Dr. Wagner

The applicant sought statutory accident benefits following a motor vehicle accident.

The insurer denied certain medical and rehabilitation benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).

The Tribunal found that while the applicant's physical injuries were predominantly minor, his psychological impairments, including depression and post-traumatic stress symptoms, justified removal from the MIG.

The Tribunal ordered the insurer to pay for a psychological assessment but denied the claims for physiotherapy treatment, finding them not reasonable and necessary.

The applicant was injured in a motor vehicle accident and sought medical benefits for chiropractic treatment under the Statutory Accident Benefits Schedule.

The respondent insurer denied the treatment plans.

The Licence Appeal Tribunal found that two of the treatment plans were reasonable and necessary to provide pain relief, relying on the applicant's medical evidence over the insurer's examination report.

A third treatment plan was denied as it was a duplication of a previously approved plan.

The applicant was also awarded interest on the overdue benefits.