2 total
Applicant awarded pre-104 week IRBs but denied post-104 week IRBs and special award.
The applicant sought income replacement benefits (IRBs) and a special award under Regulation 664 following a motor vehicle accident.
The respondent insurer denied the benefits, arguing the applicant's impairments were based on subjective complaints and her evidence was unreliable.
The Tribunal found the applicant credible and determined she suffered a substantial inability to perform the essential tasks of her pre-accident employment as a gas bar attendant, entitling her to pre-104 week IRBs.
However, the Tribunal dismissed her claim for post-104 week IRBs, finding she failed to prove a complete inability to engage in suitable employment, as she had successfully worked part-time jobs post-accident and failed to prove her subsequent surgeries were accident-related.
The claim for a Regulation 664 award was also dismissed, as the insurer's delay in obtaining addendum reports was not unreasonable given the applicant's delay in providing requested documents.
Applicant awarded pre-104-week IRBs due to physical and psychological impairments, but denied post-104-week IRBs and physiotherapy.
The applicant was injured in a motor vehicle accident and sought income replacement benefits (IRBs) and a medical benefit for physiotherapy.
The Licence Appeal Tribunal found that the applicant suffered a substantial inability to perform the essential tasks of his pre-accident employment as a janitorial cleaner due to physical and psychological impairments, entitling him to pre-104-week IRBs.
However, the applicant failed to establish a complete inability to engage in any suitable employment, and was therefore denied post-104-week IRBs.
The Tribunal also denied the proposed physiotherapy treatment plan, noting the applicant had an unexhausted, previously approved treatment plan and had provided inconsistent evidence regarding the benefits of physiotherapy.
No co-appearing lawyers found.
No judges found.