Justice piece of shit Lederer,from superior court of Justice Toronto

 

Is he still blowing  cocaine?

well come to Canada and Canadian justice system

Read this ass holes in my blog ,this Homo is still working ,question is why?

If this piece of shit Lederer still working in Canadian justice system ,so fuck the Canadian justice system from bottom to top.

These ass holes have been appointed by fucktop Harper government ,Lederer and bunch of others serving against public interest.Other piece of shit judges name mentioned in this blog.

Well, I have seen a lot and written  a lot about this sickness of justice system ,fraud,bribery,from bottom to top,nothing has been changed,these ass holes assets hasn’t been investigated ,how many of shore account do they have , connection of clearing black money ,where do they travel and how many times they travel in a year.

Canadian bullshit justice council  Also mentioned in this blog,the way of covering up others.

If any one think that they can get protection from Canadian justice system,they are sleeping and dreaming ,they will wake up when they face with the system then they will come  cross with my blog  ,will be too late.

 

Unica insurance Arbitration revocation theatre at the fsco fiasco

Here is the link of the arbitration hearing  listen carefully :https://youtu.be/Srg_s94cV5Y

as promised in the hearing the decision should be made today,unfortunately I have received an E-mail from fsco fiasco  today ,decision will be made in July 28-2017,therefore FSCO is delaying justice one more time against citizen rights and human rights ,I will make another complaint to the UN human rights council.

Here is the e-mail between me and FSCO

IMG_0008IMG_0009IMG_0010

 

At the hearing you will see Unica insurance has 0 chance to succeed with bullshit accusations,fraud and forgery.

I warned arbitrator not to accept any forge documents for the hearing ,what I see ;arbitrator and FSCO is involved  with fraud ,forgery and illegal action of the UNICA insurance.

Unica insurance witness request,my opposition,”Unica’s Arbitrator Caroline King”decision.

Unica insurance wants to bring  2 insurance adjusters as witnesses for June 20-21-2017 hearing.Here is  my response letter and what  unica’s arbitrator understood from my letter.This letter previously send to the FSCO directly to Unica’s arbitrator Carolina King ,she pretends like she has never seen or received this letter before.Unica’s arbitrator Carolina King is playing dummy.

This has been faxed to you January 30 2017 regarding insurance witness

Fax:416-590-7597


January 30 -2017

To arbitrator King/ Christina Pearce
Subject: Arbitration revocation hearing

I am in receipt of your last letter ,dr.Siva is only available on March 7 at 11 am ,so I would like you to allow him to testify 2 reports at 11 am then we can continue to hearing.It won’t take too long.

Also I Have objection of admitting insurance witnesses,insurance adjusters can not be a witness on insurance case.
Accepting those adjusters as witnesses is odd,credibility is big issue about those witnesses.
I am against insurance to set up a theatre at the arbitration hearing.
I am expecting from you to be fair ,not bias.
I am afraid that you are not a fair arbitrator and I would like to ask you kindly to recuse yourself from the hearing and let the arbitrator Robinson take over this case back,as you know he has more knowledge about the case.
Also as you know because of the Unica insurance set up and influence lead this situation.
Unica insurance had Arbitrator Robinson to recuse from this case.

The lastly Harry Brown has send you some copies of my articles about those animals (Joanne Blacklock and Tripta Sood) who call themselves lawyers,well they are worst then animals and I am proud of publishing these animals on my web page to show the world what kind of animals I have been dealing with.
(Again I apologize from real animals)

1-Joanne Blacklock
2-Tripta Sood
3-Harry Brown is their pimp.This is perfect triangle.

Note :This will be published and shared on my blog.

Arif Sahinbay

This is her decision letter about Unica Insurance witnesses

IMG_2716IMG_2713

 

 

 

 

 

 

 

 

Aviva insurance ,a story of insurance fraud against customer and the way of FSCO kissing insurance ass

Here how did they changed the amount that they are charging me and my response:

I believe you are charging me too much ,what is going on ,something wrong in Brampton?

Sent from my iPad

On Feb 7, 2017, at 12:34 PM, Service <service@smartcoverage.ca> wrote:

<image001.jpg>
Dear Arif Sahinbay,

Thank you for being a valued SmartCoverage Insurance Services Auto insurance customer.

Recently you requested to change the address on your policy.

This email is to let you know that your request has been fulfilled. As a result of the above noted change to your policy, your premium has changed and your new payment schedule is as follows:

Collection Date

Installment Amount

Feb 16, 2017

180.99

Mar 16, 2017

267.88

Apr 16, 2017

267.88

May 16, 2017

267.88

Jun 16, 2017

267.88

Jul 16, 2017

267.89

Aug 16, 2017

267.89

Sep 16, 2017

267.88

Oct 16, 2017

267.89

Nov 16, 2017

267.88

The changes made to your policy will be automatically included in your renewal and your renewal premium will reflect this new information.

Again, we’d like to thank you for being a SmartCoverage Insurance Services customer. If you have any questions, please contact us at 1-800-268-7649.

Mhairi O’Donohue
Service Account Manager
SmartCoverage Insurance Services Inc.
PH: 1-800-268-7649
Fax: 1-800-668-6689
Service@smartcoverage.ca
<image002.jpg>
Are you moving? Need insurance documents? Or need to change your coverage?
Visit the Self Serve Portal to take care of your policy and insurance needs.

Please note that changes to a policy or binding coverage cannot be done by sending an email or by leaving a voicemail.

This message may contain confidential inf

Here is my complaint  to the fsco for insurance fraud and requesting from fsco to cancel insurance licence and fsco response:

Re: March 10 2017- Email to Arif.S – Refer to Insurance Company + GIO- file # 31224

As a matter of fact I don’t think that I should deal with the General insurance Ombudsman.
Fsco job is rules and regulates the insurance companies,
now I am asking from you to ,rule and regulate the insurance company.
Are you going to do your job or not?
I want fsco to cancel this insurance licence for fraud.
Insurance has started charging me 80 dollars extra after one month because of moving to different city,I don’t like they charging me 80 dollars extra and I wasn’t agree on that extra charge so,I have spoken with them and they said this is their price so,I have decided to change the insurance company who is not charging me 80 dollars more.
My agreement with them at first was less price, with out asking me that they tried to charge me 80 dollars more.They must have asked me if I was agree for the new price which they never asked ,instead they charged straight.
Insurance is stealing my money and doing fraud.
Now I am asking you to cancel this insurance licence! For fraud against citizen.
I need simple answer form you ,are you going to rule and regulate or will fsco cover the insurance mess.
Here is where my link to share your answer with your previous response letter.
Read and learn.
https://personalinjuryinsurancelawyerstheworstcrooked.wordpress.com/2017/03/07/delaying-justice-is-a-human-rights-matter-my-3th-complaint-tohuman-rights-council

Sent from my iPad

On Mar 10, 2017, at 11:13 AM, Gaya Nadesalingham <Gaya.Nadesalingham@fsco.gov.on.ca> wrote:

Hello Mr. Sahinbay,

I have reviewed your complaint, please see attached referral letter.

Please note, I have also provided the link to the Ontario Automobile Policy (OAP 1- Owner’s Policy)
http://www.fsco.gov.on.ca/en/auto/forms/Documents/OAP-1-Application-and-Endorsement-Forms/1215E.2.pdf#page=57

Thank you for bringing this matter to our attention.

Sincerely,

Gaya Nadesalingham FCIP, CRM
Compliance Officer
Market Risk Assessment Unit, Licensing and Market Conduct Division

Financial Services Commission of Ontario (FSCO)
5160 Yonge St., 4th Floor, Box 85, Toronto, ON M2N 6L9
Tel: (416) 590-7184 | Fax: (416) 590-8480
Email: Gaya.Nadesalingham@fsco.gov.on.ca
Website: http://www.fsco.gov.on.ca

Here is insurance ombudsman response of my complaint and my answer:

Re: Policy A40348784PLA – Concerns regarding cancellation fees

1-I am not satisfied at all.
2-you have skipped the most important part of this disagreement.
3-They broke the agreement at first by charging me 80 more then then original agreement.
4-The reason of my cancelation was ;they did not obey the original agreement there fore I had right to cancel my insurance policy.
5-I made couple phone conversation with the insurance representative over the phone and I let them know my concern and disagreement of the price changes ,they said they can not do anything about this changes.
6-I made my search and found another insurance company was charging 79$ less then Aviva or what ever the name is.
7-Insurance side broke the agreement first,I accepted the original agreement on certain price.Once they changed the price that means they are the one who did not obey the agreement.
8- They must pay my money back with interest and with an apology letter.
9-Because of your conclusion and the perspective of looking at the issue ,you must send me an apology letter as an ombudsman.
Sent from my iPad

On Mar 29, 2017, at 1:46 PM, Ombudsman Canada <ombuds.ca@aviva.com> wrote:

Good afternoon Mr. Sahinbay,

I have attempted to contact you via telephone; however, I have not been successful in reaching you.

Our office received a complaint referral from the Financial Services Commission of Ontario (“FSCO”) regarding the concerns you raised following the cancellation of the above-noted policy.

I have had the opportunity to conduct a review of your policy. Upon review, I have confirmed that the premium charged for the time on risk, including the short rate cancellation fee, is correct.

The premium charge from the inception date of January 16, 2017 to the cancellation date of March 1, 2017 was $258.45. There was an additional charge of $49.52 effective February 7, 2017 to March 1, 2017 for the change of address, as well as an applicable short rate cancellation fee of $211.71. Following the cancellation of your policy, there was an overpayment of $23.29, which Aviva refunded back to you on March 4, 2017.

