Difference between revisions of "Making a Personal Injury Claim (No. 188)"

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{{REVIEWEDPLS | reviewer = Janet Mackinnon and Krista Prockiw of ICBC |date= February 2019}} {{Dial-A-Law TOC|expanded = cars}}  
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Getting injured in a motor vehicle accident is an awful experience. Learn your legal rights in the event you’re injured, and the steps involved in making a claim for “'''personal injury'''”.
  
{{Dial-A-Law TOC|expanded = autos}}
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==Understand your legal rights==
This script describes making a personal injury claim, going to court, and dealing with the Insurance Corporation of British Columbia, called ICBC.
 
  
==Accident victims may be entitled to compensation==
+
===No-fault accident benefits are paid no matter who caused the accident===
If you’re hurt in a motor vehicle accident, you may be able to receive two types of compensation:
+
If you’re injured in a motor vehicle accident, there are two sources of compensation:
 +
*no-fault accident benefits
 +
*damages for losses if another person was at fault
  
#'''No-Fault Accident Benefits:'''  Everyone in BC who owns a vehicle must buy basic insurance from the Insurance Corporation of British Columbia, or ICBC. This insurance pays money, called “accident benefits,” to people injured in a vehicle accident. Even if you caused the accident, ICBC will pay you these no-fault accident benefits, as long as you’ve met the conditions of this insurance. Generally, these benefits include temporary total disability benefits (i.e., disability benefits for lost income to a maximum of $300 per week while you are disabled due to your injuries) and medical and rehabilitation benefits.
+
Everyone in BC who owns a vehicle must buy basic insurance from the [http://www.icbc.com Insurance Corporation of British Columbia], called ICBC. This insurance pays '''no-fault accident benefits''' to almost everybody in BC who is injured in a motor vehicle accident — no matter who caused the accident.  
#'''Damages:'''  If the accident wasn’t your fault (or only partly your fault), you also have the right to “damages” for your pain and suffering, lost past and future wages, future care, out-of-pocket expenses and other losses. This is called a “tort” claim. These damages aim to put an injured person, who didn’t cause the accident, in the same position they would have been in had the accident not happened (as far as money can do this).
 
  
==How do you make a claim?==
+
====Eligibility for accident benefits====
You make a claim for accident benefits and/or damages through ICBC. Report the accident by calling ICBC’s Dial-A-Claim at 604.520.8222 within the lower mainland or 1.800.910.4222 elsewhere in BC. An ICBC adjuster will then meet with you. The adjuster will investigate the accident and decide who caused it. The adjuster will also review your medical information and expenses, so keep all your receipts.
+
Anyone who is in a vehicle licensed and insured in BC is eligible for accident benefits. So is a pedestrian or cyclist hit by a vehicle, if they or a member of their household has a BC driver’s licence or an Autoplan policy. The accident could occur in BC, elsewhere in Canada, or in the United States.
  
==See your doctor==
+
You must meet the conditions of the insurance to get accident benefits. For example, if you were injured while driving without a valid driver’s licence, or while racing your car, ICBC will not pay you any accident benefits.
If you’re injured, see your doctor as soon as possible, as your doctor is in the best position to prescribe treatment, such as medication and physiotherapy. ICBC will then consider funding the cost of that treatment.
 
  
==Report the accident promptly==
+
====Accident benefits are limited====
You have to promptly notify ICBC of the accident and give a written report or statement to ICBC no later than 30 days after the accident. The report or statement sets out the accident circumstances and details of your injury or injuries. Some people prefer to see a lawyer before talking with ICBC. If you do that, your lawyer can report the claim to ICBC for you.  
+
No-fault accident benefits help with medical care and wage loss. They include rehabilitation and medical expenses, as well as disability benefits for workers and homemakers. For more details, see our information on [[Insurance Benefits and Compensation for Accident Victims (No. 185)|insurance benefits and compensation for accident victims (no. 185)]].
  
