2 total
Application for accident benefits dismissed; applicant failed to prove injuries fell outside the Minor Injury Guideline.
The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer determined the injuries fell within the Minor Injury Guideline (MIG) and denied funding for chronic pain, psychological, and neurological assessments.
The Licence Appeal Tribunal found that the applicant failed to prove her injuries warranted treatment beyond the MIG, noting that her family physician's clinical notes contradicted the assessment reports relied upon by the applicant.
The Tribunal dismissed the application, finding the proposed assessments were not reasonable and necessary.
The insurer determined the injuries fell within the Minor Injury Guideline (MIG) and denied funding for orthopaedic, chronic pain, and psychological assessments.
The Tribunal found that the applicant failed to prove on a balance of probabilities that his injuries fell outside the MIG, placing greater weight on the family physician's clinical notes which showed no ongoing accident-related complaints.
The Tribunal dismissed the application, finding the proposed assessments were not reasonable or necessary.
No co-appearing lawyers found.
No judges found.