The following provides further details with respect to the premium charged:

Policy effective date January 16, 2017 and cancellation per your request effective March 1, 2017.
Premium $2,953.92 (includes finance fee)
Cancellation Return -$2,434.24
Total Time on Risk $519.68

Payments made $361.98 + $180.99 = $542.97
Overpayment $23.29 – Refunded on March 4, 2017

Mr. Sahinbay, when a policy is cancelled midterm, it is done so on a short rate basis as indicated in the Ontario Automobile Policy (OPA 1). This means that the premium owing after the cancellation includes a cancellation fee.

If you remain unsatisfied with the above explanation, the next step consists of the Ombudsman preparing you a Final Position Letter, which would provide the next step in the escalation procedure.

Please let me know if you would like a Final Position Letter.

Regards,

Kurdistan Ismayl
Customer Experience Specialist | Legal & Compliance | Office of the Ombudsman
Toll Free: 1-877-689-3634

http://www.avivacanada.com

<image003.jpg>
Insurance – Home | Auto | Leisure & Lifestyle | Business

Aviva Canada – bringing 300 years of good thinking and insurance solutions to Canadians from coast to coast

This message may contain confidential information and is intended only for the named recipient. Please do not forward this message to any other party or distribute it in any manner without prior approval of the sender. If you have received this message in error, telephone or email the sender immediately and delete this message and any attachment from your system.
For environmental concerns, please print this email only if necessary.

Here is aviva ombudsman final response;

IMG_2652IMG_2653Here is my final response and make another complaint to General Ombudsman;

 

Re: FINAL POSITION LETTER – Policy No. A40348784PLA

Wow you and your decision is biased ,I wasn’t expecting better from insurance mafia.
When they charged me more then what my agreement with them is fine ,because of extra charge I cancel my insurance and I am wrong,if they have right to change the amount charged on that policy with out letting me know if I am agreed or not ,then I have right to cancel my insurance with them because of the over charged ,what kind of monkey business are you doing ombudsman,if you think this will stay like this, no wait and learn what am I capable of turning to you to your real nature a monkey.
Every details and writing will be published on my blog and shared your monkey business,
I am expecting from fsco to rule and regulate this insurance company by cancelling their licence.
What is my experience with fsco is ,they are only capable of fingering their ass and kissing insurance ass,fsco is a big fiasco one more time I will show the world what the fuck is reality of Canadian system.
Sent from my iPhone

On Apr 17, 2017, at 7:47 AM, Ombudsman Canada <ombuds.ca@aviva.com> wrote:

Dear Mr. Sahinbay

Please find enclosed the Final Position Letter that has been issued upon completion of the requested review of the above-noted policy. This letter outlines for you the final outcome and provides to you the next step in the complaint process.

Regards,
<image003.png>
Lori A. DeAcetis CIP
Sr. Manager, Compliance & Ombudsman
Legal & Compliance

Direct: 416-615-3634
Toll Free: 1-877-689-3634
ombuds.ca@aviva.com
2206 Eglinton Avenue, East, Scarborough, Ontario M1L 4S8 | http://www.avivacanada.com

Home of Aviva Community Fund – helping Canadians make positive change in their communities
This message may contain confidential information and is intended only for the named recipient. Please do not forward this message to any other party or distribute it in any manner without prior approval of the sender. If you have received this message in error, telephone or email the sender immediately. For environmental concerns, please print this email only if necessary.

Ontario’s Law Society normalizing convicted pedophiles as lawyers (Written by Donald best)

A Law Society Tribunal has once again approved a convicted and jailed pedophile to practice law in Ontario. Not only that, the Law Society of Upper Canada (LSUC) supported the pedophile’s application during the tribunal hearing, agreeing that he meets the ‘good character’ standard for licensing. (Tribunal’s decision is here 425kb pdf)

With this latest in a series of similar approvals, it is apparent that the licensing of pedophiles and other convicted criminals as lawyers is, effectively, LSUC policy. Has the law society turned down any pedophile yet? I haven’t been able to find such a case in the archives.

Lawyer had child-sex videos showing 5-year-olds
Pedophile lawyer Ronald Davidovic
This time the pedophile applicant was Canadian-born Ronald Ori Davidovic – who was a Florida lawyer in 2004 when he was arrested and convicted for possessing and viewing thousands of child-sex videos and photos where the victims were as young as five years old.

That’s right – Davidovic is excited by five-year-old children. For years while he was a Florida lawyer, he collected child sex videos showing pre-pubescent children being abused in sexual acts.

Sentenced to five years in prison, and released after three, Davidovic is permanently registered as a sex offender the United States, but now wants to practice law in Ontario.

The Law Society of Upper Canada just declared convicted pedophile Ronald Davidovic to be ‘of good character’ and gave him the approval and support he needs to be licensed – this despite a medical diagnosis that his risk of re-offending is as high as 8.4%. The phrase ‘compulsive magnetic attraction to child pornography’ appears in Davidovic’s medical record.
Pedophile lawyer John David Coon
Will the law society pay damages when a known compulsive pedophile attacks a child while serving in his capacity as a lawyer? It happened before when the law society licensed known pedophile John David Coon, who again attacked a child while performing his duties as a lawyer.

Not having learned its lesson, the Law Society continues to license other pedophile lawyers (see Martin Schultz) with little regard for the public safety or the reputation of the legal profession.

This time, Chair Raj Anand and member Jan Richardson crafted the tribunal’s decision. LSUC prosecutor Amanda Worley also supported the applicant Davidovic.

The one dissenting voice against the pro-pedophile lobby was Tribunal member and criminal defense lawyer Paul M. Cooper.

The backgrounds of the individual tribunal members make for an interesting study.

Tribunal Chair Raj Anand’s work centers around the human rights of minorities as well as youths, the mentally ill, drug addicts and other persons living on the edges of society. Jan Richardson has made a career of working with the homeless.

Could it be that Anand’s and Richardson’s natural inclination to view people as victims has clouded their judgment and caused them to ignore their duty to protect the public and the reputation of Ontario lawyers?

Odd man out Paul M. Cooper is a criminal lawyer who, like all criminal lawyers, probably has a healthy dose of reality when it comes to sorting the wolves from the sheep.

Mr. Cooper’s dissenting position is supported by law and common sense, but he was outnumbered by those who put children and families at risk to promote their social agendas and personal beliefs that everyone is good at heart and can be redeemed.
Law Society Tribunal members who approved licensing of pedophile Martin Schultz: (L-R) Sabita Maraj, Susan T. McGrath (chair), Frederika ‘Freddy’ M. Rotter.
There’s nothing new here, really. As the Toronto Star’s ‘Broken Trust’ series revealed, the Law Society of Upper Canada has covered up and whitewashed hundreds of cases where lawyers committed criminal acts against their clients.

The law society’s ‘good character’ licensing standard includes thieves, pedophiles and fraudsters. That is the way it is because the legal profession in Ontario lacks independent civilian oversight, transparency or outside accountability – and continues to ignore the profession’s duty to the public trust.

It is time to bring Ontario’s legal profession into compliance with modern standards of independent oversight and external accountability.

Written and published by Donald Best in Ontario, Canada

The book “So You Think You’re Covered!

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Fraud by Auto Insurers under the Media Radar
Every day, we hear news of serious accidents involving fatalities and those of accident victims who have non life-threatening injuries. Listeners or readers breathe a sigh of relief when there isn’t a fatality. However, unless someone has been in a serious auto accident with non-life threatening injuries, or knows someone who has, the public doesn’t realize that many of these accident victims have life-changing circumstances that include loss of careers, due to such injuries as traumatic brain injuries, severe soft tissue injuries, chronic pain, that are not visible but real, which alter their former active lifestyles to permanently dealing with health issues. Too often there is an inability to return to work, or if they can, to undertake work that enables them to make a viable living. Most accident victims become burdened with financial problems. To add insult to injury, they will find themselves in the fight of their lives with their auto insurer to receive the rehab, medical and income replacement benefits they’ve paid for in their policies. This is a fight that can’t be won without hiring a personal injury lawyer, which of itself can be fraught with problems. Even when an accident victim wins, that person will continue to deal with a severely altered lifestyle and have to make due financially with a fraction of what they used to earn.

Meanwhile, the media provides us with plenty of stories about insurance fraud, but little investigative time and resources are put into reporting and following up with what most seriously injured auto accident victims experience firsthand: fraud by auto insurance companies against legitimate claimants. Somehow, this fraud, which is rampant, flies under the media radar, yet thousands upon thousands of legitimate claimants are defrauded by their auto insurance companies on a regular basis.

The Insurance Board of Canada, the industry lobby group (IBC) spends millions of dollars on advertising campaigns to talk about insurance fraud, with figures cited that are as exaggerated as statements made by the current President of the U.S.A. Insurers spend inordinate amounts of money on for-hire medical assessors who, at insurer medical examinations, frequently downplay, ignore or change diagnoses provided by a claimant’s own team of medical practitioners. Deny, delay, defend is the industry mantra meaning that the seriously injured have to focus on fighting their insurer for benefits rather than focus on getting better, or at least be able to focus on reaching an optimal level of improvement.

