37.
 37. (1) If an insurer wishes to determine if an insured person is still entitled to a specified benefit, the insurer may, but not more often than is reasonably necessary, (a)  request that the insured person submit, within 15 business days, a new disability certificate completed as of a date on or after the date of the request; (b)  notify the insured person that the insurer requires an examination under section 44; or (c)  do both.  O. Reg. 34/10, s. 37 (1). (2) An insurer shall not discontinue paying a specified benefit to an insured person unless, (a)  the insured person fails or refuses to submit a completed disability certificate if requested to do so under subsection (1); (b)  the disability certificate submitted on behalf of the insured person does not support the insured person’s continuing entitlement to the benefit; (c)  the insurer has received the report of the examination under section 44, if the insurer required an examination under that section, and has determined that the insured person is not entitled to the benefit; (d)  the insurer is entitled under subsection (7) to refuse to pay the specified benefit; (e)  the insured person has resumed his or her pre-accident employment duties; (f)  the insurer is no longer required to pay the specified benefit by reason of subsection (7), paragraph 2 of subsection 28 (1), subsection 33 (6) or section 57 or 58; or (g)  the insured person is not entitled to the specified benefit for a reason unrelated to whether he or she has an impairment that entitles the insured person to receive the specified benefit.  O. Reg. 34/10, s. 37 (2). (3) If an insured person fails to submit a completed disability certificate as required under subsection (1), no specified benefits are payable for the period commencing the 15th business day after the day the insured person received the insurer’s request and ending, if the insured person subsequently submits a completed disability certificate, the day the insurer receives the completed disability certificate.  O. Reg. 34/10, s. 37 (3). (4) If the insurer determines that an insured person is not entitled or is no longer entitled to receive a specified benefit on any one or more grounds set out in subsection (2), the insurer shall advise the insured person of its determination and the medical and any other reasons for its determination.  O. Reg. 34/10, s. 37 (4). (5) Within 10 business days after receiving the report of an examination under section 44, the insurer shall give a copy of the report to the insured person and to the person who completed the disability certificate, if one was provided in accordance with subsection (1).  O. Reg. 34/10, s. 37 (5). (6) Within 10 business days after receiving the report of an examination under section 44, the insurer shall provide the insured person with a notice of determination setting out, (a)  the specified benefits the insurer agrees to pay; (b)  the specified benefits the insurer refuses to pay; (c)  the medical and any other reasons for the insurer’s decision; and (d)  if the insurer determines that the insured person is not entitled to a specified benefit, the date that payment of the benefit will be stopped.  O. Reg. 34/10, s. 37 (6). (7) If the insured person fails or refuses to comply with subsection 44 (9), the insurer may, (a)  make a determination that the insured person is no longer entitled to the specified benefit; and (b)  refuse to pay specified benefits relating to the period after the insured person failed or refused to comply with that subsection and before the insured person complies with that subsection.  O. Reg. 34/10, s. 37 (7). (8) If the insured person subsequently complies with subsection 44 (9), the insurer shall, (a)  reconsider the insured person’s entitlement to the specified benefit; and (b)  if the insurer determines that the insured person is still entitled to the specified benefit, (i)  resume payment of the specified benefit, and (ii)  pay all amounts, if any, that were withheld during the period of non-compliance if the insured person provides not later than the 10th business day after the failure or refusal to comply, or as soon as practicable after that day, a reasonable explanation for not complying with that subsection.  O. Reg. 34/10, s. 37 (8). Claim for Medical or Rehabilitation Benefits