Dr. Perez

The applicant sought statutory accident benefits following a motor vehicle accident, including an income replacement benefit (IRB), physiotherapy, catastrophic impairment assessments, and a special award.

The Tribunal found the applicant was substantially unable to perform his pre-accident employment due to chronic pain, entitling him to an IRB up to the 104-week mark.

However, the applicant failed to prove a complete inability to engage in any suitable employment, denying him post-104 week IRBs.

The disputed treatment plans for physiotherapy and catastrophic impairment assessments were deemed not reasonable and necessary.

The claim for a special award was dismissed as the insurer reasonably relied on its medical assessments.

The applicant, a cyclist injured in a motor vehicle accident, sought Income Replacement Benefits (IRBs) after the respondent insurer terminated them.

The adjudicator reviewed the medical evidence, including multiple Insurer's Examinations, which concluded the applicant could perform the essential tasks of his pre-accident employment as a prep cook/dishwasher.

The applicant failed to provide contradictory medical evidence to meet his burden of proof.

The application for both pre-104 week and post-104 week IRBs was dismissed.