4 total
Applicant removed from Minor Injury Guideline due to psychological impairment; psychiatric assessment treatment plan approved.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Licence Appeal Tribunal found that the applicant suffered an accident-related psychological impairment, supported by clinical notes and a psychological report, warranting removal from the MIG.
The Tribunal approved a $2,200 treatment plan for a psychiatric assessment as reasonable and necessary.
The applicant's claim for an award for unreasonable delay was dismissed due to lack of evidence, but interest on overdue payments was granted.
Application for accident benefits dismissed; injuries found to be minor and MIG limit exhausted.
The respondent denied certain treatment plans on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the applicant's physical and psychological injuries were predominantly minor, preferring the evidence of the respondent's experts over the applicant's experts.
Because the applicant's injuries fell within the MIG and the $3,500 limit had already been exhausted, the Tribunal concluded it was unnecessary to determine the reasonableness and necessity of the disputed treatment plans.
The application was dismissed.
Applicant failed to prove chronic pain or psychological impairment to escape the Minor Injury Guideline.
The respondent denied certain benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant contended that chronic pain and psychological impairments removed him from the MIG.
The Tribunal found that the applicant failed to provide sufficient objective medical evidence to establish chronic pain or a psychological impairment caused by the accident.
The Tribunal preferred the respondent's expert evidence, which found no significant physical or psychological impairments beyond minor sprains and strains.
As the applicant's injuries were predominantly minor and the $3,500 MIG limit was exhausted, the disputed treatment and assessment plans were not payable.
Applicant's psychological injury removed her from the Minor Injury Guideline, entitling her to a psychological assessment.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits.
The insurer determined her injuries fell within the Minor Injury Guideline (MIG) and denied certain medical and non-earner benefits.
The Tribunal found that the applicant sustained a psychological injury (Adjustment Disorder) that removed her from the MIG, entitling her to funding for a psychological assessment.
However, the applicant failed to prove entitlement to further physiotherapy, non-earner benefits, or an award for unreasonable delay.
No co-appearing lawyers found.
No judges found.