2 total
Application for ongoing accident benefits dismissed as applicant's ongoing disability was work-related, not accident-related.
The applicant was injured in two motor vehicle accidents and received statutory accident benefits until the insurer terminated them in January 1994.
The applicant sought ongoing weekly income benefits, medical and rehabilitation benefits, and a special award, claiming he was unable to return to his pre-accident job as a welder due to thoracic outlet syndrome and other injuries.
The arbitrator dismissed the application, finding that the applicant's ongoing difficulties were primarily related to pre-existing, work-related conditions rather than the motor vehicle accidents.
Surveillance evidence and the applicant's post-accident recreational activities demonstrated a level of functional ability inconsistent with his claims of severe disability.
The insurer's termination of benefits was deemed reasonable, and no special award was granted.
Applicant entitled to ongoing weekly income benefits at statutory minimum; ordered to repay overpayment due to fraudulent income records.
The applicant, a taxi driver, was injured in a motor vehicle accident and received weekly income benefits until the insurer terminated them, alleging overpayment based on fraudulent income records.
The arbitrator found that the applicant remained substantially unable to perform the essential tasks of her employment and was therefore entitled to ongoing weekly income benefits.
However, the arbitrator accepted the insurer's accounting evidence that the applicant's pre-accident financial records were not genuine.
Consequently, her benefits were reduced to the statutory minimum of $185.60 per week, and she was ordered to repay the overpayment to the insurer pursuant to section 27 of the Schedule.
No co-appearing lawyers found.
No judges found.