Distinguishing Between Coverage Assessment and Loss Assessment in Insurance Disputes

July 2024

In first-party insurance disputes, particularly those involving significant damage amounts, it is crucial to differentiate between assessing coverage and assessing the amount of the loss. This distinction was at the heart of a case involving Aviva Insurance Company and the respondents’ dentistry practice,[1] ultimately shaping the judicial outcome.

[1] Aviva Insurance Co. of Canada v Freedman, 2024 ONSC 2886 [Aviva Insurance].