Canadian Underwriter


Distorted image of the head of a road rager driving a car
News ClaimsLegal

Insurer wins third-party liability claim against road-rager

January 24, 2023 by David Gambrill

An insurer successfully brought a third-party liability claim against a road-rager who was found to be 50% responsible for an accident between two other vehicles as a result of his threatening actions. The insurers were not named in the Court

Chicken with an egg in its nest
News CatastrophesClaimsClaims CanadaInsuranceLegal

Which came first: Accident notification, or the accident benefits application forms?

January 17, 2023 by David Gambrill

In a true chicken-and-egg argument, an Ontario man claimed his “reasonable explanation” for taking two years to inform his auto insurer about his injuries from a 2019 accident is because he never received the Application for Accident Benefits (OCF-1) form

A woman at the scene of a car accident consoled by a man while answering police questions
News ClaimsInsuranceLegal

Insureds traumatized by witnessing car accidents are not entitled to benefits: tribunal

January 10, 2023 by David Gambrill

Insured drivers who suffer psychological trauma from seeing the aftermath of other people’s serious car accidents are not entitled to collect accident benefits, Ontario’s Licence Appeal Tribunal (LAT) has ruled. That’s because named insureds who witness other people’s car accidents

Man hand stopping the dominos falling
News ClaimsInsuranceLegal

Insurer has no duty to defend parents named in negligence lawsuit

January 9, 2023 by David Gambrill

B.C.’s Supreme Court has upheld that an insurer is not obligated to defend parents in a lawsuit alleging negligence for failing to stop their child from inflicting harm on others. In Reeves v Co-Operators General Insurance Company, Bentley Reeves and

Living room
News ClaimsClaims CanadaInsuranceLegal

Defining vacancy: Why the court upheld insurer’s denial of a $100K water damage claim

January 4, 2023 by David Gambrill

An insurance policy exclusion for vacancy applies, even when an insured has arranged for people to look after the vacant property on a daily basis, so long as there is no intention to inhabit the place again, the Ontario Superior

Doctor talking to a patient in a hospital hallway
News ClaimsInsuranceLegalLegislation / Regulation

Auto insurers: Dos and don’ts for sending out IE notices

December 13, 2022 by David Gambrill

Ontario auto insurers don’t have to send out requests for independent medical exams (IME) at the same time they send out claim denial letters, nor are they barred from requesting IMEs after claimants have applied to the Licence Appeal Tribunal

Electronic pins on a global map
News ClaimsCommercial LinesInsuranceLegal

Location of primary insurer, not excess insurers, decides proper legal forum

December 12, 2022 by David Gambrill

Ontario is the appropriate legal forum for determining whether a Canadian mining company is entitled to be insured for environmental liability claims arising mostly in Ontario — despite the fact several of its 22 excess insurers are global and not

A man with a knife sneaks up on a woman loading her car
News ClaimsClaims CanadaInsuranceLegalLegislation / RegulationMarkets / Coverages

An insured driver is injured when an uninsured car-jacker steals her car. Who covers?

December 1, 2022 by David Gambrill

Insured drivers owning stolen vehicles must go to Facility Association — not their own private auto insurers — to get compensation for injuries sustained in assaults against them involving uninsured car-jackers, a Nova Scotia court has ruled. The Supreme Court

Authoritative person sitting in front of gray background. His face is showing. Insuring the vehicle safely. Car insurance protects any damage to the vehicle. The hand of the person wearing the white shirt prevents the boards from damaging the falling vehicle.
News ClaimsClaims CanadaInsuranceLegalLegislation / Regulation

Auto insurance doesn’t always apply just because an auto’s involved

November 29, 2022 by David Gambrill

Two Quebec Court of Appeal decisions in 2022 demonstrate it’s not enough to show an auto is involved in a claim for an insured to be eligible for compensation under the province’s auto insurance scheme, a Quebec lawyer writes in

Shot of a motocross competition
News ClaimsInsuranceLegalLegislation / Regulation

Why this dirt bike in closed competition was considered an “automobile”

November 25, 2022 by David Gambrill

A dirt bike driven in a closed course motocross competition is an “automobile” under Ontario’s auto accident benefits scheme, thus paving the way for a seriously injured driver to claim auto accident benefits from his auto insurer, the Ontario Court

Cra in driveway covered with snow
News ClaimsClaims CanadaInsuranceLegal

Walking towards your car, you slip and fall on ice. Is this an ‘auto accident’?

November 18, 2022 by David Gambrill

If you slip and fall on ice within 10-15 feet of your car, the car did not cause your fall, so that isn’t an ‘auto accident’ under the Statutory Accident Benefits Schedule (SABS), Ontario’s Licence Appeal Tribunal (LAT) ruled last

Blurred clock image
News AdjustersClaimsClaims CanadaInsuranceLegal

Insurers can’t ask for leniency on time limits, but then enforce them on claimants

November 9, 2022 by David Gambrill

An insurer involved in settlement negotiations can’t ask a claimant for leniency on time limits, but then demand the claimant adhere to strict limitation periods for serving a statement of claim, an Alberta court has ruled. The court thus granted