A motor vehicle damage claim arising out of a vehicle used for a suicide is not recoverable under the deceased’s policy of insurance

01. February 2007 0
An Insurer (“ING”) was successful in obtaining a Declaration that it had no obligation to provide coverage under a policy issued to an Insured, now deceased, where the claims against the deceased Insured related to damages sustained as a result of the Insured’s murder of his child and subsequent suicide. ING Insurance Co. of Canada ...

If a significant nexus exists between an insurer and an insured, the insurer is required to pay the insured accident benefits and then determine the issue of entitlement

31. January 2007 0
The Court of Appeal found that the Motor Vehicle Accident Claims Fund (the “Fund”) was an Insurer under Ontario Regulation 283/95 for the purpose of resolving disputes over the payment of accident benefits. Kingsway General Insurance Co. v. Ontario (Minister of Finance), [2007] O.J. No. 290, Ontario Court of Appeal, J.I. Laskin, J.M. Simmons, E.E. ...

The Motor Vehicle Accident Claims Fund in Ontario is characterized as an insurer for purposes of resolving entitlement to first party accident benefits

31. January 2007 0
The Court of Appeal held that the Motor Vehicle Accident Claims Fund was an “Insurer” with respect to the process for resolving disputes over the payment of statutory accident benefits to persons injured in car accidents. Allstate Insurance Co. of Canada v. Motor Vehicle Accident Claims Fund, [2007] O.J. No. 292, Ontario Court of Appeal, ...

A basement floor damaged by an upheaval of the foundation was not covered under the insured’s property insurance

25. January 2007 0
An Insurer (“Wawanesa”) was entitled to rely on a clause excluding coverage for damages caused by settling, expansion, contraction, or bulging where an Insured brought a claim relating to a basement floor which was damaged by upheaval. Tomko v. Wawanesa Mutual Insurance Co., [2007] M.J. No. 17., Manitoba Court of Appeal., Huband, Monnin and Freedman ...

An insurance broker is liable to an insured for failing to disclose a ‘hole’ in the insured’s insurance coverage

19. January 2007 0
Successful action by an Insured against an insurance brokerage firm for breach of fiduciary duty, negligent misstatement and negligence in respect of an alleged obligation on the part of the brokerage firm to disclose a hole in the policy of insurance. National Crane Services Inc. v. AON Reed Stenhouse, [2007] S.J. No. 18, Saskatchewan Court ...

ICBC was not in breach of its duty to its insured for failing to provide independent counsel and failing to provide its insured to a defence on a third party claim in an action involving damages that could exceed their insurance limits

19. January 2007 0
The Court dismissed the Insured’s claim against the Provincial Motor Vehicle Insurer (ICBC) for alleged breach of duty for failing to provide the Insured with a defence to a third party claim and for failing to appoint independent counsel to advise the Insured on the possibility of liability in excess of the policy limits. McLean ...

Failure to disclose information material to a contract of insurance voids an insurance contract. In such a situation the insurer does not have a duty to defend.

05. January 2007 0
The Plaintiff Insured brought an application for a declaration that the Defendant Insurer had a duty to defend it in an Action brought against the Plaintiff in the province of Ontario. The Court found that there was no duty to defend because the Insured failed to disclose information material to the contract, and the insurance ...

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

29. December 2006 0
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. ...

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

28. December 2006 0
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. ...

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

21. December 2006 0
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 ...