==When must you submit your claim for no-fault accident benefits?==
+
Accident benefits only provide limited coverage. You may also be entitled to additional damages for losses caused by the negligence of others, explained in the next section.
To claim accident benefits, you must submit a completed accident benefits claim form to ICBC within 90 days after the accident. If you’re entitled to accident benefits, you should start to receive payments soon after that.
 
  
==What about getting damages?==
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===Damages for losses if another person was at fault===
If someone else was fully or partly to blame for the accident – meaning you’re entitled to tort damages – ICBC will typically offer you money to settle or resolve your claim. Normally you won’t want to settle a personal injury claim until your medical condition is stable and your doctor can say when your injury will probably be resolved and whether you will have any lasting effects. Then, if you agree with ICBC’s offer, you can settle your claim. You won’t be able to make any further claims later, even if you suffer new and other consequences as a result of your injuries which you hadn’t anticipated. You will also have to sign a “full and final release of all claims” before receiving the settlement money.
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If another person was legally at fault for (or caused) the accident, you can also be paid damages for your losses. There are several types of '''damages'''. These include:
 +
*damages for your pain and suffering (called “non-pecuniary” damages)
 +
*damages for your lost wages
 +
*damages for the loss of your future earnings if you can’t work because of the accident
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*damages for your future care
  
==What if you disagree with ICBC?==
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Your claim for damages is called a '''tort''' claim. A tort is a civil wrong committed by one person against another for which the law will give a remedy. The damages aim to put an injured person who didn’t cause the accident in the same position they would have been in if the accident had not happened (as far as money can do this).
If you don’t agree with ICBC’s offer or its decision about who is at fault, or if you don’t know if the offer is fair, you can see a lawyer for advice. If you or your lawyer can’t reach an agreement with ICBC, you may sue in court. ICBC’s decision as to who is at fault or what amount is fair for tort damages isn’t binding on a court, and the judge will decide the matter without any reference to what ICBC decided. ICBC has a “Fairness Process” that you can also use if you’re not satisfied.
 
  
==There are three situations where you may have to sue in court==
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===ICBC will typically offer an amount to resolve your claim===
 +
ICBC will typically offer you money to settle or resolve your claim — if it decides you were not at fault for the accident.
  
#'''Refusal to pay accident benefits:'''  If ICBC refuses to pay any accident benefits, or it pays less than you think is fair, you can see a lawyer for legal advice. If you decide to sue, you have to start your lawsuit within 2 years after the accident (or within 2 years from the date of the last no-fault benefits payment, if you received some benefits).
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It is best not to settle your claim until your medical condition is stable and your doctor can say when your injury will probably be resolved and whether you will have any lasting effects. Then, if you agree with ICBC’s offer, you can settle your claim.  
#'''Decision that you’re at fault:'''  ICBC may decide that you’re totally or partly at fault for the accident. To claim damages or compensation for your injuries in addition to no-fault accident benefits, you would have to sue the owner and driver of the other vehicle in the accident. This must be done within 2 years of the date of the accident.
 
#'''Refusal to pay damages:'''  ICBC may not want to pay as much damages as you think you should get for your pain and suffering, wage loss, business loss or other losses. This may happen even though ICBC decides that you were not at fault. In this case, you’d have to start a lawsuit within 2 years of the accident.
 
  
==What deadlines are there for suing in court?==
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Once you settle your tort claim, you can’t make any further tort claims related to that accident. That’s true even if you later suffer new effects from your injuries, which you hadn’t expected. You will also have to sign a release of claims before receiving the settlement money.
Any court action must be started within 2 years from the accident date, or you lose all right to recovery. In some cases, you also have to give notice of your claim sooner (for example, if a municipality is involved, you must give the municipality notice of your claim within 6 months of the accident).
 
  
==Where do you sue?==
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==Deal with the problem==
#'''Small Claims Court:'''  Sue in Small Claims Court if you are suing for $25,000 or less. You don’t need a lawyer in Small Claims Court, but you can have one. Check scripts [[What is Small Claims Court? (Script 165)|165]] to [[Getting Your Judgment Paid (Script 169)|169]] on Small Claims Court.
 
