2 total
Accident benefits denied as applicant's injuries fell within the Minor Injury Guideline and limit was exhausted.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied various treatment plans for physiotherapy and psychological services on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG) and the $3,500 limit had been exhausted.
The applicant argued her injuries fell outside the MIG due to a psychological impairment and pre-existing conditions.
The Tribunal found the applicant's physical injuries were soft tissue in nature and her psychological testing did not support a formal diagnosis.
The Tribunal accepted the respondent's section 44 assessors' conclusions that the injuries were minor.
As the MIG limit was exhausted, the disputed treatment plans and interest were denied.
Applicant awarded medical benefits for counselling and physiotherapy; OCF-3 cost and respondent's costs motion denied.
The applicant sought statutory accident benefits following a 2013 motor vehicle accident.
The adjudicator found the applicant was entitled to medical benefits for social work counselling and physiotherapy, preferring the evidence of the applicant's assessors and the respondent's own psychological assessor over the respondent's paper-review orthopaedic assessment.
The adjudicator noted the applicant suffered from accident-related psychological impairments and chronic pain.
The claim for the cost of an OCF-3 was denied as it was not requested by the insurer and provided no new medical information.
The respondent's request for costs under Rule 19.1, alleging the applicant's reply was inflammatory, was dismissed as the conduct did not meet the high threshold of being unreasonable, frivolous, vexatious, or in bad faith.
No co-appearing lawyers found.
No judges found.