Delaying LTD benefits may be bad faith.

On September 17, 2014, the British Columbia Supreme Court refused to summarily dismiss an insured’s claim against the insurer and adjuster for breach of contract and the duty of fairness and good faith; however, the insured’s claims against the adjuster for inducement of breach of contract and interference with contractual relations were dismissed. In Frank v. Kalokina, 2014 BCSC 1866, the insured’s application for long-term disability benefits was denied by the adjuster for five months after the time of her claim. The insured alleges that in denying her claim, the adjuster and the insurer...

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Punitive damages for denied LTD benefits upheld on appeal.

On March 22, 2013, an Ontario judge ordered an insurer to pay $100,000 in aggravated damages and $200,000 in punitive damages after finding that the insurer had wrongfully denied its insured long-term disability benefits. In Fernandes v. Penncorp, 2013 ONSC 1637, the Honourable Justice Peter Hambly ordered Penncord Life Insurance Company to pay the damages to an injured employee. Facts The facts of the case are rather straightforward. The plaintiff was a bricklayer who had his own company. That company was profitable and had employees. When the plaintiff got injured and was unable to work...

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Defence request for 2nd medical exam denied.

On July 24, 2014, the BC Supreme Court, Vancouver Registry, confirmed that a second Court ordered defense medical exam is inappropriate solely in anticipation of an event which may not occur. In Litt v. Guo the plaintiff was involved in two collisions and sued for damages.  In the course of the lawsuit the plaintiff consented to a defence medical exam with a physician that addressed the plaintiff’s injuries.  As trial neared the defence applied for a further exam with a new physician arguing that the initial report was dated and further that “the plaintiff might file a newer...

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“Low Velocity Impact” strategy rejected by the Court.

On June 18, 2014, the BC Supreme Court considered and rejected ICBC’s “low velocity impact” strategy.  In Dunne v. Sharma the plaintiff sued for damages as a result of two collisions.  She alleged both physical and psychological consequences following these collisions.  The defendant argued that any injuries the collisions caused were relatively minor as the collisions were modest.  In support of the defendant’s argument accident reconstruction evidence was introduced which discussed the forces of the collision.  In rejecting the defendant’s argument Mr. Justice Williams...

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When resigning may actually be wrongful dismissal.

A constructive dismissal occurs when an employer substantially changes the terms of an employee’s contract of employment which the employee does not consent to, either explicitly or implicitly. In this situation, the employee may be able to treat the employment contract as being at an end, which entitles the employee to notice from the employer as if the employee had been terminated. Employer Actions that Constitute Constructive Dismissal For a constructive dismissal to occur, the employer must act in a way that changes the fundamental terms of the employment relationship are changed. Such...

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