4 total
Application for statutory accident benefits dismissed due to credibility issues regarding a pre-existing knee impairment.
The applicant sought statutory accident benefits following a motor vehicle accident, including attendant care benefits, occupational therapy, a home modification assessment, and psychological services.
The Licence Appeal Tribunal dismissed the application in its entirety.
The Tribunal found the applicant's credibility was significantly impacted by his failure to disclose a pre-existing right knee impairment to assessors.
Surveillance evidence and inconsistent self-reports further undermined his claims for attendant care and occupational therapy.
The Tribunal also found the applicant had not utilized previously approved psychological treatment, failing to prove the necessity of additional sessions.
Claims for interest and a special award were consequently dismissed.
Application for non-earner benefits and removal from the Minor Injury Guideline dismissed.
The applicant sought statutory accident benefits following a motor vehicle accident, claiming entitlement to a non-earner benefit, removal from the Minor Injury Guideline (MIG), and funding for chiropractic and psychological treatment plans.
The Tribunal found that the applicant did not suffer a complete inability to carry on a normal life, preferring the respondent's multidisciplinary medical assessments over the applicant's evidence.
The Tribunal also concluded that the applicant failed to establish a psychological impairment warranting removal from the MIG.
As the applicant remained subject to the MIG and the limits were exhausted, the disputed treatment plans were not payable, and the application was dismissed.
Worker denied WSIB benefits for stroke caused by pre-existing hypertension rather than workplace fall.
The worker appealed a decision denying entitlement to benefits for a basal ganglia haemorrhagic stroke following a fall at work.
The worker alleged the stroke was caused by striking their head on the floor during the fall.
The Appeals Resolution Officer reviewed medical evidence, including opinions from treating specialists and an external neurological consultant, which concluded the stroke was caused by pre-existing hypertension and anticoagulant therapy, and that the fall was a result of the stroke, not the cause.
The appeal was dismissed as the diagnosis was not compatible with the accident history.
Catastrophic impairment claim dismissed; applicant awarded costs for a reasonable assessment plan with interest.
The applicant was struck by a transit bus while crossing an intersection and sought a determination of catastrophic impairment.
The Tribunal found that the applicant did not meet the 55% whole person impairment threshold, preferring the respondent's medical experts who concluded her psychological challenges stemmed from pre-existing learning difficulties rather than the accident, and that she did not suffer from post-concussion syndrome.
However, the Tribunal ordered the respondent to pay $2,400 for a chronic pain assessment plan, finding the assessment was reasonable at the time it was proposed, and awarded interest because the respondent failed to provide proper medical reasons for its denial.
No co-appearing lawyers found.
No judges found.