2 total
Insured entitled to ongoing income replacement benefits due to accident-related chronic pain and depression.
The applicant was injured in a motor vehicle accident and received weekly income replacement benefits until the insurer terminated them.
The applicant sought arbitration for ongoing income replacement benefits, supplementary medical benefits for physiotherapy, and a determination on the availability of collateral long-term disability benefits.
The arbitrator found that the applicant was substantially unable to perform the essential tasks of her employment due to chronic pain and depression caused by the accident.
The arbitrator awarded ongoing income replacement benefits, partially granted the claim for physiotherapy expenses, and found that long-term disability benefits were not available to reduce the weekly benefits.
Claim for a magnetic sleep system denied as applicant failed to prove it was reasonable treatment.
The applicant was injured in a motor vehicle accident and claimed statutory accident benefits for a Kenko Sleep System (a magnetic mattress and pillow) costing $1,607.70.
The insurer denied the claim, arguing the device was experimental and not a medical device.
The arbitrator found that while the system qualified as a medical device under the Schedule, the applicant failed to prove it was a reasonable and necessary treatment for her accident-related impairment.
The medical evidence did not support the therapeutic value of the device for her soft tissue injuries.
The application for arbitration was dismissed, and no expenses were awarded.
No co-appearing lawyers found.
No judges found.