4 total
Applicant awarded income replacement benefits for psychological impairment; claim for unreasonable delay award dismissed.
The applicant sought income replacement benefits (IRBs) following a motor vehicle accident.
The Tribunal found that the applicant suffered an accident-related psychological impairment, specifically an adjustment disorder with mixed anxiety and depressed mood, which caused a substantial inability to perform the essential tasks of her pre-accident employment in customer service.
The Tribunal awarded IRBs in the amount of $287.88 per week for the disputed period, along with interest.
The applicant's claim for an award for unreasonable delay was dismissed, as the insurer's conduct was not found to be excessive or indicative of bad faith.
Application for accident benefits dismissed as injuries fell within the Minor Injury Guideline.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied the benefits 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 she should be removed from the MIG due to chronic pain and psychological impairments.
The Tribunal found that the applicant failed to prove on a balance of probabilities that she suffered from chronic pain with functional impairment or a psychological injury caused by the accident that would warrant removal from the MIG.
The Tribunal preferred the respondent's medical and psychological assessments.
As the MIG limit was exhausted, the claims for treatment plans and interest were dismissed.
Applicant removed from Minor Injury Guideline due to chronic pain; most treatment plans approved but non-earner benefit barred.
The respondent denied several treatment plans and a non-earner benefit, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the applicant suffered from chronic pain with functional impairment, removing him from the MIG.
The Tribunal approved treatment plans for physiotherapy, a psychological assessment, and a chronic pain assessment, but denied a treatment plan for psychological services.
The claim for a non-earner benefit was barred because the applicant failed to submit an Election of Benefits form (OCF-10).
A claim for an award under s. 10 of O. Reg. 664 was dismissed.
Application for statutory accident benefits dismissed due to insufficient medical evidence and failure to prove disability.
The applicant sought statutory accident benefits following a motor vehicle accident, including an income replacement benefit, psychological services, and chiropractic services.
The applicant, who was self-employed, failed to submit a disability certificate in a timely manner and did not provide sufficient medical evidence to prove a substantial inability to perform the essential tasks of his employment.
The respondent's medical assessments concluded the applicant could still perform his work tasks.
The Tribunal found the applicant failed to meet his evidentiary burden for all claimed benefits and dismissed the application, including claims for an award and interest.
No co-appearing lawyers found.
No judges found.