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Applicant found catastrophically impaired due to accident-induced mental disorder; partial attendant care benefits awarded.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits, claiming he sustained a catastrophic impairment due to a mental disorder.
The insurer argued the mental disorder was genetically based and not caused by the accident.
The Arbitrator found that the accident caused the applicant's mental disorders, which resulted in a marked impairment of his ability to function, meeting the definition of catastrophic impairment.
The applicant was awarded attendant care benefits at a reduced rate, as he did not require round-the-clock care.
Claims for Botox injections and a special award were dismissed.
Accident materially contributed to delayed disc herniations and conversion disorder, but applicant not catastrophically impaired.
The applicant was injured in a motor vehicle accident in August 2005.
Nine months later, she suffered severe disc herniations resulting in a cauda equina-like syndrome and a conversion disorder.
The insurer denied ongoing income replacement and attendant care benefits, arguing the disc herniations were not causally related to the accident.
The arbitrator found that the accident materially contributed to the disc herniations and the subsequent conversion disorder.
However, the arbitrator concluded the applicant was not catastrophically impaired, as her combined physical (21%) and mental/behavioural (28%) whole person impairment rating was 43%, falling short of the 55% threshold.
The applicant was awarded an ongoing income replacement benefit and attendant care benefits capped at $3,000 per month for the 104-week period following the accident.
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