Client PAAccident benefitsEtobicokeOwner DKopen, last reviewed 2026-07-19
REVIEW
Clock stripas of 2026-10-05
REVIEWEXCEPTIONNo response to the treatment plan: due 2026-09-08, now pastSHADOW v1.0SABS-38
Brightwater General (fictional) received the treatment plan on 2026-08-24. Its response was due 2026-09-08. No response is on file at 2026-10-05.
Brightwater General (fictional) cannot rely on the Minor Injury Guideline for this plan, and pays for the plan's goods and services from 2026-09-09, the 11th business day, until it gives proper notice.
TREATMENT PLAN RECEIVED BY THE INSURER2026-08-24From a documentINSURER'S RESPONSENot on fileMissing
Which document shows the insurer's response to the treatment plan, if any?to benefits clerkF-HV-0859-SABS-38
REC-HV-0859-5785425…b263b75From a documentSECONDARYFIRMCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
REVIEWCANNOT DETERMINETribunal clock cannot start: no written refusal on fileSHADOW v1.0LAT-56, LAT Rules, effective 17 November 2025
The two years run from the insurer's written refusal. None is on file.
WRITTEN REFUSAL FROM THE INSURERNot on fileMissing
Has the insurer issued a written refusal?to benefits clerkF-HV-0859-LAT-56
REC-HV-0859-6963c56…5f1bc93MissingSECONDARYCOUNSEL-CONFIRMSroutes to reviewexamined 5 documents, all extracted
Rules that pass on this file
PASSConflict search cleared by a partnerAUTHORITY v1.1RPC-3.4REC-HV-0859-1
PASSSigned standard form agreement on fileAUTHORITY v1.1CFA-01REC-HV-0859-2
PASSBenefit menu selected from the policy date: prior benefit setSHADOW v1.0SABS-VER-01REC-HV-0859-3