2 total
Application for accident benefits dismissed; injuries fell within MIG and psychological impairments were not accident-related.
The applicant sought statutory accident benefits following a motor vehicle accident, including a non-earner benefit and medical benefits beyond the Minor Injury Guideline (MIG) limit.
The Licence Appeal Tribunal found that the applicant's physical injuries were soft tissue injuries falling within the MIG.
While the applicant suffered from major depression and PTSD, the Tribunal concluded these psychological impairments were caused by his difficult experiences as a refugee from Albania, not the accident.
Consequently, the applicant did not suffer a complete inability to carry on a normal life as a result of the accident.
The application was dismissed.
Two chiropractic treatment plans approved; orthopaedic assessment and third chiropractic plan denied.
The applicant sought dispute resolution at the Licence Appeal Tribunal after the respondent insurer denied four treatment plans following a motor vehicle accident.
The adjudicator denied the request for an orthopaedic assessment, finding it was based solely on self-reported injuries without objective medical evidence.
Two chiropractic treatment plans were approved as reasonable and necessary because they included appropriate active and passive modalities consistent with the applicant's injuries.
A third chiropractic plan was denied due to a lack of substantive benefit and failure to address other barriers to recovery.
The applicant's claim for a special award under s. 10 of Regulation 664 was dismissed, but interest was awarded on the approved benefits.
No co-appearing lawyers found.
No judges found.