Insurers know that seriously injured accident victims, all too often, are not in a position to endure the years of fighting to have their policies honoured. Most give up or settle for far less than what they are owed and deserve. The auditor general has acknowledged that nearly one out of two claimants are denied. On average, it takes an injured party 8 years to reach a settlement if they persevered. Meanwhile, they have been denied or had delayed appropriate treatment. OHIP doesn’t cover the type of treatment and rehab that most accident victims require. While in this insurance fight for owed benefits, accident victims have to live off their savings or credit lines or end up on the Ontario Disability Support Program (ODSP). The latter has a high threshold to be accepted, yet these same people are still denied by their auto insurers.

The book “So You Think You’re Covered! The Insurance Industry Rip-Off” describes this reality in detail. It provides definitive proof of what claimants undergo, how insurers treat them, and how the Ontario government, with IBC input, is complicit in insurance fraud through its 2016 legislative changes. The general public, claimants and yes, personal injury lawyers would be well-served to read it. In the case of the latter, most think they don’t need to because they know it all already. Not true. If they were really interested in their clients as opposed to the money to be made, they would look at what is much more than a claimant’s perspective . They don’t know it all, and don’t really understand what claimants endure.

Auto insurers’ blame game continues
Insurers want the public to think that “Contingency fees are one of the key drivers of claims costs and, as a result, increase insurance premiums that all Ontario drivers pay,” according to Irene Bianchi, executive vice president of claims, Aviva Canada. But this is not true. Contingency fees are what claimants often pay personal injury lawyers to defend wrongful denial of claims for accident benefits such as treatment, rehab, income replacement benefits and to fight for tort settlements.

Insurers pay multi millions of dollars annually to insurer-hired second opinion medical assessors working out of assessment centres whose primary clients are insurer-sent claimants. Injured parties are sent, not to help them get better, but primarily to discount, downplay or dismiss diagnoses by treating physicians so that insurers can deny claims. A lot of money is spent to deny legitimate claims, forcing accident victims to hire lawyers to have their policy honoured. As few have the money to be able to afford a lawyer, thankfully contingency fee agreements provide a means for them to access legal representation, without which they would be completely dismissed by their insurer. There are problems to be sure with CFAs but that is nothing compared to the problem of insurer-hired second opinion medical experts who retain their lucrative status as insurer assessors thanks to the number of claimants they deny, point to as fraudsters or as malingerers. For auto insurers, it is not about the claimant, but about dollars and cents to the detriment of the health and recovery of accident victims. Insurers know they can wear down seriously injured claimants by sending them to dozens of insurer examinations extended over years. Struggling to deal with their injuries, most of these claimants don’t have the physical, emotional or financial means to continue to fight their insurer. Not being able to work at all or not enough hours to make a sustainable living, they can’t handle the additional pressure of a claims process geared to deny them. Many give up, a few settle for far less than is owed, and the odd person fights on to the bitter end.

In addition to the expense of paying their assessors, insurers have their own stable of costly lawyers to defeat a claimant if that person continues the fight. Add to that the multi-million dollar salaries the insurance industry’s senior management pays itself, it is the industry and only the industry itself that is responsible for high claim costs. “So You Think You’re Covered! The Insurance Industry Rip-Off” outlines exactly what is happening in this industry and it is not a pretty picture.
Insurers blame contingency fees for high insurance costs – but ..
Why focus just on contingency fees, thus laying, in fact, the brunt of the blame on personal injury lawyers for high insurance costs. Insurers need to also accept responsibility for high costs. Claimants don’t want to have to hire a lawyer to get the accident benefits they’re owed but no injured party gets through the auto insurance dispute resolution system successfully unless they hire a lawyer.

Insurers retain high-priced defence lawyers to too often back up unscrupulous, dishonest, or downplayed IME assessments of injuries by equally high paid insurer-hired medical experts. It costs a lot to keep these IME rogue experts in the stable to benefit the insurer outcome rather than claimants. What about an automatic $36,700 deductible for insurers on tort settlements. That’s no small change and it benefits the insurer.

The March and October 2015 Schulich Reports by Professors Fred Lazar and Eli Prisman show that the auto insurance industry has been very profitable for a long time and that policyholders have been over-paying on average $100-$120 per year. The companies that weren’t profitable were so not profitable, due to bad management, that they should not have been allowed to stay in business. And now, accident benefits have been further reduced in June 2016 from already dramatic benefit cuts in 2010.

It’s time the auto insurance industry cleaned up its act, cleaned out its IME assessor stables and paid policyholders who are injured what they promised to pay in their policies. Insurers and the IBC need to stop pointing the finger elsewhere for high premium and insurance costs, and stop putting shareholders and the corporate bottom line, despite their government-approved 6% Return on Premium benchmark which works out to a 12% annual return on equity, ahead of injured accident victims.
Bad client – what about bad lawyers!
In the article “Why It’s Good Business to Fire a Client”posted January 24th in SLAW online legal magazine http://www.slaw.ca/2017/01/24/why-its-good-business-to-fire-a-client/comment-page-1/#comment-948459 outlines all that is wrong with “bad” clients for the lawyer and why they need to be fired. Let’s not forget the “bad” lawyers and why some clients have to go from one to another.

In response to my book, “So You Think You’re Covered! The Insurance Industry Rip-Off” at deniedbenefitclaims.com, I can provide a long list of claimants who could give testament to bad lawyers. I have my own examples. It’s not easy finding a good lawyer. There are enough lawyers out there who take on personal injury cases with no experience just because it contributes to their billing.

The first one I met told me to say I had such and such injuries when I didn’t. I didn’t stay long in that meeting. The first one I hired, who told me I had a good case and that he had the time, expertise and willingness to take it on was too busy making senior partner to care about it. The next one divulged in mediation to another lawyer that he had never done this type of case (pi). This man lost a case at mediation that had already been won and was to be transferred to my primary health carrier. Go figure! The debacle of his incompetence is outlined in the book. Later, a judge acknowledged his “ill-advice”. It was lawyer number #3 who was brilliant and had integrity. I wish there were more like him. He couldn’t believe the errors that had been made in my case by both my previous lawyers, including the new senior partner whom he knew to be a good lawyer.

Finding a pi lawyer who has solid litigation experience is not easy, or one who can stand up to insurer defence lawyers and their underhanded tactics. I’m sure we all have lots of stories that can cancel each other out but many bad clients become bad clients because the lawyers weren’t upfront in their contingency agreements, hidden clauses and premium success fees, not keeping their client informed, ill-preparing them for mediation and examination for discoveries, increasing their hourly rate without having to tell the client, charging at the rate of the lawyer for work that should be charged at a clerical rate, Diamond-like practices – and on and on. It would be interesting to keep statistics on the bad clients and the bad lawyers and compare.
IBC commissions the wrong question
Financial Post January 18, 2017 “Law professor questions whether contingency fees benefit clients” by Drew Hasselback
Conclusion by Allan Hutchinson of York University is that cfs are a better deal for lawyers than their clients. Study financed by the IBC.
The question that the Insurance Bureau of Canada (IBC), the insurance industry lobby group, has put to Professor Hutchinson of York University about whether contingency fee arrangements are a better deal for lawyers, particularly personal injury (pi) lawyers, than their clients is the wrong question. The right question is “Why do auto accident victims, whose lives have been irreparably changed for the worse, have to fight an insurance battle which necessitates the need for a lawyer?”

Legal billing has always been a sore point for everyone involved. There are problems to be sure with some contingency fee agreements as there can be with hourly billing. The problem is not so much with the payment modality as it is with the integrity or lack of integrity of some lawyers. It is ‘buyers beware’. Clients need to read all agreements carefully. That said, whether we speak of contingency fees or an hourly rate, the reality is that lawyers need to be paid. Contingency fees might be somewhat higher when it comes to settlement of costs than an hourly rate, but few motor vehicle accident (MVA) victims can afford to pay a lawyer outright. Without contingency fees, many accident victims would have to forego legal representation and without a pi lawyer, many would have to give up their fight for benefits. Unfortunately, the fight will rarely be won without the assistance of a pi lawyer. With contingency agreements, legal costs accumulate over the course of years for the firm while claimants fight their auto insurer for accident benefits. Yes years! Auto insurers put up all kinds of roadblocks through delays, denials, insurer-hired medical experts and defence lawyers to renege on paying what is owed. The auditor general has acknowledged that nearly one out of two claimants is denied.

What is at the bottom of the IBC’s question in this study is that the IBC would like to eliminate personal injury lawyers entirely. The insurance industry would rather point a finger at others – personal injury lawyers and so-called fraudulent claimants for a long-drawn out insurance process, not the insurance industry’s own bad practices in paying as few claimants as possible. But, pi lawyers will never be irrelevant as long as insurers use their own army of medical and legal experts to wrongfully deny legitimate claimants.

To reach this goal, the IBC has used its considerable influence, financial and otherwise, with the Ontario government to bring in legislation, (introduced April 1, 2016) that eliminates the right of MVA victims to take their auto insurer to court for denied benefits. The purpose was not only to streamline disputes or lower costs by making the new Licence Appeal Tribunal (LAT) the sole arbiter of auto insurance disputes. The latent purpose, I would argue, was to have more control over a system that regularly obliges claimants to fight for their benefits. Eliminating the court option and the relevance of personal injury lawyers ensures that claimants are even less able to fight back.