#'''Supreme Court:'''  Sue in BC Supreme Court if you are seeking more than the $25,000 limit in Small Claims Court. You should have a lawyer if you choose Supreme Court because the procedures are more complicated.
 
  
==How much will it cost?==
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===Step 1. Make a claim to ICBC===
If you’re suing for damages, you have to pay your own lawyer. Most lawyers practicing in this area accept cases on the basis of a “contingency fee agreement.” This means that you only pay your lawyer’s fees when and if you recover damages at the end of your legal action, based on a percentage of what you recover. Discuss this with your lawyer when you first see him or her. ICBC pays the lawyer for the people you are suing. If you win your lawsuit, the court may order the other side to pay some of your legal fees.  
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To make a claim to ICBC, report the accident by calling ICBC’s Dial-A-Claim at 604-520-8222 in the Lower Mainland and 1-800-910-4222 elsewhere in BC. You can also [http://www.icbc.com/claims/Pages/default.aspx report a claim online].  
  
Lawsuits in Supreme Court don’t usually go to trial because both sides settle or resolve the matter before trial, but this isn’t always the case. Sometimes, cases go to mediation and an independent, unbiased person acts as a mediator to help you and the other side reach a settlement agreement.
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{| class="wikitable"
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|align="left"|'''Tip'''
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You must report the accident promptly to ICBC. Some people prefer to see a lawyer before talking with ICBC. If you do that, your lawyer can report the claim to ICBC for you.
 +
|}
 +
 +
===Step 2. See your doctor===
 +
If you’re injured, see a doctor as soon as possible. A doctor is in the best position to prescribe treatment, such as medication and physiotherapy. ICBC will then consider funding the treatment. (Be sure to keep all your medical receipts.)
  
==Can ICBC sue you?==
+
===Step 3. Consider ICBC’s offer on your claim===
Yes, ICBC can sue you in some cases. For example, if you drive while drunk and cause an accident that injures a person, that person may sue you. ICBC can pay the injured person and then demand that you pay it back. The various situations in which ICBC can collect that money from you are quite complex. So if you’re involved in such a situation, you should get legal advice.
+
An ICBC adjuster will investigate the accident. They will make a decision about who caused it. The adjuster will also review your medical information and expenses.  
  
==Caution==
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ICBC will give you its decision about who is at fault. They may offer you money to settle or resolve your claim.
You should consult a lawyer before you proceed with a personal injury claim. It’s critical that you know all your rights and are prepared. Insurance companies, however fair, are in a conflict of interest about what to do with your claim.
 
  
==Summary==
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Take time to consider ICBC’s decision and its offer. You can negotiate with ICBC, making a counteroffer. You could do this yourself or have a lawyer do it on your behalf.  
If you’re injured in a motor vehicle accident, you can claim accident benefits from ICBC. If the accident wasn’t your fault, you can also claim damages for pain and suffering and other losses. The ICBC adjuster can settle your claim if you agree. Because that agreement will be binding, you may want to see a lawyer before you agree to a settlement to find out if the offer is fair. If you can’t agree on the value of your claim, or who is responsible for the accident, a lawsuit and a trial may be necessary. There are strict time limits for when a lawsuit must be started, and if you miss the time limit, you lose your right to sue. So you should see a lawyer as soon as possible after an accident for legal advice.
 
  
==Where can you find more information?==
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{| class="wikitable"
*For more information on accident benefits and damages for accident victims, refer to script [[Insurance Benefits and Compensation for Accident Victims (Script 185)|185]] on “Insurance Benefits and Compensation for Accident Victims”.
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|align="left"|'''Tip'''
*See the ICBC website at [http://www.icbc.com www.icbc.com].
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If you want an opinion about whether ICBC’s decision about who caused the accident or their offer is fair, see a lawyer for advice.
 +
|}
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 +
===Step 4. Appeal ICBC’s decision or offer===
 +
If you are not happy with ICBC’s decision or their offer, you can use ICBC’s internal [http://www.icbc.com/claims/feedback/Pages/default.aspx appeal process]. You can appeal ICBC’s decisions on who is at fault, its settlement offer, its denial of your claim, or its treatment of you.  
  
