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7/25/2019 Mazin & Associates PC, Personal Injury Lawyers Guidebook
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Partnering with you on
your road to recovery
Our PersonalInjury
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Table of Contents
Injured? You Must ake the Following Steps. . . . . . . . . . . 3
Our Promise to Our Clients . . . . . . . . . . . . . . . . . . . . 4
At Mazin & Associates PC You Can Expect . . . . . . . . . . . 5
Policy Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Commencing a Court Action . . . . . . . . . . . . . . . . . . . 7
ime Limits on Claims . . . . . . . . . . . . . . . . . . . . . . . 8
Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Important Links . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
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1. Contact the Police and advise
them of all accident related
details.
2. Write down the namesand contact information of
everyone involved in the
accident and any witnesses;
if you are involved in a motor
vehicle accident, obtain the
insurance information as well
as the drivers licence and
licence plate numbers of all
other involved parties.
3. See your family doctor and
advise them of your injuries.
4. Notify your Accident Benefits
Insurance Provider of your
involvement in a motor vehicle
accident as soon as possible.
5. If you are unable to work or go
to school, notify your employer
or school and advise them of
the reason for your absence.6. Keep track of the names of all
health professionals that you
see in relation to your injuries
from the accident be sure to
also keep track of the dates and
times of your visits.
7. Ensure that caregivers,whether professionals, friends
or family members, record the
time that they spend caring for
you and the activities that they
help you with.
8. Investigate whether you are
eligible for treatment coverage
or disability pay under any
other insurance policies
check with your employer,
your school and/or private
plan providers.
9. Keep the original receipts and
invoices of all of your out-of-
pocket expenses related to your
accident, including payment
for caregiving, medication,
assistive devices, etc.
10. Contact Mazin & AssociatesPC to discuss your legal rights.
Injured? You Must Take theFollowing Steps
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We will ensure that all steps are taken in order for you to be fairly
compensated for the injuries that you sustained
We will meticulously investigate your accident to properly
determine liability
We will protect you from agreeing to an improvident settlement
We will study every aspect of your case to ensure that it is
accurately evaluated
We will help to coordinate your medical treatment and ensure that
you are getting the treatment you deserve
We will not shy away from taking your case to trial if the insurer isbeing unreasonable.
Our Promiseto Our Clients
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At Mazin & Associates PCyou can expect
AutomobileAccidents
Bicycle Accidents Boating Accidents Brain Injuries Spinal Cord
Injuries
Critical Illness Product Liability Disability
Insurance Claims Life Insurance
Claims Medical
Malpractice Motorcycle
Accidents Nursing Home
Negligence Pedestrian
Accidents
PropertyInsurance Denials
Slip and FallAccidents
Wrongful Death
:
A team
approach
Reliability
Experience
Trustworthiness
Toughnegotiators
Results
Compassion
Understanding
Attentionto detail
Open doorpolicy
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Policy Changes
Most people renewing their auto
insurance policy are looking to
save some money today but do
not realize that in the event of
a serious but non-catastrophic
injury, the minor amount of money
that they will save now will costthem the benefits that they will
desperately need later. If a person
has not paid for optional benefits
coverage, they will only be eligible
for the statutorily mandated
reduced benefits and may suffer
significant hardship obtainingadequate care and treatment.
On September 1, 2010, a new law
came into effect in Ontario, which
effectively reduced your entitlement
to Accident Benefits. Previously,
non-catastrophic victims of motor
vehicle accidents were entitled
to claim compensation for the
following:
Income replacement at the rate of
80% of their net weekly income, up
to a maximum of $400.00 per week.
Assistance with housekeeping and
home maintenance tasks, up to amaximum of $100.00 per week.
Assistance with care giving
tasks, if the insured person was a
primary caregiver.
Assistance with personal care up
How will thisAffect you?As a result of the newchanges in the law, theaverage insurance policy nowentitles the insured to thefollowing reduced benefitsin non-catastrophic injurycases: Income replacement at the
rate of 70% of their grossweekly income, up to amaximum of $400.00 perweek.
Assistance with personalcare up to a maximum of$36,000.00, over a periodof 10 years.
Medical and rehabilitationtreatment up to amaximum of $50,000.00over a period of 10 years,with most whiplash andsprain/strain-type injuriesfalling under the newMinor Injury Guidelineand as such, being entitledto a maximum of only$3,500.00 for treatment.
to a maximum of $72,000.00, over
a period of 10 years.
Medical and rehabilitation
treatment up to a maximum of
$100,000.00, over a period of
10 years.
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Commencing a Court ActionIn most cases, if another person or party is or may be at fault in anaccident, the injured victim of the accident has the right to commencea lawsuit against the at-fault party and recover compensation for thedamages they sustained as a result of their personal injuries.
How to Proceedwith a Claim?
Retain Mazin & Associates PC to
advance your claim. With us onyour side, you will never be alone.