However, insurance law and the Statutoy Accident Benefits Schedule (SABS) are far too complex for lay persons to have a chance of winning against an insurer and their lawyers without their own legal representation. Whether claimants pay a little more via a contingency fee agreement as opposed to an hourly rate is a moot point when they’re fighting an insurance company. Few claimants have the money for the latter, and they need representation.
If the IBC were really concerned about plaintiff or pi lawyer clients, that is, accident victims, they’d clean up the for hire-insurer medical experts and expert witnesses who are known to be biased, take a close look at the business of insurance assessment centres and oblige individual insurers to honour their policy commitments to those in need. Or at the very least, pay for a study that looks at why so many claimants need lawyers in the first place. Maybe the IBC should carry the contingency costs for claimants. I’m sure there would be fewer denials.
Breakthrough article in the National Post
This National Post article outlines what FAIR and my book have been saying for a long time.
Hired gun in a lab coat: How medical experts help car insurers fight accident claims

National Post columnist Tom Blackwell has written an excellent article about how insurer-hired medical experts are too often biased in favour of the insurer that is paying them rather than the claimant they are examining. He spoke at length with Rhona Desroches of FAIR, the not-for profit advocacy group for accident victims and with me after receiving a copy of my book, “So You Think You’re Covered! The Insurance Industry Rip-Off”.

Claimants need to know that they are not alone and learn how to fight back. Insurers want to isolate them, and if they endure the years it takes to fight their insurer to get a settlement, they are saddled with a “gag” order not to divulge what they’ve been put through.

Any one of us could be in a serious car crash and end up having to fight years to get auto insurance accident benefits. The wealthy think an insurer will pay out. However, in this number’s game, social status is meaningless. It doesn’t matter if you are one of the economically privileged. Nearly one out of two claimants is denied, no matter one’s social or economic status.
The Legal Conundrum for Seriously Injured Auto Accident Victims

Recently the media has been full of news about a particular insurance assessor who was caught altering medical reports so that the victim would not qualify for deserved catastrophic (CAT) accident benefits: http://news.nationalpost.com/news/ontario-doctor-misrepresented-views-on-catastrophic-injuries-to-benefit-insurer-judge-rules

This incident is not a rarity in the attempt by insurers to pay claimants as little as possible or nothing at all. Unfortunately, this is not the only problem accident victims face when they undertake the claims process for accident benefits. Another obstacle for motor vehicle accident (MVA) victims is good legal representation, a must if seriously injured claimants are ever to be paid by their auto insurer.

Unless a client is injured enough to be potentially eligible for an insurance CAT designation, too many lawyers aren’t interested in taking on lesser degrees of seriously injured claimants, particularly the larger firms, because the financial rewards are not nearly as high for them. However, it is the larger firms that have more litigation experience and thus more experience in dealing with the well-paid legal sharks insurers hire. Non catastrophic claimants often struggle to find legal representation and could end up with lawyers, who may be well-intentioned, but lack experience and the financial resources to carry the client for the years it takes to settle auto insurer accident cases. The larger firms, which can afford to carry these costs more readily, obviously want to ensure a big financial return at the end. This means primarily taking on clients who are seriously injured enough to qualify for the CAT designation, along with a possible malpractice or bad faith suit to further increase the payout.

However, claimants cannot go through the process of accessing benefits from their insurer without a lawyer, though the government thinks otherwise with its elimination of the right to take an insurer to court as of April 1, 2016. This is a policy that is only beneficial to insurers despite insurer and government claims that it is meant to streamline the process and move away from costly litigation. But what is not said is that claimants need to undertake litigation because insurers do not willing pay legitimate claimants what is owed.

The difficulty for non-catastrophically injured claimants is not only to find a lawyer who will take on their case, but to find one who is competent, a successful litigator and who can afford to take them on as clients. This is where claimants are often left in a black hole, without proper legal representation.

Claimants who unknowingly hire an inexperienced or worse, incompetent lawyer, who is unprepared or not forceful enough to stand up to defence lawyer tactics even at mediations, let alone in court, find themselves in an even worse bind: that of needing to fire their lawyer or being possibly dropped by the lawyer if they speak out and ask questions. In Ontario’s insurance system, even a bad lawyer is better than no lawyer. However, claimants are still saddled with disbursement costs despite any contingency fee – money that most claimants don’t have.

Complicating the financial scenario, claimants are left to find a more competent lawyer, but if the client only has a standard policy, which many policyholders unfortunately have, their rehab benefits may be partially used up if the insurer has paid up on any rehab, and the tort potential may only be a few thousand dollars. Thus, there is little incentive for another lawyer to take on the case. If another legal firm takes on the case, they have to make arrangements to pay off the first lawyer when the case is settled, with possibly a certain sum paid upfront, then the new firm’s own disbursements and contingency fees, plus the loss of a $37,000 deductible that goes back to the insurer for any tort settlement. The overall accident benefits and tort settlements are often not high enough to cover expenses all these expenses and lastly, still include a payout to the client.

Many cases end up financially nonviable with the claimant unable to find legal representation, thus effectively leaving them in insurance limbo where nothing can proceed. The last step, and one the insurer awaits, is to have claimants drop out of the process and salvage what is left of their life, with the final solution: applying for the Ontario Disability Support Program (ODSP). It pays a little over $1000 per month for a single person and about $1,500 per month for a single person with a child. The insurer is off the hook, knowing full well that the claimant doesn’t have the resources to continue the fight and that likely, no other lawyer will take them on to get justice, let alone any money. And all this because a person was seriously injured, but not seriously enough in an auto accident.

Consequently, the way insurers, their insurance medical evaluators and their lawyers operate put the seriously injured but non catastrophic in the worst possible position. CAT clients are readily taken on by large legal firms because there is money to be made. Minor injuries, because the maximum rehab costs are only $3,500, are more likely to be paid by the insurer, and don’t require legal representation, although a fight is still probable. The rest are in for the fight of their lives.

Many seriously injured but not seriously enough injured claimants can’t return to work, and if they can do some work, they are frequently only able to undertake a few hours a week, not enough to earn sufficiently for a sustainable living. Their workplaces accommodate them only for so long and if they can’t work up to regular hours within a determined time frame, they are let go. The accident and their subsequent injuries cost them their quality of life and livelihood. Many become so desperate that they actually wish they were catastrophically injured so that their case would be taken on by a good law firm.
Insurers and the government do not acknowledge that this nightmare goes on because the two have a “good working relationship”. Insurance is big business and government tows the line. Insurers are political contributors and provide a lot of jobs. Plus, enough statements of fraud against insurers are released to have the public believe that most claimants are fraudulent. Yes, there is fraud but most of it is by organized crime groups. Yet it is the seriously injured who are being treated by their insurers as fraudsters as a means of lowering payouts. Insurers know full well that many crash victims can’t endure a long-drawn out fight, if they fight, and will often settle for a fraction of what they are owed. The battle is worth enough dollars to insurers to pay the big bucks to their own lawyers and insurance-hired medical assessors to turn it into a colossal fight against claimants.

Despite the legal conundrum, claimants can’t go through this process without a lawyer. Even if a claimant adjudicates through the government’s new dispute resolution system, the Licence Appeal Tribunal (LAT), which took over in April 2016 from the more experienced but inundated FSCO dispute resolution system (a new system designed to serve insurers, not claimants) a lawyer – a really good lawyer remains a necessity. The problem is finding a lawyer who has a social justice conscience, is competent, has the financial means and the desire to help non-catastrophic claimants get back as much of their lives as possible, and as such, is willing to forego the big financial rewards of primarily taking on the catastrophically injured.

Jokelee Vanderkop
Author/Claimant

So You Think You’re Covered! The Insurance Industry Rip-Off
What boxes not to check in IME forms
One of FAIR’s members (FAIRAssociation.ca – Accident victims for insurance reform) brought an issue forward regarding signing the forms you are presented with when attending an insurance medical examination (IME). There are 2-3 forms handed to you – one or two on arrival and one following the assessment.

Professional Consent Form – It is necessary that insurers and the assessor have your consent – after reading the form and approving the content as there are variations unique to each assessor.

Assessment Verification Form – Check the information for accuracy and when you sign you are verifying who you are and who the assessor is.

Assessment Quality Form – Here’s where the trouble can start and I have no idea if all forms are the same. The member attended a couple of IMEs with a family member a couple of weeks ago so there are recent forms in this person’s files. The person didn’t check any of the ‘boxes’ in this section “because who knows how that IME report will ultimately look when it is received” (pertaining to the high risk of reports being altered). Of course the assessors were not happy about not checking those boxes although the family member did sign them all and had them photocopied so things could not be changed without knowledge/consent afterward.

You do not have to check these boxes – after all, if there is a problem with the report which you haven’t yet seen, you’ve already agreed, when checking the boxes that the assessor was “thorough and careful with obtaining your history and assessing your impairments”. FAIR points out that since their survey indicates that only 9% of victims felt that the IME reports they received was an accurate reflection of their injuries, both those scenarios can’t be true. Essentially you are being asked to agree in advance about the quality of the IME and should you decide later to complain to the College about the assessor or when your case goes to a hearing, that document can be used against you.
Chair, Rhona Desroches, of FAIR pointed out that she had made a complaint to the CPSO about an assessor many years ago and it was one of the first things the investigator said to me – well you signed that you thought the examination was adequate didn’t you?
Altered medical reports
Altered medical reports are no surprise to those who have been injured. The media is finally latching on because a judge ruled against Dr. Platnick but FAIR, an advocacy group for accident victims, and others, have tried to get their attention on many occasions, but to little avail. What the public and media need to understand is that this is just the tip of the iceberg.

