2 total
Applicant awarded post-104-week IRBs due to complete inability to work caused by CRPS and psychological impairments.
The applicant was injured in a motor vehicle accident and sought post-104-week income replacement benefits (IRBs).
The respondent denied the benefits, arguing the applicant did not suffer a complete inability to engage in any employment for which she was reasonably suited.
The Tribunal found that the applicant's physical impairments, specifically complex regional pain syndrome (CRPS) in her right arm, along with psychological impairments, prevented her from engaging in suitable employment, even on a part-time basis.
The Tribunal ordered the respondent to pay IRBs of $400 per week from September 1, 2022, plus interest.
The applicant's claim for an award under s. 10 of Regulation 664 for unreasonable withholding of benefits was dismissed.
Catastrophic impairment claim dismissed; AMA Guides do not permit WPI ratings for speculative future surgery.
The applicant sought a determination that he sustained a catastrophic impairment as a result of a motor vehicle accident, along with claims for income replacement benefits, medical benefits for physiotherapy, housekeeping benefits, and cost of examinations.
The Tribunal found that the applicant's shoulder impairments were largely due to pre-existing conditions and natural degeneration, not the accident.
The Tribunal rejected the applicant's whole person impairment rating of 55%, finding that the assessors improperly included a 3% rating for medication use related to a pre-existing heart condition and an 18% rating for speculative future surgery.
The Tribunal also dismissed the claim for income replacement benefits, finding the applicant was not actively self-employed at the time of the accident due to a recent heart attack.
All claims were dismissed.
No co-appearing lawyers found.
No judges found.