We will provide potentialDefendants with written notice ofyour intention to sue, within theprescribed time limits.
We will commence a lawsuitagainst potential Defendants
within the prescribed time limits. We will fight for the care andcompensation you deserve.
You can claim compensation foryour pain and suffering sustained
as a result of your accident. Inmotor vehicle accident cases,a claim for pain and sufferingmust first meet the thresholdby proving that the injury ordisfigurement that you havesustained is both permanent andserious and that your impairmentsare to important physical, mental
or psychological functions. Insome cases, compensation forpain and suffering may be reducedby a statutory deductible. Inmotor vehicle accident cases,a Plaintiffs claim for pain andsuffering is capped.
You can claim compensation
for your past and future loss ofincome and loss of competitiveadvantage sustained as a result ofyour accident. In most cases youmust first seek compensation forincome loss from any extendedor disability insurance policyunder which you may be covered.
In motor vehicle accident cases,you must also seek compensationfrom your Accident BenefitsInsurer before you can claimcompensation in a lawsuit.
You can claim compensation forthe costs of housekeeping andhome maintenance expensessustained as a result of your
accident. You are only entitled tomake a claim for these costs if youare unable to maintain your homeas you did before your accident.In the case of motor vehicleaccidents, you must first claimthese costs from your AccidentBenefit Insurer, if you have paid for
the optional benefits that wouldentitle you to claim these costs.
You can claim compensation forthe costs of your past and futuremedical and rehabilitation caresustained as a result of youraccident. All expenses that are
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Time Limits on ClaimsIf you are injured, it is importantto keep note of the following timelimits as missing any of thesecould negatively affect the successof your claim and in some cases,may even completely bar you fromobtaining compensation.
If you are injuredin a motor vehicleaccident:1. You must inform your Accident
Benefits Insurance Providerof your involvement in an
accident within 7 days ofthe collision.
2. You must complete yourApplication for AccidentBenefits (OCF-1) within 30days of your involvement ina collision.
3. You must apply for mediation
or arbitration, or sue within 2years of the denial ofany benefit.
4. If you are not at fault in themotor vehicle accident, youmust notify the at-fault driverand any associated parties
not covered by OHIP or by yourAccident Benefits Insurer canbe claimed.
Claims sustained by your family
members as a result of youraccident. Family members canmake claims with respect toloss of your care, guidance andcompanionship. Further, family
within 120 days of the collision.5. If you are not at fault in the
motor vehicle accident and youintend to sue the at-fault driverfor compensation for yourinjuries, you must commence aclaim within 2 years ofthe collision.
6. If there is damage to yourvehicle for which you havenot been compensated andyou intend to sue to recovercompensation, your mustcommence a claim within 1year of the collision.
If you are injuredin a slip and fallincident:1. If you fall on city, town or
provincial property, you mustnotify the appropriate authority
in writing, within 10 days ofyour fall.2. If you intend to sue the city,
town or provincial authority forcompensation for your injuries,you must commence a claimwithin 2 years of the fall.
members can also make claimswith respect to the economicloss that they have sustained andany out-of-pocket expenses that
they have incurred as a result ofthe care that they have providedfor you. Your family membersclaims may be subject to astatutory deductible.
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Glossary
Benefits provided by an injured
victims own Insurance Provider,
regardless of whether the
injured person is at fault for the
accident. Accident Benefits may
include the following benefits:
attendant care, caregiving, funeral
expenses, housekeeping and home
maintenance, income replacement,
lost education expenses, medical,
non-earner and rehabilitation
benefits. A claimants eligibility for
specific benefits depends on the
claimants personal policy coverage.
A persons everyday ordinary
activities done to care for
themselves, their family and their
household.
A process by which a legal dispute
is decided and a binding decision is
rendered, without having gone to
trial.
A type of benefit that is paid to
assist the victim of a motor vehicleaccident to accomplish their
Activities of Daily Living, which
the injured person cannot perform
by themselves or has difficulty
performing. Te cost of providing
attendant care may be paid by a
claimants Accident Benefits Insurer
whether the person providing care
is a professional, a friend or a family
member. Restrictions may apply.
A designation made by the AccidentBenefit Insurer for victims of motor
vehicle accidents who have suffered
the most serious types of personal
injuries, specifically: paraplegia,
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leg or impairment causing the total
and permanent loss of the use of
an arm or leg, total loss of vision in
both eyes, injuries resulting in animpairment of 55% or more of the
whole person, brain impairment
measured by a score of 9 or less on
the Glascow Coma Scale, Marked
or Extreme mental or behavioural
impairment, and severe disability
from a brain injury measured using
the Glascow Outcome Scale. Aperson who has been designated
as catastrophically impaired,
becomes entitled to maximum
limits of $1,000,000.00 in medical
and rehabilitation benefits as
well as attendant care benefits,
and housekeeping and home
maintenance benefits are payable
for the remainder of the injured
persons life.