Even when reports aren’t altered, far too many assessors downplay the seriousness of a claimant’s injuries. Minor injuries are settled quite quickly under the Minor Injury Guideline (MIG) because there is only $3,500 worth of treatment costs on the line for insurers but the injury really has to be very minor. However, far too many accident victims who are more seriously injured are up against insurer examiners who frequently refuse to acknowledge that they need more rehab than allowed by the MIG. To add insult to injury, many are treated condescendingly by examiners. I could show a list a mile long of comments that many claimants get by some pro-insurer assessors when they present at an IME. The most seriously injured, who should be deemed catastrophic, cost insurers the most, so many of them are also forced to fight for benefits in the CAT category. Even here, examiners may downplay their injuries so that they fall in the moderate to serious rather than qualify for the CAT category – thwarted again by insurer-hired doctors who want to stay in the good graces of the insurers who hire them. Almost one out of two claimants, acknowledged even by the auditor general,is denied outright.

Platnick’s lawyer argues that medical reports written for plaintiffs by their medical experts are often exaggerated. I presume he means claimants’ treating physicians. Well, treating physicians have nothing to gain. They are paid by OHIP. Insurance doctors have lots of $$$ to gain as do insurers by making sure their medical vendors do their job to suit the insurer.

Platnick’s first complaint is about his reputation and his loss of income because many insurers have now dropped him. He deserves what has happened to him in that regard. His behavior is not only unethical but it has far-reaching consequences for the accident victims involved. The unfortunate part is that he was dropped not because he altered medical reports but because he was caught. And this impacts the insurance industry.
Insurance industry uses Trump tactics to pump up fraud
Re Law Times article see http://bit.ly/2faogP5 – If juries have become cynical it is because the insurance industry spends inordinate amounts of money, and uses Trump tactics, to launch ad campaigns to tell the public about so-called rampant insurance fraud. The public has come to believe that nearly everyone is fraudulent without hearing the perspective of accident victims. Most injured parties have to take on their insurer via a legal battle to receive the income replacement and rehab benefits they require and are obliged to sign “privacy” or confidentiality agreements so they can’t divulge the settlement or how they were treated at mediation or in an examination for discovery. Pro-insurer-hired doctors, many of them orthopedic surgeons, who know little about chronic pain, tell the courts that it is subjective. It is not. Chronic pain is not only a reality but is debilitating, requiring accident victims to dramatically change their lifestyle, which frequently means no longer being able to carry out their former job. Doctors specialising in chronic pain, whose opinions insurers tend to avoid, know the health implications of chronic pain. Traumatic brain injury frequently accompanies chronic pain. Both are downplayed by insurers. And as insurers are so adept at playing the game, forcing accident victims to fight for years in hopes that they give up, they know the correlation of their ad campaigns to jury outlooks, and will of course, opt for a jury trial. These “other factors” have become “inherent flaws”, as it is a flaw that juries don’t even know that there is an almost $37,000 deductible, making their meager awards, a travesty of justice. When it comes to auto insurance and accident victims, our court system is being played by insurers. The sad thing is that this industry has been playing our government for years and now too the public.
Judge sees his recommendations cherry-picked re auto insurance
Justice Cunningham is himself now wary of his February 2014 recommendation that the province appoint a “public sector administrative tribunal” for SABS disputes and get rid of the court option for MVA victims. He now acknowledges that few of the LAT adjudicators actually have experience resolving AB disputes, saying “Clearly many of my recommendations were not adopted.” “There was a lot of cherry picking that went on here.” WHY IS HE SURPRISED? As an accident victim I certainly am not. And herein lies the problem. Even the experts have misjudged or don’t truly understand what accident victims face to receive auto insurance benefits. The injured have to hire a lawyer and fight years to get what they’ve paid for. The delays in treatment or inadequate treatment don’t enable them to return to optimal health. Not receiving income replacement benefits means many go broke while fighting their insurer and insurer medical examinations are far too often set up to discount what treating physicians have determined.

The sad thing is that between the government, their hired consultants, the IBC and even opposition critics, the latter who are supposed to understand the auto insurance file and stand up for claimants, beyond their focus on insurance premiums, none appear to truly understand because none are willing to sit down and listen to injured accident victims and hear about the horrendous experiences that about 50% undergo when they try to access their benefits. Few of the experts are standing up for claimants or willing to expose what really goes on behind the scenes in the close working relationship that the government has with the IBC, which Premier Wynne sees as such a positive, without any understanding of what people will face when injured in a MVA. It’s all about saving or making money.

Meanwhile insurers play the fraud card, with even W5 (CTV – owned by Bell) playing the same insurance fraud show twice within a few months about a chiropractor and a paralegal scamming the system but ignoring the fraud perpetrated against claimants. (Even Aviva’s president stated in the show that this type of fraud is rare). How about a balanced view?

Let’s hope Campisi Law prevails in their February challenge and that Justice Cunningham now lends support to claimants rather than to the government and the IBC.

Jokelee Vanderkop
“So You Think You’re Covered! The Insurance Industry Rip-Off”
deniedbenefitclaims.com
Juries swayed by big $ spent on IBC fraud campaigns
It would seem that David Cheifetz, a now retired defence lawyer, can be as insulting to auto insurance claimants via his incredibly ignorant statements to the Chair of FAIRAssociation.ca (not-for-profit motor vehicle accident victim group seeking insurance reform) as so many of the rogue IME assessors are to claimants they assess, whom they deny in order to keep their lucrative insurer-paid jobs. No wonder so many seriously injured claimants don’t stand a chance of getting the benefits for which they’ve paid when you have these entitled insurer cronies earning their high salaries at the expense of policyholders, not to mention the substantial sums that insurers spend to tell the public that fraud is rampant but not telling the public that they deny almost one out of two claimants as a matter of course. Juries are made up of this public. So really, one out two claimants is fraudulent? What is fraudulent is how seriously injured claimants are treated by insurers. For these insurer-hired guns, it’s a job that pays well. As one B.C. defence lawyer who could no longer take beating down claimants in court for pennies on the dollar and quit said, “my well-paid hell but hell nonetheless job” where “The overarching rule was this: Insurance companies hate to pay out on the policies they’ve written” and many insurance lawyers help them achieve this goal.
For accident victims, it’s their life, dramatically altered, denigrated, disbelieved and denied by insurers who know that most will give up or settle for far less than what is owed. Enjoy your retirement Mr. Cheifetz.
Bill reeks of IBC influence
Hudak is now leaving politics and has never shown any interest or knowledge in the topic of auto accident victims or pi lawyers before – so why now that he is leaving? If he is pushing through the Protection for Motor Vehicle Accidents Bill to get the government to scrutinize personal injury lawyers, it is highly likely that the Insurance Bureau of Canada (IBC) is behind it. This bill is being advanced under the guise of protecting claimants, while the IBC has been happy to influence the government to cut benefits and eliminate the right of claimants to take their insurer to court for denied benefits, the latter in effect since April 1, 2016 and the former since June 1st. What Hudak and the IBC don’t make public is that nearly one out of two injured motor vehicle accident victims are denied their benefits by insurers. These people have to battle their insurer for years to get them and will no longer have court as an option. Taking your insurer to court was too often the only way to get your insurer to pay what they owed. Yes, not all pi lawyers are reputable but few insurers are reputable. If Hudak is going to talk about pi lawyers, there needs to be an equal airing of wrongful denials and the insurer-hired doctors who too often, and shamelessly deny benefits to injured accident victims because they want to keep their lucrative job as a medical assessor for the insurance industy. The government can’t have it both ways and Hudak should apprise himself of what is really going on beyond the pi lawyers. Let’s call it equal billing.
Jokelee Vanderkop
Author: “So You Think You’re Covered! The Insurance Industry Rip-Off”
deniedbenefitclaims.com
Public Inquiry into Auto Insurance Medical Assessments which Favour Insurers
Please print, sign, share petition ow.ly/HyDs3011waJ Too often auto insurer-hired medical assessors deny legitimately injured claimants because they don’t want to lose favour with the insurance company that has hired them and which provides them with their well-paid positions – positions that pay far more than OHIP pays doctors. Justice Douglas Cunningham even made a pronouncement to that fact. Far too many claimants, nearly one out of two according to the auditor general, are being refused their accident benefits by these hired medical rogues who perform the insurance medical examinations. Injured accident victims have to fight for benefits which we all presume will be there when we need them. Instead, people find that an eight-year insurance battle is not uncommon.

By printing and filling in the sheet which is calling for the government to hold a public inquiry into these underhanded practices, you will be helping yourself and all of Ontario’s drivers. You can go well beyond the 9 name spaces – add names and put the total count on the top sheet.

Mail in as many sheets and Ontario signatures as possible to the address at the bottom of the form. The Legislative Assembly will be presented with forms from all over Ontario in September. So please, help push for this inquiry. Your benefits were already dramatically reduced June 1st and you lost the right to take your auto insurer to court for denied benefits on April 1st of this year.

If Ontario drivers mobilize and sign this petition asking for the Premier to conduct an independent inquiry into the for-hire medical assessors that the auto insurance industry (the WSIB uses the same assessors) employs, we have an opportunity to hold auto insurers and the Insurance Bureau of Canada (IBC) accountable and you will be protecting yourself from being wrongfully denied accident benefits when you need them.

Your name, town and postal code and a signature is all that is required. You don’t have to fill out the phone number and email address.

