An ultimate limitation period may not time bar a claim for benefits if the discovery of the potential claim was delayed

29. February 2012 0
The one year limitation period set out in clause 6(c) of the SEF 44 endorsement may start to run only when a judgment or binding settlement legally fixes the amount of those claims. This will often allow an injured person to sue later than the ultimate “ten year” statutory section 3(1)(b) of the Limitations Act. Section 7(1) ...

A claims administrator may owe a duty of good faith to an insured

21. February 2012 0
Where an insurer acts as a claims administration service only but makes decisions regarding the adjudication of claims, computation and issuance of benefits it owes a duty to the insured to act in good faith as it was adjudicating claims and benefits. As such, the traditional tort of intentional procurement of breach of contract is broad ...

Coverage for title insurance extends beyond claims by the insured against his or her lawyer to claims made by third parties against the lawyer

30. January 2012 0
At issue was whether the respondent title insurance company owed a duty to defend the applicant lawyers in civil proceedings in which the applicant lawyers were named as defendants. The question was whether the claims against the lawyers arose under the policy of title insurance. The court held that the phrase “claims arising under the title insurance ...

An insurer has received notice of a claim if they are provided the relevant information. The fact that service may not have been intended is irrelevant.

22. November 2011 0
The plaintiff insureds moved for summary judgment in the action requiring the defendant insurer to pay defence costs they incurred defending another action pursuant to the terms of a Director’s and Officer’s liability insurance policy (“D&O liability policy”). Based on the plain wording of the policy the plaintiff insureds established that the claims asserted against them ...

An insured was not entitled to fire insurance when his psychotic son set fire to his house

27. September 2011 0
Mr. Darch set fire to his parents’ home resulting in the total destruction of the premises. He was charged with arson but found “not criminally responsible” for the offence in the criminal proceedings. The home was insured by the defendant insurance company. The insureds submitted a proof of loss regarding the fire and were denied coverage on the basis ...

Court interprets “insured person” under OPCF 44R

16. April 2011 0
Application for summary judgment by the superintendent of Financial Services Commission of Ontario dismissing the claim of the plaintiff on the basis that the plaintiff was an insured person for the purposes of coverage under an automobile policy and was thus not entitled to seek payment of any judgment rendered in her favour out of ...