车祸求助

newcomer2004

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大概2个半月前发生车祸。当时警察,救护车,消防车都来了。车受损,没有发生人员伤亡。大家找各自的保险公司。没有任何扯皮。
今天突然受到对方来信说她受伤了,我的过错 ,她说 "I am commencing a claim against you".
这事怎么处理?:blink:
我想把这事尽快了了,省的心烦。
 
警察当时的记录是谁的错?如果是你的过错,既然已经申报了,那么保险公司会cover。但你的保费以后会大涨。如果不是你的错,你最好找到警察的记录(case number),事情就会好办一些。
 
不用担心,通知你的保险公司,他们会让你把信copy一份给他们,然后交给他们处理,你需要记住的是,无论什么时候都不要和对方有任何形式的交流,书面的语言的都不行
对方给你寄信是因为他们对保险的赔偿不满意,开始打官司要求更多的赔偿,给你写信是个必须的步骤
 
What should I do if I get involved in an motor vehicle accident?
Being involved in an accident can be scary. You may feel shocked and not realize your responsibilities. In order to effectively commence a claim for accident benefits, you should report your accident to the police within 24 hours if possible, and inform your insurer that you have been injured in an accident within 7 days of your accident.

Try to obtain details of the parties involved in the accident including their name, address, phone number and insurance policy. If any witnesses are present, get their details too.

More importantly, make sure that you are seen by a doctor, either at a hospital a walk-in-clinic, or by your family physician.

All of this information can sometimes be crucial in establishing your claim.

When should I see a lawyer?
Strict timelines may apply for you to commence a claim. A failure to comply with these limits may be damaging or prejudicial to your case, and in some circumstances may bar you from brining any action. Therefore, we recommend that you seek legal advice immediately following your injury.
At Mazin Rooz Mazin, our lawyers will be able to accurately advise you on the steps to take and how to proceed with your claim for accident benefits or how to commence a claim against the party at fault.

Do I have to pay any fees up front?
No, we never require any of our legal fees to be paid up front. At Mazin Rooz Mazin we understand the negative impact an injury can have on your life and the various financial stresses you may face. Mazin Rooz Mazin puts its client’s needs first. We will fight for your rights and when you get paid is when we will get paid. Occasionally however, we may require a small retainer to cover our disbursements.

Am I entitled to monetary compensation or benefits even if my injuries are my own fault?
In Ontario, even if you are involved in a motor vehicle accident in which you are entirely at fault, you may still be entitled to receive accident benefits. This system is known as “no fault insurance”. In addition, you may receive a lump sum of money at the conclusion of your case in the form of a settlement.


What can I claim if my injuries are a result of a Slip & Fall?
If your injury is a result of a slip and fall, you may be entitled to claim compensation for pain and suffering known as damages, from the party or parties who may have been negligent in fulfilling the duty of care that they may have owed you.

What if I don’t have insurance?
In Ontario, if you do not have insurance coverage and you are involved in a motor vehicle accident, the rules of priority would allow you to obtain coverage through your next of kin, spouse or parent’s automobile insurance. If you do not have access to either of these, it is likely that your claim will proceed through the insurance company for the other vehicle involved in your accident. Should neither of these options be available to you (for example, if you were a victim of a pedestrian hit and run accident) your claim will likely proceed through the Motor Vehicle Accident Claims Fund of Ontario, where you may be entitled to compensation similar to that which you would have been entitled to from an insurance company.

What benefits can I claim from my insurer if I am injured in a motor vehicle accident?

If you are injured in a motor vehicle accident you may experience difficulties performing your everyday activities, work, housekeeping, child care and personal care. In such situations, you may be entitled to the following benefits from your insurer:
Medical and Rehabilitation benefit. This benefit is designed to allow you to receive treatment such as chiropractic, massage, acupuncture and other modalities, which ought to rehabilitate you from your injuries.​


Attendant care benefit. You injuries may leave you incapable of taking care of yourself. This benefit is designed to allow you to seek help from another person to take care of your personal needs, such as personal hygiene, bathing, dressing and feeding. If you or your doctor feels that you require this help, you may be entitled to this benefit​


Housekeeping assistance. Your injuries may prevent you from carrying out your activities of normal living, including cleaning your home, preparing food, doing the laundry and grocery etc. Should your situation be as such, you are entitled to claim housekeeping assistance for a maximum of $100.00 per week. The assistance you decide to hire to help you with these activities is entirely your choice, and can even be your own family members.​


Caregiver Benefits. You injuries may prevent you from taking care of a person in need of care with whom you reside. This benefit is designed to allow you to seek help from another person to provide the care to the person in need of care. You may be entitled to this benefit to a maximum of $250.00 for the first person and $50.00 for each additional person, per week.​


Please note that you may qualify for both Caregiver Benefits and Income Replacement Benefits (discussed below). However, the law only allows you to claim one benefit, either Caregiver or Income Replacement Benefits. If you are entitled to both, it is important that you discuss your options with a lawyer, who will be able to advise you as to which option is better suited in your circumstances.​


Income Replacement Benefits (IRB). This benefit is designed to replace any loss of income you may suffer as result of the accident.​


You may receive this benefit if you meet the following criteria:
• You were employed and working at the time of the accident;​

• You were not employment at the time of the accident and had worked at least 26 weeks in the 52 weeks prior to your accident, or were receiving benefits from Employment Insurance (EI);​

• You were 16 years of age or more or were excused from attendance at school under the Education Act at the time of the accident; or​