Jokelee Vanderkop
Author “So You Think You’re Covered! The Insurance Industry Rip-Off”
http://www.deniedbenefitclaims.com

Getting media coverage exposing fraudulent insurer behavior
3 radio interviews on my book, “So You Think You’re Covered! The Insurance Industry Rip-Off” tomorrow, June 21. First one in Edmonton, CHED, Bruce Bowie at 8:55 am for 5 minutes; one in Ottawa CFRA with Carol Meeken at 2:15 or 2:30 for 7 minutes; and one in Hanover, Joseph Clark, Bluewater Radio 91.3 for 50 minutes.
Thursday the 23rd, a half hour interview in Vancouver with rockhousestyle.com

The book is available at http://www.deniedbenefitclaims.com or at Words Worth Books in Waterloo, The Bookshelf in Guelph, Roxanne’s book store in Fergus and at Millenia in Hanover.
Those insurer-hired medical expert witnesses with whom claimants don’t stand a chance
Shanoff’s article outlines how the judicial process with its biased insurer examiners work against legitimate claimants. Comments by Vanderkop at the end.
See:

Social Justice: Expert witness cross-examination conundrum
There are various strategies available to counsel in attempting to impeach an expert’s credibility. Cross-examination on the basis of prior inconsistent statements is a well-known strategy. As seen in the recent Jian Ghomeshi acquittal, this technique is a powerful weapon in attacking the credibility of any witness. Another strategy is cross-examination to establish bias, attempting to establish the witness’ partisanship.
http://www.lawtimesnews.com/201606065446/commentary/social-justice-expert-witness-cross-examination-conundrum
Libby Znaimer “Fight Back” Radio program at Zoomer radio with Jokelee Vanderkop
Fight Back –
MICHAEL BRATTMAN & JOKELEE VANDEKOP – June 1
http://www.zoomerradio.ca/…/michael-brattman-jokelee-vande…/

June 1 and the hefty cuts to auto insurance benefits plus a redefinition of what is catastrophic, working against someone who is catastrophically injured, came into effect. We are told that our premiums are going down. The catch is that they are only going down for some (7%) max so far, but benefits are also down. Nice way to finance the premium reduction for those with perfect driving records. Libby Znaimer of Zoomerradio, with her program, “Fight Back”, had me on her show yesterday to give an opinion other than what an insurance broker would represent.
See More

MICHAEL BRATTMAN & JOKELEE VANDEKOP – June 1 – Zoomer Radio AM740
There are new changes to the law when it comes to your auto insurance today, and it has a lot of…
zoomerradio.ca

I’ll also be interviewed on Tuesday, June 7th at 7:52-&.57 am. Interview with Mike Stubbs of News Talk 1290, London
http://www.cjbk.com/FirstThing.aspx

Another interview on the same day at 10:30 am with the foremost English language station in Montreal. Interview with Tommy Schnurmacher, CJAD Radio Montreal http://www.cjad.com/Shows/TommySchnurmacherShow.aspx
Fraud Upon the Public Not Limited to the WSIB – Check it Out
The Workplace Safety and Insurance Board (WSIB) put pressure on an assessment centre in 2015 to get one of its doctors, Dr. Brenda Steinnagel to change her diagnosis of an injured client so the WSIB wouldn’t have to pay benefits. When she refused, her position was terminated. Steinnagel had the courage to file a lawsuit. She would be the first doctor to take a legal stand but this is certainly not the first time that an insurer-hired doctor has been pressured to downplay an injury or change a diagnosis to benefit the WSIB. Of course, the WSIB wants the lawsuit dismissed.

Injured workers have already called for a public enquiry by the Ontario Ombudsman because of wrongful denials so more negative publicity for this workplace insurer is the last thing it wants. However, the issue needs to be made public because wrongful denials are commonplace as are altered diagnoses.

A judge ruled this past week that the lawsuit may proceed. Steinnagel’s statement of claim alleges that “The defendants WSIB and WHCS [assessment centre] tried to force [her] to participate in a fraud upon the public.” What a great term because that is precisely what it is. Insurers have been getting away with it for years but it is becoming worse according to many treating physicians and rehab providers. If doctors want to keep their lucratively paid insurer-assessment positions, they’d better be siding more often than not with the powers that be.

But unfortunately, “fraud upon the public” isn’t limited to the WSIB. Every driver who is injured in an accident is also affected. Auto insurers perpetuate “fraud against the public” against many motor vehicle accident (MVA) victims who are sent to insurer hired assessment centres. To my knowledge, no doctors assessing MVA victims have had the courage to report let alone take legal action regarding what really goes on. If they can’t handle these corrupt practices, they quit and quietly slip away. Yet ask any number of doctors, and they’ll tell you the system is corrupt and that many of these assessment doctors are intellectually dishonest.

My book, “So You Think You’re Covered! The Insurance Industry Rip-Off” provides details around this issue.
So it’s a fact, the CBC proves that the IBC is but one to grease the palms of politicians
Mike Crawley, CBC Provincial Affairs reporter, April 19, 2016. “Ontario’s Biggest Political Donors Revealed.” Insurance Bureau of Canada (IBC) contributions to PC party and to the Liberals over $315,000. To this my comment is:
With political parties opening their door to these kinds of donations, of course the political wheels get greased. When it comes to the IBC, $315,310, split almost evenly between the Liberal and PC parties, they have in return got the party in power to save insurers a lot of money to the detriment of claimants.
Wynne’s government tells us we have the best auto insurance in the country (not true actually) but in the meantime, these IBC donations have the government and the IBC working closely together. This has resulted in the elimination of the right of claimants to take their insurers to court (as of April 1) so a wrongfully denied claimant no longer has legal recourse to fight back when they’ve been wrongfully denied. These donations have also bought cuts to accident benefits, providing less pay outs and higher profits for insurers, and has also introduced a higher injury threshold for what is deemed catastrophic. So brain injured, loss of limb(s), blinded, paraplegic and the list goes on isn’t enough to qualify for the CAT category?
This is not a free market economy but a monied economy where only the corporations, politicians and the financial elite benefit. Denied benefit claims are the norm. “So You Think You’re Covered! The Insurance Industry Rip-Off” – Claimants aren’t and they’re ripped off for sure.
Read Mike Crawley’s article: http://www.cbc.ca/news/canada/toronto/ontario-political-party-fundraising-largest-donors-1.3540674
What About the Claimant!
Gail J. Cohen writes in her April 4 article, “The Great Divide”published in Canadian Lawyer: “What has been going on in [Ontario] for years now has been a system that increasingly doesn’t work for individuals seeking accident benefits, and it is tipped in favour of insurance companies looking to reduce payouts whenever they can. According to this month’s personal injury legal report, there are numerous decisions showing medical experts are not acting as impartially as they should.”

Thank you, thank you. Finally a lawyer who is willing to begin to tell it as it is.The playing field between claimants and the system is so uneven it is laughable. The seriously injured are too often treated as scammers, with insurer medico-legal reports as a means to this end. The public is kept in the dark about what really goes on–the denial of benefits to people who need them. The injured are forced to spend years fighting for what they’re owed while their health deteriorates even further. They become the “walking wounded”. Every delay, denial, altered or bogus insurer medical report, bought expert witness or missed filing date by lawyers is proof that all these experts have lost sight of what is important–injured claimants. The system is more geared to ensure the lucrative livelihood of many in “the accident business” and to keep shareholders happy.

Consequently, many of these experts don’t want to even know what a legitimate claimant undergoes physically, emotionally and financially in their fight for benefits. Nor do they want claimants to have enough information to be truly informed of what they’re up against. “So You Think You’re Covered! The Insurance Industry Rip-Off” gives that perspective. Claimants are thrilled to have a voice but many experts don’t want the public to know what really goes on because the status quo works fine for them. Those in the “accident business” who delay, deny, miss crucial filing dates, forcing legitimate claimants to fight years for their benefits, have lost sight of what is important — injured claimants. Claimants who have paid premiums on a contract they now need to kick in, and had expected would be honoured, have become pawns in a system that too frequently only benefits the experts and nothing more.

Why is the public not aware of this, because claimants are so stressed by the process, insurer intimidation tactics and gag orders to keep them from speaking out, that it is neatly kept under wraps. Otherwise, policyholders would revolt if they really knew what to expect.

Would you not want your pi lawyer/treatment provider to have read and tell you about this book?
Why are so many lawyers and treatment providers who have heard about the book “So You Think You’re Covered! The Insurance Industry Rip-Off ignoring it? Comments like “good luck with the information” with no more interest than that are puzzling. Is it because “lawyers know best” and can’t concede that an accident victim has something worthwhile to say? The ones who truly have their clients or patients’ well-being at heart have come back to order more copies to hand out to their clients. This is not a push to sell books but a questioning about the lack of curiosity when enough already know about the book. Claimants, on the other hand, are extremely grateful to find this book, to know they are not alone and very thankful for the information “So You Think You’re Covered! The Insurance Industry Rip-Off provides. And they include the ones who have hired lawyers.
For the curious, more information on the book and how to acquire it can be found at http://www.deniedbenefitclaims.com
Corporate Greased Political Wheels a Slap in the Face to the Electorate

Politics, money and lobbying all add up to corporate interests superseding the interests of the electorate and specifically, Ontario drivers. Wynne’s self-proclaimed “working closely with the insurance industry” has guaranteed that the Insurance Bureau of Canada has its interests protected through further auto insurance benefit cuts on June 1 (presented as providing drivers choice – yes the choice of less, lesser and least benefits), as well as claimants losing the right to take their auto insurer to court as of April 1. Another win for the IBC. Also in 2015, 26 insurance companies applied for and received premium rate increases despite the promised 15% premium reduction. Wynne tells Ontario drivers that they have the best auto insurance in Canada. Her talking head points are very wrong. If the public were apprised of what really goes on, they could help un-grease the wheels of government by throwing this party out of office in the next elections. And to think I voted Liberal.
http://www.deniedbenefitclaims.com
The only winners in the insurance industry are insurers, not policyholders
Mark Tweedle’s April 15th letter to the editor of Peterborough’s online newspaper, My Kawartha.com:”Car crash victim feels everyone wins except for him and his family” (link below) is more than just the frustration of one person mishandled by his or her insurer. His wife was fortunately not injured but of the 65,000 motor vehicle accident victims who are injured each year in Ontario alone, the auditor general acknowledges that nearly one out of two is denied.

