Applicant found to have sustained a catastrophic impairment due to marked mental and behavioural impairments.
The Applicant was injured in a motor vehicle rollover accident and applied for a determination of catastrophic impairment.
The Insurer disputed the claim.
At arbitration, multiple medical experts testified regarding the Applicant's physical, mental, and behavioural impairments.
The arbitrator found that the Applicant sustained a Class 4 (marked) impairment in Concentration, Pace and Persistence, and Adaptability, relying on the Applicant's neuropsychologist.
The arbitrator also found that the Applicant would have met the 55% Whole Person Impairment threshold based on a combination of physical and psychological ratings.
The arbitrator concluded that the Applicant sustained a catastrophic impairment within the meaning of the Statutory Accident Benefits Schedule.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJan 15, 2018