Dr. Irving Pisarek

The appellant appealed an arbitrator's decision denying her claims for income replacement benefits, medical and rehabilitation benefits, and housekeeping expenses following a motor vehicle accident.

The Director's Delegate dismissed the appeal, finding that the arbitrator's decision was well-reasoned and supported by the evidence, particularly the DAC reports which contradicted the appellant's expert.

Furthermore, the Director's Delegate ordered the appellant's representative to personally pay the respondent's appeal expenses of $3,000, finding that the representative pursued the appeal to validate an assessment method for his own personal agenda, thereby causing expenses to be incurred unreasonably.

The applicant was injured in a motor vehicle accident and sought payment for three chiropractic treatment plans under the Statutory Accident Benefits Schedule.

The insurer denied the plans, and the applicant applied for arbitration.

The arbitrator dismissed the application, finding that the treatment plans were neither reasonable nor necessary.

The arbitrator noted that the chiropractor's billing practices were invalid, the proposed 52-week plan violated professional guidelines, and the passive, palliative care was deemed harmful by other medical assessors.

The arbitrator also dismissed the claim for a special award, finding no bad faith by the insurer, and ordered each party to bear their own expenses.