 +
ICBC also has a [http://www.icbc.com/about-icbc/contact-us/Pages/Raising-your-complaints.aspx fairness process] you can try if you’re not satisfied with how they have treated you.
  
[updated January 2013]
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===Step 5. Bring a legal action===
 +
If you can’t reach an agreement with ICBC, you may sue the owner and driver of the other vehicle in the accident. ICBC’s decision on who is at fault or what amount is fair for tort damages does not bind a court or tribunal. A judge or tribunal member can decide the matter without considering what ICBC decided.
  
 +
You may want to sue the owner and driver of the other vehicle if ICBC:
 +
*offers less than you think is fair
 +
*decides you caused the accident and refuses to pay any damages
 +
*decides you’re partly at fault for the accident and reduces the damages by the proportion you’re at fault
  
 +
You may also decide to sue ICBC if it refuses to pay you the accident benefits you are entitled to.
  
----
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{| class="wikitable"
----
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|align="left"|'''Tip'''
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See a lawyer before you make a personal injury claim. It’s critical to know all your rights and be prepared. Insurance companies, however fair they may be in assessing your claim, are not looking out for your interests.
 +
|}
  
 +
==Common questions==
  
 +
===What are the deadlines to sue?===
 +
The [http://canlii.ca/t/8qx3 law in BC] creates a time window to bring a legal action. In the case of an injury claim, that window (or “'''limitation period'''”) is two years. Once two years have passed after a claim is “discovered”, it’s too late to start a lawsuit.
 +
 +
The two-year period to sue for damages starts when you knew or reasonably ought to have known you suffered an injury.
 +
 +
If you were under the age of 19 at the time of the accident, the two-year period to sue for damages does not start to run until you turn 19.
 +
 +
In some cases, if you think a municipality is at least partly at fault for your losses from an accident, you must give them notice of your claim much sooner — sometimes within just two months of the accident date. 
 +
 +
===Where do I sue?===
 +
The amount you are seeking affects the choice of court you would sue in.
 +
 +
If you are seeking '''up to $5,000''', you can file a claim with the [https://civilresolutionbc.ca/ Civil Resolution Tribunal]. The tribunal is an online system designed for people to represent themselves.
 +
 +
For amounts '''between $5,000 and $35,000''', you would sue in [http://www.provincialcourt.bc.ca/types-of-cases/small-claims-matters Small Claims Court]. Many people represent themselves in this court. It’s less expensive and less risky than going to Supreme Court. See our information on [[Suing Someone in Small Claims Court (No. 166)|Small Claims Court]] (no. [[Suing Someone in Small Claims Court (No. 166)|166]] to [[Going to Trial in Small Claims Court (No. 168)|168]]).
 +
 +
For amounts '''over $35,000''', you would sue in [https://www.supremecourtbc.ca/ BC Supreme Court].
 +
 +
{| class="wikitable"
 +
|align="left"|'''Tip'''
 +
For '''motor vehicle accidents taking place in BC after April 1, 2019''', injury claims up to $50,000 must be brought to the [https://civilresolutionbc.ca Civil Resolution Tribunal].
 +
|}
 +
 +
===How much does it cost to sue?===
 +
If you’re suing for damages, you must pay your own lawyer. Most lawyers who handle personal injury claims accept cases on a '''contingency fee agreement'''. This means you pay your lawyer’s fees only if you win damages at the end of your lawsuit, based on a percentage of what you recover. But you must still pay expenses, even if you lose.
 +
 +
ICBC pays the lawyer for the people you are suing. If you win your lawsuit, the court may order the other side to pay some of your legal fees.
 +
 