As an accident victim myself, who lost her career as a secondary school teacher and had to fight a twelve-year insurance battle, which I won, the wrongful denial of seriously injured claimants is commonplace and needs to be exposed. The not-for profit advocacy group, FAIRAssociation.ca, which I was very happy to discover, is fighting a lonely battle for insurance reform and can tell you what insurers and the government of Ontario don’t want you to know: we’re not covered without a fight and most accident victims give up because the delay, denial, insurer-medical assessment system and the appeal process is meant to wear down claimants.

Giving a helping hand to insurers to help them reach the ever stretched goal of 15% premium reductions, the government has eliminated the right to take an insurer to court, effective April 1, followed by a redefinition of catastrophic injuries and a massive reduction in benefits under the banner of more choice for drivers.

Under the guise of insurance fraud, millions are spent by the Insurance Bureau of Canada (IBC) to highlight what is supposedly $1.56 billion fraud. The figure $1.3 billion was cited throughout the 90s and early 2000s. If fraud in this amount really exists, what corporation can afford not to reign it in without going bankrupt. Yes, there is fraud but most of it is by organized crime groups and coordinated individuals, not by the seriously injured. Our higher than ever premiums are a never-ending supply of funds and we get increasingly less for them.

The public would do well to inform themselves and the media would do well to take on this story and inform the public.
Read article: http://www.mykawartha.com/opinion-story/6500003-car-crash-victim-feels-everyone-wins-except-for-him-and-his-family/
To inform yourself check out: http://www.fairassociation.ca and http://www.deniedbenefitclaims.com
Insurers spend fortunes to pay out little
Michael Erdle says in his April 7th article, “The Problem with Experts” in SLAW, an online legal magazine, is that “litigation and arbitration are teeming with experts and they never agree”. That’s for sure. Because of the adversarial component, experts say what they are paid to say. Money, greed and A-type personalities don’t bode well for legitimate claimants.

By the time all the experts get called in one knows that this is not a minor injury that will resolve itself quickly. Insurers bring in the big guns to ensure that the claimant gets as little as possible. It is not the injuries that are so much in question but the category of benefits that needs to be paid. If we can get someone who is catastrophically injured placed in the moderate to serious category and someone who is moderately to seriously injured in the MIG category where $3,500 is the maximum for treatment and the insurer can still take out $2,000 worth of assessment costs against that amount, or better still, fight claimants long enough that they become so frustrated and worn down that they drop the claim or apply for ODSP instead (the government disability welfare program), insurers can save fortunes. However, this is money on the backs of those who deserve benefits. But what gets put out to the public is that these people just want to live off the system and not work. Well, for what is paid even in the best case scenario, is a fraction of what a claimant was earning or will earn over the years. Seeing most claimants have a standard policy, IRBS of $400 per week is no bonanza, even the upper end of $1,000 at 70% of someone’s salary is not rich compared to what that person was earning and could still earn if he or she had not been injured. Let’s all stay home and live off the system!

Could we look at what the experts are earning for which policyholders pay. And for the odd ones who do work the system – with fingers pointed incorrectly at anyone on welfare or ODSP, we are talking about that small percentage that exists in every single society, who often have a history of family dysfunction, addiction or mental health problems with the odd really lazy person. But to be that lazy is some sort of dysfunction in itself. Yet it is the odd malingerer that becomes the example cited by insurers for just about all claimants. Meanwhile, money is freely spent to deny, delay, defend. We have lost sight of the human element and let experts, like hedgefund managers determine the outcome of their own livelihoods to the detriment of their clients.
New edition of “Denied Benefits” book now available
The updated “So You Think You’re Covered! The Insurance Industry Rip-Off” is now available.
This 360-page edition has been completely revamped to include a researched exposé of 120 extra pages that expose how auto insurers, the WSIB and disability insurers deny medical, rehab and income replacement benefits to legitimate claimants. Nearly one out of two claimants is denied. It doesn’t matter if a person is seriously injured or not. The catastrophically injured also need to fight to receive the CAT benefits available in their policies – benefits that the Wynne government has cut in half commencing June 1.

This informational resource, with my own insurance fight as a backdrop, takes a close look at the insurer examination process, so often used as the tool to wrongfully deny benefits. The book still helps claimants through the process and provides a lot of advice from how to file a claim, prepare for mediations, examination for discoveries, how to find a good lawyer, how to cope and stand up for yourself against your insurer and much more.

Under the guise of fighting fraud, insurers are denying rightful benefits, often treating the seriously injured as fraudsters. There is fraud but what insurers fail to mention is that most of it is by organized crime or coordinated individuals, yet legitimate claimants take the hit.

Some who have read the book have commented that it is “highly interesting, insightful and gutsy”.

Become informed because every driver across the country is vulnerable to these underhanded denial practices. Insurers’ business practices are the same whether you are in Ontario or in other parts of the country. The difference in denial practices between public and private insurers is very little. Their goal is to pay out as little as possible or not at all. Insurers frequently spend more to deny legitimate claimants than to return them to optimal health.

To purchase: please go to http://www.deniedbenefitclaims.com.

Response for the insurance Lawyer Harry Brown factum has been served and filed to the fsco arbitration hearing( other insurance victims may use this information helpfull for their file)

Response of the unica Insurance materials that has been prepared by Unica insurance lawyer Harry Brown (factum,document brief of the applicant,book of authorities)
ATTENTION!!
1-)This factum and other documents can not be admitted and used on this arbitration hearing
2-)This factum and other documents are not relevant with this hearing ,therefore those subjects are related to the 3th person and some one else’s case,this factum should have been taken out from this hearing and these documents are not admissible.
4-)interfering some one else’s ongoing law suit is not business of this arbitration hearing.Reasons are why this factum can’t be used ,that has been clearly stated one by one below.
5-)Also uttering forge documents,misleading justice ,perjury and violating privacy act is a crime.Those crimes occurred as son these materials are prepared and served to the FSCO.
6-)This documents are full of criminal materials so can not be admitted to this hearing.
7-)If arbitrator King or fsco let these materials to be accepted and used on this hearing,that makes Arbitrator King and FSCO will be shared responsibilities of criminal act for admitting and letting this documents to be used.
There fore I keep my rights to fill up a private prosecution particulars against who ever responsible and be part of this criminal act,also I will make attorney general to be involved with this situation along with other organizations.