• Were not employed at the time of the accident but were entitled at the time of the accident to start work within one year under a legitimate contract of employment that was made before the accident and that is evidenced in writing, and​
If one of the above criteria applies to you, you must also satisfy that as a result of the accident, you are substantially unable to carry out the activities of your pre-accident or future employment (if you were entitled to begin work under a legitimate contract of employment).​


Your insurer may request that you provide them with a doctor’s disability certificate indicating that that you are unable to work.​


Please note that you may qualify for both IRBs and Caregiver Benefits (discussed above). However, the law only allows you to claim one benefit, either Caregiver or IRBs. If you are entitled to both, it is important that you discuss your options with a lawyer, who will be able to advise you as to which option is better suited in your circumstances.​
How do I make a claim for benefits?
Commencing your claim against your insurer can be frustrating. At Mazin Rooz Mazin we will take care of all the paper work so you don’t have to. As your lawyers, we will have the direct authority to communicate with your insurer.
 
What if my insurer denies my benefits?
If your insurer denies your benefits, you are entitled to apply
for a Mediation with the Financial Services Commission of Ontario (FSCO). FSCO is the governing body for all Statutory Accident Benefits Claims. Only after a mediation can a lawsuit or arbitration be commenced.

What is a Mediation?
A mediation is a method of dispute resolution typically structured in the form of teleconference meeting between you, your lawyer, your insurer and a mediator from FSCO. This meeting is the first step in attempting to resolve your claim with your insurer and is designed to allow you to discuss your claim openly and to appreciate the position both parties will take in respect to the dispute. If appropriate, a mediation can also be an opportunity to discuss resolution of your claim.

What is a mediator?
A mediator is a neutral third party who will assist your discussions with your insurer. The mediator does not have the power to determine your entitlement to a benefit.

What if my Mediation is unsuccessful?
If your mediation fails, you are entitled to apply for either an arbitration with the Financial Services Commission of Ontario, or commence an action in court.

What is Arbitration?
An arbitration is a method of dispute resolution. Arbitration hearings are
similar to court proceedings, but a lot less formal, and cost efficient. Your lawyer will present your case with medical evidence to an arbitrator, and you may be required to give oral evidence. Witnesses may also be called to testify in relation to the claims being advanced. You may also be cross examined by the insurer. Once the evidence has been presented and submissions have been made, the hearing arbitrator will then have the power to decide the your entitlement to the disputed benefits.

What is a Pre-arbitration hearing?
If you decide that you want to apply for arbitration, you will have another chance to meet your insurer at a Pre-arbitration hearing. This hearing is designed to allow you to meet face to face with your insurer in the presence of an arbitrator, prior to the actual arbitration hearing. This hearing is an opportunity to discuss what concerns the insurer may have with your file and allows the parties to sometime engage in meaningful settlement discussions. If you and your insurer are not able to come to a settlement, a date will be selected to hear the arbitration.

Much like a mediator, the pre-hearing arbitrator will not have the power at the pre-hearing to determine your entitlement to your benefits. The arbitrator may however order that certain documentary disclosure be made and may impose costs upon a party who fails to show for the hearing or fails to obey the their obligations under the Dispute Resolution Code.

This hearing is also an opportunity to allow settlement negotiations, which if successful, may result in a full & final settlement of your claim.

What is a Full & Final settlement?
If you and your insurer agree to settle your claim on a Full & Final basis, this means that you will not be entitled to apply for any more benefits in relation to the accident in which your were involved. The release that you will sign will relieve your insurer of any obligations that they may owe you an relation to that particular loss.

What if I get involved in another accident?
If you are involved another accident, you may make another application to your insurer.

How much money will I receive?
Mazin Rooz Mazin is committed to obtaining maximum awards or settlements for its clients. Since every case is unique, only after a careful review of a particular file is it possible to provide an estimation of how much the case is “worth”. It is often not possible to make an accurate estimate of the value of your case until sufficient documentation has been reviewed and until your medical prognosis is apparent.

How long will it take to resolve or litigate my case?
It is difficult to approximate exact timelines as to when your case will resolve. A number of different factors will be relevant if we are to appreciate the length of time it will take. These include the following:
• The cause of injury, whether it is a motor vehicle accident, or slip & fall
• The nature of your injury - whether it is minor or complex injury and whether it is temporary or permanent and ongoing
• The time at which you consult or obtain legal advice
• The applicability of legal time limitations and legislation
• The type of judicial system under which your claim will proceed, for example the Small Claims Courts, Superior Court General Division or through the Financial Services Commission of Ontario​
Depending on the exposure your claim may have on your insurer or the negligent party, settlement of your claim can occur at anytime. In addition, it is useful to note that subject to some exceptions, recent changes in the law do not allow parties to engage in settlement of a claim for accident benefits prior to the 1 year anniversary of the loss.

Will my insurer have surveillance on me?
Depending on the nature of your injuries and complaints and the types of benefits that you are advancing, your insurance company may hire a company to conduct surveillance on you. The purpose of this surveillance may be to identify some of the following:
• Status of your employment following the loss
• To investigate the nature of your injury and the types of things that you may be able to do
• To confirm that you are receiving assistance, for either housekeeping, attendant care or caregiver assistance, for which you are invoicing your insurer
• To confirm that you are receiving treatment
• To investigate any suspicious or fraudulent claims that may be advanced​
 
谢谢各位的回复。

胖蹄阿克,我看了你的炒股的 blog(股市杂谈)很有意思。不过你那样炒股是不是很费精力。
 
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