.  Her husband was denied recovery of benefits by Canada Life because his wife failed to disclose material facts in her application which would have resulted in it refusing to issue the policy.   Specifically when asked if she had had an xray within the last five years in her application she did not disclose that she had had a chest x-ray for an enlarged heart.  Mr. Quinn brought an application to compel Canada Life to pay benefits under the life insurance policy.  He was awarded $150,000 at trial, but the Court of Appeal overturned the award ruling that the policy was voided by Ms. Quinn's failure to disclose the chest x-ray.

The case reference is: Quinn v. Canada Life Assurance Co. [2006] B.C.J. No. 3271, the British Columbia Court of Appeal.  December 21, 2006.

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A claim for benefits under a contract of insurance is not a tort claim, and the law governing the jurisdiction where the loss occurred may not necessarily modify the contract of insurance.

An Insurer appealed an arbitrator’s finding that the loss transfer provision in the Ontario Insurance Act applied to the Insurers in relation to a motor vehicle accident which occurred in Vermont. The Court upheld the arbitrator’s decision but disagreed with the arbitrator’s reasoning. On the basis of Unifund Assurance Co. Insurance Corp. of British Columbia, [2003] 2 S.C.R. 63, the Court found that that the loss transfer provision was applicable because a claim under the loss provision section of the Act was separate and distinct from the underlying tort action.

The citation is: Royal & Sunalliance Insurance Co. v. Wawanesa Mutual Insurance Co. [2006] O.J. No. 5131.  Ontarion Superior Court.  December 21, 2006.

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An insured was entitled to business interruption coverage and expenses under it's business interruption insurance when it's supplies were disrupted by an explosion at their suppliers plant.

The Insured brought an action under its policy for recovery of contingent business interruption and contingent extra expenses following an explosion at a plant which provided the Insured with its raw materials. The Insurer denied the claim on the basis that the damaged facility was not a "supplier", that the curtailment of production was not reasonable, and the decision to shut down the plant was related primarily to performing maintenance. The Court found that the loss was covered under the policy.

Neste Canada Inc. v. Allianz Insurance Co. of Canada  [2006] A.J. No. 1660.  Alberta Court of Queen’s Bench.   Rowbotham J.  December 20, 2006.

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Injuries arising from nervous shock are recoverable under the Uninsured Motorist Claims Fund

A young woman suffered nervous shock after watching her cousin be struck and killed by an uninsured motor vehicle.   A dispute arose as to whether the young woman's insurer or the Uninsured Motorist Claims Fund would be responsible for the damages.  The trial judge determined that the Uninsured Motorist Fund was responsible for compensating the young women.  The finding was upheld on appeal.

The case reference is: LeBlanc v. Wawanesa Mutual Insurance Co. [2006] N.S.J. No. 508, the Nova Scotia Court of Appeal.  December 18, 2006.

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In order to obtain coverage from an uninsured motorist insurer, the owner of the vehicle must rebut the presumption that their vehicle was operated with their consent

The Court found that the owner of a van which struck the Plaintiff during a robbery failed to rebut the statutory presumption that the van was being operated with the owner’s consent when the Plaintiff was injured. Pursuant to s. 144(1) of the Insurance Act and s. 248(3) of the Motor Vehicle Act, the owner’s liability insurer was therefore liable to pay the Plaintiff’s damages.

The case reference is: Morash v. Burke [2006] N.S.J. No. 503, the Nova Scotia Supreme Court, R.W. Wright J.  December 14, 2006.

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Compensation for mental distress awarded as damages for breach of a disability insurance contract

An Insured under a disability insurance policy (“Rowe”) claimed for damages resulting from the mental distress of having their claim for insurance denied.  After the initial reasons for judgement were released the Supreme Court of Canada released its decision in Fidler v. Sun Life Assurance Co. of Canada.  Rowe then brought an application requesting the Court vary the award to include damages for mental distress.  The Court awarded $30,000 in damages for mental distress. 

The case reference is: Rowe v. Unum Life Insurance Co. of America [2006] O.J. No. 4937, the Ontario Superior Court of Justice, H.S. Polowin J.  December 11, 2006.

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A CGL Policy does not extend coverage to customer's equipment brought onto an insured farm

Bremner Farm sold and repaired farm equipment.  Customers would leave equipment at the farm while it was being repaired.  A fire damaged the farm and some of the customer's equipment.  Coverage under a commercial general liability policy was denied to the customers on the basis that third party personal property under Bremner Farms care and control was excluded by the policy.

The case reference is: Bremner Farms Ltd. v. Economical Mutual Insurance Co. [2006] B.C.J. No. 535, New Brunswick Court of Queen's Bench, G.S. Rideout J.  December 8, 2006.

Here is a link to the decision [francais].

 

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Realtors are not insured for damages caused to customer's homes

A Realtor burned down a house that he was showing.  He was sued by the owner of the house.  The Realtor was insured by a standard homeowners policy.  He brought an application to compel his insurer to defend the lawsuit that was brought against him by the owner of the house.  The Court allowed his application and compelled the insurer to defend the lawsuit.  The insurer appealed.  The appeal was allowed.   The Court of Appeal determined that the realtor's claim was not covered by his insurance policy as he had care, custody, and control of the home at the time of the damage.

The case reference is: Fiaklow v. the Personal Insurance Co. [2006] A.J. No. 1530, the Alberta Court of Appeal.  December 8, 2006.

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A condominum corporation is entitled to subrogate against their general contractor, even though the general contractor is a unit holder in the corporation.

The Alberta Court found that the provisions of the Condominium Property Act, the applicable Bylaws, and the applicable insurance policies did not bar a claim by the Plaintiff Condominium Corporations against their general contracting company which was also a unit holder and they were entitled to subrogate against it.

The case reference is: Condominium Corp. No. 9813678 v. Statesman Corp. [2006] A.J. No. 1578, Alberta Court of Queen’s Bench, Wittmann A.C.J.Q.B.  December 7, 2006.

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