A fee arrangement in which the
lawyer or law firm is paid only if
compensation is obtained. If nodamages are recovered, no monies
are owed to the lawyer or law firm
for their services.
A defence to a claim for personal
injuries that states that if a person
was injured, in part, due to theirown negligence, the injured person
would not be entitled to collect any
or a portion of the damages from
the party that allegedly caused
the accident.
Te monetary equivalent of the
losses that the Plaintiff has suffered
as a result of the injuries that he/she
sustained. Te losses encompassed
include: pain and suffering, loss
of past and future income, loss
of competitive advantage, loss of
enjoyment of life as well as past
and future costs of care
and rehabilitation.
An amount of money that is
expressly set out in an insurance
policy and that the Insurer will not
pay if the claimant claims against
the policy.
()
In lawsuits for personal injuries
sustained in a motor vehicle
accident, a deductible refers to an
amount of money that is mandated
by statute, by which, in some cases,
the damages award may be reduced.
Te party that is being sued by
the Plaintiff and that is allegedly
responsible for the Plaintiffs
injuries and damages. In motor
vehicle accident cases, most
Defendants are insured and it is
their Insurer that effectively defends
the claim on their behalf.
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Expenses incurred by a lawyer or
a law firm to advance a clients
claim. Tese expenses include:
photocopying, postage, process
server fees, obtaining medical
records, etc.
Tis is statutorily defined as
requiring the injured person
to pay or promise to pay forservices received and requiring
the service provider to either
perform the services in the course
of employment, occupation or
profession or to prove that they have
suffered an economic loss as a result
of providing the services.
Te statutorily mandated time
period after which a lawsuit can no
longer be commenced. In the case
of most accidents, the limitation
period expires exactly two years
from the date of the accident.
A statutorily mandated definition
for injuries which include: sprain,
strain, whiplash associated disorder,
contusion, abrasion, laceration or
subluxation and any clinically asso-
ciated sequelae. An injured person
who is designated to have sustained
a minor injury is only entitled to a
maximum of $3,500.00 for medical
and rehabilitation benefits.
Te party that initiates the lawsuit.
Te benchmark by which a claim
for personal injuries sustained
in a motor vehicle accident is
evaluated. In order to meet the
threshold, a persons injuries
and/or disfigurement must be
both permanent and serious and
their impairments must be to animportant physical, mental or
psychological function.
An area of law that involves an
injury or wrong committed by
one party or multiple parties
against another, through theirnegligent acts or omissions, which
results in harm. In motor vehicle
accident cases, the ort must
be distinguished from Accident
Benefits, which are paid to injured
victims regardless of fault.
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5 PARK HOME AVENUE, SUITE 120, TORONTO, ONTARIO M2N 6L4
Important Links:
e Canadian Bar Association
www.cba.org/
Law Society of Upper Canada
www.lsuc.on.ca/
Ministry of the Attorney General
www.attorneygeneral.jus.gov.on.ca/english/
e Ontario Bar Association
www.oba.org/
Canada Pension Plan (CPP)
www.servicecanada.gc.ca/eng/isp/cpp/cpptoc.
shtmlFinancial Services Commission of Ontario
(FSCO)
www.fsco.gov.on.ca/en/Pages/default.aspx
Ontario Health Insurance Plan (OHIP)
www.health.gov.on.ca/en/public/programs/ohip/
Insurance Canada
www.insurance-canada.ca/
Registered Insurance Brokers of Ontariowww.ribo.com/
Workplace Safety and Insurance Board
Appeals Tribunal
www.wsiat.on.ca/english/appeal/
Canadian Medical Association (CMA)
www.cma.ca/
College of Physicians and Surgeons of
Ontario
www.cpso.on.ca/
Health Canada
www.hc-sc.gc.ca/index-eng.php
Ontario Ministry of Health and Long-term
Care
www.health.gov.on.ca/en/
Ontario Brain Injury Association (OBIA)
www.obia.ca/
Brain Injury Society of Toronto (BIST)
www.bist.ca/
Brain Injury Association of Waterloo-
Wellington
www.biaww.com/
Brain Injury Association of Peel-Haltonwww.biaph.com/
Community Head Injury Resource Services
of Toronto (CHIRS) www.chirs.com/
Toronto Acquired Brain Injury Network
www.abinetwork.ca/
Spinal Cord Injury Ontario
http://www.sciontario.org/
Canadian Spinal Research Organization
(CSRO)www.csro.com/
SCI Action Canada
www.sciactioncanada.ca/
:
North American Chronic Pain Association
of Canada www.chronicpaincanada.com/
e Canadian Pain Society
www.canadianpainsociety.ca
e Arthritis Society
www.arthritis.ca
Brain Injury Association of Waterloo-
Wellington
Brain Injury Association of Peel-Halton
Ontario Brain Injury Association
Sick Kids Hospital
Spinal Cord Injury Ontario
Alzheimers Society of Canada
World Vision