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Applicant found catastrophically impaired due to severe mental and behavioural disorders following a motor vehicle accident.
The applicant was injured in a motor vehicle accident and applied for statutory accident benefits, claiming he was catastrophically impaired due to mental and behavioural disorders.
The insurer disputed the claim.
Following a lengthy arbitration hearing, the arbitrator found the applicant and his treating professionals to be highly credible, detailing a severe deterioration in his mental health, including major depression and suicidal ideation.
The arbitrator rejected the insurer's expert evidence as biased and superficial.
Applying the AMA Guides, the arbitrator concluded the applicant suffered marked impairments in multiple domains of functioning and was therefore catastrophically impaired pursuant to clause 2(1.2)(g) of the Schedule.