 +
Lawsuits in BC Supreme Court often don't go to trial because the parties settle the case before trial, but not always. Sometimes, cases go to mediation and an independent person acts as a mediator to help you and the other party reach a settlement agreement.
 +
 +
===Can ICBC sue me?===
 +
Yes, ICBC can sue you in some cases. For example, if you drink and drive or text and drive and cause an accident that injures a person, that person may sue you. ICBC can pay the injured person and then demand you pay it back. The various situations in which ICBC can collect that money from you are quite complex. So if you’re involved in such a situation, you should get legal advice.
 +
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Latest revision as of 23:00, 22 March 2019

This information applies to British Columbia, Canada. Last reviewed for legal accuracy by Janet Mackinnon and Krista Prockiw of ICBC in February 2019.

Getting injured in a motor vehicle accident is an awful experience. Learn your legal rights in the event you’re injured, and the steps involved in making a claim for “personal injury”.

Understand your legal rights

No-fault accident benefits are paid no matter who caused the accident

If you’re injured in a motor vehicle accident, there are two sources of compensation:

  • no-fault accident benefits
  • damages for losses if another person was at fault

Everyone in BC who owns a vehicle must buy basic insurance from the Insurance Corporation of British Columbia, called ICBC. This insurance pays no-fault accident benefits to almost everybody in BC who is injured in a motor vehicle accident — no matter who caused the accident.

Eligibility for accident benefits

Anyone who is in a vehicle licensed and insured in BC is eligible for accident benefits. So is a pedestrian or cyclist hit by a vehicle, if they or a member of their household has a BC driver’s licence or an Autoplan policy. The accident could occur in BC, elsewhere in Canada, or in the United States.

You must meet the conditions of the insurance to get accident benefits. For example, if you were injured while driving without a valid driver’s licence, or while racing your car, ICBC will not pay you any accident benefits.

Accident benefits are limited

No-fault accident benefits help with medical care and wage loss. They include rehabilitation and medical expenses, as well as disability benefits for workers and homemakers. For more details, see our information on insurance benefits and compensation for accident victims (no. 185).

Accident benefits only provide limited coverage. You may also be entitled to additional damages for losses caused by the negligence of others, explained in the next section.

Damages for losses if another person was at fault

If another person was legally at fault for (or caused) the accident, you can also be paid damages for your losses. There are several types of damages. These include:

  • damages for your pain and suffering (called “non-pecuniary” damages)
  • damages for your lost wages
  • damages for the loss of your future earnings if you can’t work because of the accident
  • damages for your future care

Your claim for damages is called a tort claim. A tort is a civil wrong committed by one person against another for which the law will give a remedy. The damages aim to put an injured person who didn’t cause the accident in the same position they would have been in if the accident had not happened (as far as money can do this).

ICBC will typically offer an amount to resolve your claim

ICBC will typically offer you money to settle or resolve your claim — if it decides you were not at fault for the accident.

It is best not to settle your claim until your medical condition is stable and your doctor can say when your injury will probably be resolved and whether you will have any lasting effects. Then, if you agree with ICBC’s offer, you can settle your claim.

Once you settle your tort claim, you can’t make any further tort claims related to that accident. That’s true even if you later suffer new effects from your injuries, which you hadn’t expected. You will also have to sign a release of claims before receiving the settlement money.

Deal with the problem

Step 1. Make a claim to ICBC

To make a claim to ICBC, report the accident by calling ICBC’s Dial-A-Claim at 604-520-8222 in the Lower Mainland and 1-800-910-4222 elsewhere in BC. You can also report a claim online.

Tip

You must report the accident promptly to ICBC. Some people prefer to see a lawyer before talking with ICBC. If you do that, your lawyer can report the claim to ICBC for you.

Step 2. See your doctor

If you’re injured, see a doctor as soon as possible. A doctor is in the best position to prescribe treatment, such as medication and physiotherapy. ICBC will then consider funding the treatment. (Be sure to keep all your medical receipts.)