A-)Factum 2-3-4-5
1-)They are saying that mr.Ozdemir is my attendant care and I am his attendant care.
they brought as a witness insurance adjuster and a hired pen of a company who says that this signature is mine on forged ocf 6 form.
2-)Where they with me while this documents were prepared and signed?Did they see me while this document is signed or prepared?
3-)If I say those ocf 6 is not mine ,that means it is not mine,where is your witness? who saw me by signing those ocf6?
4-)You are saying Erol Ozdemir is my care giver.What is your evidence?
Have you prepared forge ocf6 for Erol Ozdemir too?
5-)Do you have any ocf 6 that has been signed by Erol Ozdemir says he is my Care giver?
6-)Did Erol Ozdemir claim anything from the unica insurance if he is my Care giver?
7-)All Bold accusations with no ground.
B-)Factum 17-18
Harry Brown already mentioned about the arbitration transcripts on his factum number 17-18
1-)I told arbitrator Robinson when he asked me who is my attendant care,I said my wife and Erol Ozdemir,it is obvious beside my wife Erol ozdemir is supporting me by socializing ,attending with me to the doctor appointments,I have never said that Erol Ozdemir taking care of me physically,he never give me a shower,my wife does,he never brush my teeth ,my wife does,he never shave my beards ,my wife does.If there is my wife ,why would I receive care giving services from someone else ,does that make any sense?
2-)If you take a look at the Dr.Gerber report you will see that collateral informations,has been skipped by Harry Brown.My wife and Erol Ozdemir was there and gave evidence to the Dr.Gerber for the CAT report.
3-)Also my wife was at the Dr.Siva’s clinic to gave evidence as collateral information about my situation.
4-)You are miss interpreting my words on purpose here,
5-) We are not arguing about wether or not Erol was care giver ,we are here to argue if I was his care giver after my accident.
6-)I answered clearly to arbitrator Robinson question ,I say first my wife she is my primary care giver ,second Erol ,who is supporting me by attending to the arbitration hearing,attending doctor appointments ,etc.
7-)I never said that he was physically helping me. it has been clearly states there what kind of help that I am getting from Erol Ozdemir,read that carefully and try to understand.Also it clearly states there on that transcript tab4 page 79-87 Arbitrator Robinson asked me while my wife was away ,who was doing house keeping and such tasks,I clearly states there Erol Ozdemir was paying for it to be done ,he was hiring people to do those tasks,house keeping or attendant care.
C-)Factum 23-24
That has been already explained and Erol ozdemir has no single testimony to no one about being a care giver of me ,this is mentioned by Erol Ozdemir on CAT report ,if you look at the collateral information on dr.Gerber reports ,Erol Ozdemir always says that he brought person or hired person to make them do such tasks while my wife was away.
Erol Ozdemir did not do any help physically to me.
You are just assuming on this Factum 23-24
D-)Factum 25
Judy Philips Was at the hearing I believe as a witness who came and gave her testimony and Arbitrator Robinson found that evidence was given by her wasn’t credible so,what is wrong with that?
E-)Factum 26
1-)As you say I didn’t bring any doctor to the hearing ,I did not know that my lawyer was going to be bought by Unica insurance ,until that morning of the arbitration hearing I didn’t know my lawyer was sold out and he was not going to show up for the arbitration hearing.
2-)I did not know of processing of the arbitration ,I wasn’t aware of calling doctor or summon witness forms.
3-)Now I bring my doctor so ,decision must be change regarding this issue.
F-)Factum 27
Those inconsistencies belong to Harry Brown, you are the one who creates these inconsistencies.Simply a Harry Brown has created a fake world and decided to live in it and he is expecting me to join him and expecting everyone else to join him ,I believe Harry Brown has serious issues with his mental health so,I suggest him to go and see a doctor for it.
G-)Factum 28
1-)Again I am repeating my self ,those documents don’t belong to me ,and I did not sign those documents or put the dates on it ,not even my hand writings ,there are forged documents has been prepared by unica insurance or economical or both,are there any witness where and when I signed or fill up those ocf 6 papers?
2-)Did any one saw me or did I sign those documents front of someone ?
3-)I can’t simply prepare those documents and sign ,there must be someone present and I believe there was no one so,that means I printed those documents and filled up by my self and send them to the insurance company and asked them to pay me ,that must be a story of a fairy tale.
4-)As long as you can’t bring a real witness to the hearing and testify that he or she was presenting there when I sign those documents,your bold accusation is only become assuming ,anywhere in the world law doesn’t work by assuming or accepts assuming
H-)-Factum 29
Application for mediation has been prepared by Erol Ozdemir’s Lawyer ,I wasn’t aware of my name is used there.if the document is real,I don’t have any signatures there ,on the document says client signatures there ,what I see client signature section is empty ,I am not responsible about some documents has been prepared served by some on else’s case,that doesn’t proof anything ,I didn’t prepare or serve that mediation application paper.It is not my problem.
Also that individual lawyer has started working against his client by cooperating with the insurance lawyer ,so around those days I believe that lawyer he’s been fired.

I-)Factum 30
Probably mediator saw those ocf 6 belongs before my accident so he may put my name there ,again that doesn’t mean I am the service provider for Erol ozdemir
After my accident occurred ,beside this ,before my accident,I was ,my wife was and Ghanna was taking care of Erol Ozdemir and after my accident as my letter says I can’t take care of anything for him only Ghanna left for him as a service provider.
J-)factum 31
That ocf 6 is a forged document and I never accepted that document has been signed or dated by me and there is no evidence that can proof otherwise.
K-)-Factum 32
As you say first time this forged documents has been brought front of me at the Judge Emery motion and as you see judge Emery says ,I do not accept those forged documents has been signed by me or dated by me.
L-)Factum 33
Let’s read what I have written to the Tripta Sood ,if I am charging money any one ,it is my business no one else’s,I can charge any one any money for being beside him,standing with him ,sitting with him or drinking coffee with him,if Brown wants to drink coffee with me I can charge him 10.000$ ,if the arbitrator wants to drink coffee with me my price will be 20000$ ,if Insurance adjuster wants to walk with me or stand beside me I can charge him or her 100000$
I don’t see any problem in here ,my business is my business,no one can stick their nose in to my business.That is my freedom.
M-)Factum 34
EMails between one insurance lawyer to the other one is their business ,I don’t care what people say about me or about Mr.Ozdemir,any one can say anything,specially insurance side.
N-)Factum 37
1-)On Those surveillance I am breathing too,does that means I am ok?
2-)Surveillance shows only small part of my life,I never said I can’t walk or I can’t carry grocery,that doesn’t mean I am not suffering because of pain ,next day I can’t even get up from the bed.Because of carrying grocery bags.
3-)I couldn’t hire any one to carry them for me.Insurance should have paid money to me and then I can hire some one to carry grocery bags for me.
4-)Obviously arbitrator Robinson skip these parts of my life,no one can be same everyday ,I never said I am same all the time or everyday.
One day I have less balance problems,I can go for a walk, next day more balance problem I can’t even go out for a walk,I stay home all day long.
One day I feel too much pain ,next day I feel little better and feel less pain so ,I can decide to do grocery that day and I do grocery,I have to eat like everyone else and no one bring those grocery for me.
5-)Therefore I am requesting extra money from the unica insurance to be able to hire a person to bring groceries for me.
O-)Factum 38
Same Lisa Duffus also says that I need 6000$ for ongoing Attendants care,let’s consider this too.
P-)Factum 42
Surveillance was not everyday 24 hours a day ,surveillance doesn’t show everything or proofs anything.
Surveillance doesn’t come with me to the doctor office or in my apartment or on my bed,surveillance doesn’t proof anything about my life.
R-)Factum 43
Again repeating same bold accusation says we are each other service provider ,is there any evidence or any signed ocf 6 has been signed by Erol ozdemir that he is my caregiver?
Any more forge ocf6?

S-)factum 49
This transcript can not be used in my arbitration ,it is illegal to use,there should be a judge order for them to be able to use 3th person transcript ,there was no motion has been brought them to use this transcript ,therefore Erol Ozdemir is keeping his right to make a formal complaint to the privacy commissioner or justice of peace for violation the privacy act. And access to information act.
Here is the law
Protection of Personal Information
Marginal note:Use of personal information

7 Personal information under the control of a government institution shall not, without the consent of the individual to whom it relates, be used by the institution except
(a) for the purpose for which the information was obtained or compiled by the institution or for a use consistent with that purpose; or
(b) for a purpose for which the information may be disclosed to the institution under subsection 8(2).
1980-81-82-83, c. 111, Sch. II “7”.
Marginal note:Disclosure of personal information
8 (1) Personal information under the control of a government institution shall not, without the consent of the individual to whom it rela

Access to information act

Personal Information
Marginal note:Personal information
19 (1) Subject to subsection (2), the head of a government institution shall refuse to disclose any record requested under this Act that contains personal information as defined in section 3 of the Privacy Act.
Marginal note:Where disclosure authorized
2) The head of a government institution may disclose any record requested under this Act that contains personal information if
(a) the individual to whom it relates consents to the disclosure;
(b) the information is publicly available; or
(c) the disclosure is in accordance with section 8 of the Privacy Act.
1980-81-82-83, c. 111, Sch. I “19”.

1-)Where is Erol Ozdemir transcript of discovery ,I can’t comment on it because I haven’t received that transcript,also says that Erol Ozdemir doesn’t accept any attendant care has been given him by me,this is inconsistent what you are claiming on this hearing.
2-)Erol Ozdemir transcript should be testified need cross examination of Tripta Sood and Erol Ozdemir.
3-)Have you called Tripta Sood for testimony and cross examination?
T-)Factum 50
1-)Who is Erhan Altayoglu?Has he been testified anywhere?
2-)Did you bring him to the court before ,or here at the arbitration?
3-)I don’t know him or remember him ,neither Erol Ozdemir does.
4-)probably this Erhan Altayoglu is another guy who has been hired by the insurance company.
5-)What he says also inconsistent with the what ever you are claiming here.
6-)Is this arbitration revocation hearing for me or for Erol Ozdemir?
U-)Factum 51-52 Ghanna
1-)If you look at her documents has been signed by her ,The document has been prepared and signed at the time of Tripta Sood requests ,Feb10-2010 is misprinted
2-)if you look and read the whole page it is clearly says that since when she has been taking care of Erol Ozdemir as an attendant care.
3-)This document is not fraud nor Ghanna herself.
4-)But how ever this subject is outside of the case,we are not here to talk about who is Erol Ozdemir’s Care giver and What does she do.
5-)We are here for accusation of ,if I have been Attendant Care of Erol Ozdemir after my accident occurred.
V-)Factum 54
It is related to my blog ,thx for finding my blog is intrested like other 160000 followers world wide.Again this is not relevant with this hearing.
W-)Factum 55 There is no need to talk about it.
Giffing report can not be admissible,that report never used on the Tort hearing and the person who prepared that report never came and testified his report in any court.
How ever that report shows how serious the accident was and i wished that was used in my tort hearing.The report has been prepared by person whom hired by tort insurance lawyer ,Some how insurance lawyer has changed his mind to use this report at the tort hearing ,how ever the report has been served and filed for the tort hearing by the insurance lawyer.
X-)Factum 59
It is related to the fake ocf 6 and one more thing added to the accusation which is house keeping ,is there any other documents that has been signed for the house keeping or you are now trying to add house keeping services on me for the Erol Ozdemir.
Any evidence for the house keeping services?
Y-)Factum 59
It is also related to the bold accusations and related to the forge documents ocf 6 ,some how they really believe themselves that this documents are real and some how they thought it causes inconsistency with arbitrator decision.Some thing that doesn’t exist ,how could be inconsistency with the arbitrator Robinson’s decision.
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