Dr. N. Yahmad

The applicant sought statutory accident benefits following a motor vehicle accident, claiming entitlement to various treatment plans and assessments outside the Minor Injury Guideline (MIG) due to chronic pain and psychological impairments.

The Licence Appeal Tribunal found that the applicant's injuries were predominantly minor soft-tissue injuries.

The Tribunal preferred the respondent's medical assessments, noting that the applicant's contemporaneous medical records did not support a concussion, chronic pain with functional impairment, or a psychological condition.

As the applicant remained within the MIG, the disputed treatment plans were not payable, and claims for interest and a special award were dismissed.

The applicant was injured in a motor vehicle accident and sought payment for three medical assessments (neurological, chronic pain, and physiatry) under the Statutory Accident Benefits Schedule.

The respondent denied the benefits on the basis that they were not reasonable and necessary.

The Tribunal found that the applicant failed to meet his burden of establishing that the assessments were reasonable and necessary, noting a lack of objective medical evidence and inconsistencies in the applicant's self-reported functionality compared to pre-accident records and independent assessments.

The application was dismissed, and claims for interest and an award for unreasonable delay were also denied.

The applicant sought statutory accident benefits following a rear-end motor vehicle accident, including ongoing income replacement benefits (IRBs) and various treatment plans.

The Licence Appeal Tribunal dismissed the application, preferring the respondent's insurer examination reports which found no physical, neurological, or psychological impairments preventing the applicant from working.

The Tribunal also noted the applicant's family doctor refused to complete IRB forms due to a lack of ongoing symptoms.

The claims for medical assessments and treatment plans were denied as they were not reasonable and necessary, and had not been incurred.