If there is a conflict of interest between an insurer and an insured, the insured may be entitled to counsel of his or her choice in defending an action commenced against him or her

02. July 2009 0
An application by the Insured for an order declaring that the Insurer defend and indemnify him and that he be permitted to appoint counsel of his choice was allowed. The Court found that the issue of the Insurer’s duty to defend and indemnify was res judicata, having already been decided in favour of the Insured on ...

Misrepresenting the identity of the prinicipal operator of a vehicle can invalidate the insurace

Mr. Teap had been involved in six at-fault motor vehicle accidents. When renewing the insurance on his 2000 BMW under his company name, he stated that there was no principal operator assigned to the BMW. After an investigation following subsequent damage to his car, ICBC denied coverage. The Judge found that Teap knowingly misrepresented that there would be ...

An insurer is responsible for paying for the defence of an insured claim, but may not have to pay costs associated with an uninsured portion of an insured claim

Dunn, an executive covered by a Liability and Indemnification policy issued by Chubb with a policy period commencing November 1999, sought to have defence costs in respect of allegations of fraud and misconduct that took place in 2001, as well as misconduct allegations that took place in 2002/2003 paid for by Chubb. The claim was dismissed. ...

In Ontario, the first insurer to receive an application for benefits must pay the benefits, even if no policy is in place, pending a coverage arbitration

08. March 2009 0
Lombard Canada Limited, whose policy on the Insured expired two months prior to an accident, was found to be liable to pay benefits as it was the first insurer in receipt of a benefits application.  Under a no-fault statutory insurance scheme, whereby an insured party is entitled to compensation for a portion of financial loss ...

Notice that a claim has been denied does not have to be accompanied by a layman’s explanation of the legal ramifications of the denial

05. March 2009 0
The Plaintiff, Golic, was injured in an motor vehicle accident in 1995.  He received benefits for a period of time, and in 2000, ING Insurance, on behalf of its predecessor company, Guardian Insurance Company of Canada, sent Golic a detailed letter denying further benefits.  In 2008, Golic applied to the Superior Court of Justice for ...

Independent medical examinations and surveillance obtained in one action cannot be disclosed in a different action without a court order

02. March 2009 0
The Plaintiff, Kitchenham, was successful in her action against her insurer who tried to compel the production of an IME report and video taped surveillance of her that was obtained through the discovery process in a previous, but related action. Kitchenham v. Axa Insurance Canada, [2008] O.J. No. 5413, Ontario Court of Appeal, D.H. Doherty, E.A. Cronk, ...