Christopher Deeley

The applicant sought statutory accident benefits following a motor vehicle accident, disputing the insurer's determination that his injuries fell within the Minor Injury Guideline (MIG).

The applicant argued for removal from the MIG based on diagnoses including radiculopathy and chronic headaches, relying on letters from his chiropractor.

The Tribunal found that the applicant failed to provide compelling medical evidence of functional impairment that would warrant removal from the MIG.

Preferring the respondent's physiatry assessments, which concluded the injuries were minor sprains and strains, the Tribunal held the applicant remained subject to the $3,500 MIG limit.

Consequently, the disputed treatment plan for chiropractic services and the claim for interest were dismissed.

The applicant sought statutory accident benefits following a 2016 motor vehicle accident.

In a prior Tribunal decision, it was determined that the applicant's injuries fell within the Minor Injury Guideline (MIG).

The applicant filed a second application seeking to remove herself from the MIG based on new medical reports.

The Tribunal dismissed the application, finding that the issue was barred by res judicata.

The Tribunal held that the new medical evidence did not conclusively impeach the original results, as the experts relied heavily on self-reporting and one expert lacked the appropriate orthopaedic qualifications.

The respondent's request for costs was denied.

The applicant was injured in a motor vehicle accident and sought various medical and rehabilitation benefits.

The respondent denied the benefits on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).

The applicant argued that she suffered from chronic pain and had pre-existing conditions that warranted removal from the MIG.

The Tribunal found that the applicant failed to provide compelling medical evidence or a diagnosis of chronic pain from a qualified expert.

Furthermore, the applicant did not provide compelling evidence that her pre-existing conditions would prevent maximal recovery within the MIG limits.

The Tribunal concluded the applicant's injuries were predominantly minor and subject to the MIG.

As the MIG limits were exhausted, the claims for additional benefits and interest were dismissed.

The applicant was injured in a motor vehicle accident and sought various medical and rehabilitation benefits.

The respondent denied the benefits on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).

The applicant argued she should be removed from the MIG due to chronic pain and pre-existing conditions.

The Tribunal found that the applicant failed to provide compelling medical evidence of a chronic pain diagnosis or that her pre-existing conditions would prevent maximal recovery within the MIG limits.

As the MIG limits were exhausted, the claims for further benefits and interest were dismissed.

The Applicant sought arbitration for a disputed medical benefit of $820.00 following a motor vehicle accident.

The Insurer raised a preliminary issue, arguing the Applicant was precluded from proceeding because he failed to attend a scheduled section 44 insurer examination.

The Arbitrator found that the Insurer had the right to choose the assessor and that the notice provided was compliant with the Schedule.

Because the Applicant failed to attend the examination without reasonable cause, he was barred from commencing mediation under section 55 of the Schedule, and consequently precluded from arbitrating the issue under section 280(2) of the Insurance Act.

The applicants sought statutory accident benefits following a motor vehicle collision.

The insurer denied further claims and sought repayment of benefits already paid, alleging that the collision was staged and the applicants wilfully misrepresented material facts.

At a preliminary issue hearing, the arbitrator found the applicants to be credible and concluded that any inconsistencies in their evidence were due to the ordinary fragility of memory rather than a conspiracy.

The arbitrator held that the applicants did not wilfully misrepresent material facts and dismissed the insurer's claims for repayment.

The applicant was injured in motor vehicle accidents and sought payment for 100 sessions of chiropractic and massage therapy under the Statutory Accident Benefits Schedule.

The insurer denied the treatment plans, arguing it was unreasonable to approve such extensive treatment without the ability to monitor progress.

The arbitrator found that the applicant had reached maximum medical recovery and that his ongoing need for treatment was equivalent to his pre-accident usage.

The arbitrator concluded that the requested treatment was not reasonable and necessary, as it bypassed the regulatory scheme allowing insurers to review ongoing care.