Step 3. Consider ICBC’s offer on your claim

An ICBC adjuster will investigate the accident. They will make a decision about who caused it. The adjuster will also review your medical information and expenses.

ICBC will give you its decision about who is at fault. They may offer you money to settle or resolve your claim.

Take time to consider ICBC’s decision and its offer. You can negotiate with ICBC, making a counteroffer. You could do this yourself or have a lawyer do it on your behalf.

Tip

If you want an opinion about whether ICBC’s decision about who caused the accident or their offer is fair, see a lawyer for advice.

Step 4. Appeal ICBC’s decision or offer

If you are not happy with ICBC’s decision or their offer, you can use ICBC’s internal appeal process. You can appeal ICBC’s decisions on who is at fault, its settlement offer, its denial of your claim, or its treatment of you.

ICBC also has a fairness process you can try if you’re not satisfied with how they have treated you.

Step 5. Bring a legal action

If you can’t reach an agreement with ICBC, you may sue the owner and driver of the other vehicle in the accident. ICBC’s decision on who is at fault or what amount is fair for tort damages does not bind a court or tribunal. A judge or tribunal member can decide the matter without considering what ICBC decided.

You may want to sue the owner and driver of the other vehicle if ICBC:

  • offers less than you think is fair
  • decides you caused the accident and refuses to pay any damages
  • decides you’re partly at fault for the accident and reduces the damages by the proportion you’re at fault

You may also decide to sue ICBC if it refuses to pay you the accident benefits you are entitled to.

Tip

See a lawyer before you make a personal injury claim. It’s critical to know all your rights and be prepared. Insurance companies, however fair they may be in assessing your claim, are not looking out for your interests.

Common questions

What are the deadlines to sue?

The law in BC creates a time window to bring a legal action. In the case of an injury claim, that window (or “limitation period”) is two years. Once two years have passed after a claim is “discovered”, it’s too late to start a lawsuit.

The two-year period to sue for damages starts when you knew or reasonably ought to have known you suffered an injury.

If you were under the age of 19 at the time of the accident, the two-year period to sue for damages does not start to run until you turn 19.

In some cases, if you think a municipality is at least partly at fault for your losses from an accident, you must give them notice of your claim much sooner — sometimes within just two months of the accident date.

Where do I sue?

The amount you are seeking affects the choice of court you would sue in.

If you are seeking up to $5,000, you can file a claim with the Civil Resolution Tribunal. The tribunal is an online system designed for people to represent themselves.

For amounts between $5,000 and $35,000, you would sue in Small Claims Court. Many people represent themselves in this court. It’s less expensive and less risky than going to Supreme Court. See our information on Small Claims Court (no. 166 to 168).

For amounts over $35,000, you would sue in BC Supreme Court.

Tip

For motor vehicle accidents taking place in BC after April 1, 2019, injury claims up to $50,000 must be brought to the Civil Resolution Tribunal.

How much does it cost to sue?

If you’re suing for damages, you must pay your own lawyer. Most lawyers who handle personal injury claims accept cases on a contingency fee agreement. This means you pay your lawyer’s fees only if you win damages at the end of your lawsuit, based on a percentage of what you recover. But you must still pay expenses, even if you lose.

ICBC pays the lawyer for the people you are suing. If you win your lawsuit, the court may order the other side to pay some of your legal fees.

Lawsuits in BC Supreme Court often don't go to trial because the parties settle the case before trial, but not always. Sometimes, cases go to mediation and an independent person acts as a mediator to help you and the other party reach a settlement agreement.

Can ICBC sue me?

Yes, ICBC can sue you in some cases. For example, if you drink and drive or text and drive and cause an accident that injures a person, that person may sue you. ICBC can pay the injured person and then demand you pay it back. The various situations in which ICBC can collect that money from you are quite complex. So if you’re involved in such a situation, you should get legal advice.

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