62. (1) An insurer shall mail or deliver a weekly benefit that is payable under Part II, section 15, Part IV or Part V to the insured person within fourteen days after the insurer receives an application for the benefit.  O. Reg. 776/93, s. 62 (1). (2) The insurer shall mail or deliver weekly benefits under Part II, section 15 or Part IV, V or VI to the insured person at least once every second week while the insured person remains entitled to receive the benefits.  O. Reg. 776/93, s. 62 (2). (3) Subsection (2) does not apply if the insurer prepays benefits owing.  O. Reg. 776/93, s. 62 (3). (4) An amount payable under Part II, section 15 or Part IV, V or VI is overdue if the insurer fails to comply with subsection (1) or (2).  O. Reg. 776/93, s. 62 (4). (5) Despite subsection (4), a payment is not overdue if the insurer required that a certificate be furnished under section 60 in respect of the payment and more than six weeks have elapsed without the certificate being furnished.  O. Reg. 776/93, s. 62 (5). (6) If subsection (5) applies and the certificate is later furnished, the payment becomes overdue if the amount payable is not mailed or otherwise delivered by the insurer within fourteen days after it received the certificate.  O. Reg. 776/93, s. 62 (6). (7) When a weekly benefit is first paid under Part II, section 15, Part IV or Part V or the amount of the weekly benefit is changed, the insurer shall provide the insured person with a written explanation of how the amount of the weekly benefit was determined.  O. Reg. 776/93, s. 62 (7). (8) If the insurer refuses to pay weekly benefits under Part II, section 15 or Part IV or V, it shall give the insured person notice of the reasons for the refusal, (a)  within 14 days after receiving an application for the benefits, if the refusal occurs before the application is approved; (b)  by the day on which it would have paid the next weekly benefit, if the refusal occurs after the application is approved.  O. Reg. 781/94, s. 16.

63. Revoked:  O. Reg. 26/06, s. 26.

64. Revoked:  O. Reg. 26/06, s. 27. Insurer Examinations

65. (1) An insurer may, for the purposes of any of Parts II to VIII, X and XIII and as often as reasonably necessary, give an insured person notice requiring the person to be examined by one or more persons specified by the insurer, each of whom is a member of a health profession or a person with expertise in vocational rehabilitation.  O. Reg. 776/93, s. 65 (1); O. Reg. 781/94, s. 18 (2). (2) An examination under subsection (1) shall be scheduled by the insurer and, for that purpose, the insurer shall make reasonable efforts to schedule the examination for a time that is convenient for the insured person and shall provide the insured person with reasonable notice of the examination.  O. Reg. 776/93, s. 65 (2). (3) The person or persons who conduct the examination shall prepare a report and provide a copy of the report to the insurer and to the insured person.  O. Reg. 776/93, s. 65 (3). (3.1) If the examination relates to a claim for attendant care benefits, the report of the examination shall include a completed the Form for Assessment of Attendant Care Needs - Accidents After December 31, 1993 and Before November 1, 1996.  O. Reg. 26/06, s. 28; O. Reg. 46/16, s. 13. (4) A notice referred to in subsection (1) shall state the expense to which the examination relates.  O. Reg. 776/93, s. 65 (4). (5) If the insured person fails or refuses to make himself or herself reasonably available for an examination under subsection (1), the insurer is not required to pay the benefits under section 16 or Part VII, VIII, X or XIII, as specified in the notice under subsection (1), until the person submits to the examination.  O. Reg. 781/94, s. 18 (3). (5.1) If the insured person fails or refuses to submit to an examination under subsection (1), the insurer may withhold payment of the weekly benefits under Part II, section 15 or Part IV, V or VI until the person submits to the examination and, when the person submits to the examination, the insurer shall, (a)  resume payment of the benefits; and (b)  pay the benefits that were not paid.  O. Reg. 781/94, s. 18 (3).

66. Revoked:  O. Reg. 781/94, s. 19. Payment of Certain Benefits

67. (1) Subject to subsection 65 (5), an insurer shall mail or deliver a benefit that is payable under section 16 or Part XI, XII or XIII to the person entitled within thirty days after the insurer receives an application for the benefit.  O. Reg. 776/93, s. 67 (1); O. Reg. 781/94, s. 20 (2). (2) An amount payable under section 16 or Part XI, XII or XIII is overdue if the insurer fails to comply with subsection (1).  O. Reg. 776/93, s. 67 (2). (3) When a benefit is paid under section 16 or Part XI, XII or XIII, the insurer shall provide the insured person with a written explanation of how the amount of the benefit was determined.  O. Reg. 776/93, s. 67 (3). (4) If the insurer refuses to pay a benefit under section 16 or Part XI, XII or XIII, it shall give the insured person notice of the reasons for the refusal within 30 days after receiving an application for the benefit.  O. Reg. 776/93, s. 67 (4); O. Reg. 781/94, s. 20 (3). Interest on Overdue Payments

68. If payment of a benefit under this Regulation is overdue, the insurer shall pay interest on the overdue amount for each day the amount is overdue from the date the amount became overdue at the rate of 2 per cent per month compounded monthly.  O. Reg. 776/93, s. 68. Prior Approval of Expenses

69. (1) A person may, before an expense referred to in Part VII, VIII, X or XIII is incurred, request the insurer to, (a)  confirm in advance that it will pay for the expense; or (b)  authorize the person to have the expense billed directly to the insurer, subject to reasonable conditions established by the insurer.  O. Reg. 776/93, s. 69 (1). (2) The insurer may refuse the request only if there are reasonable grounds to believe that the expense is one for which the insurer would not be required to pay.  O. Reg. 776/93, s. 69 (2). (3) The insurer shall respond to the request, (a)  within fourteen days after the person who made the request supplies the insurer with the information reasonably required to determine whether the expense is one for which the insurer would be required to pay, in the case of an expense claimed under Part VII, VIII or X; and (b)  within thirty days after the person who made the request supplies the insurer with the information reasonably required to determine whether the expense is one for which the insurer would be required to pay, in the case of an expense claimed under Part XIII.  O. Reg. 776/93, s. 69 (3). (4) If the insurer refuses the request, it shall give the person who made the request notice of the reasons for the refusal.  O. Reg. 776/93, s. 69 (4). Repayments to Insurer