22 total
Applicant awarded ongoing income replacement benefits after 104 weeks due to chronic pain and psychological impairments.
The applicant was injured in a motor vehicle accident while riding his bicycle.
The insurer paid income replacement benefits for 104 weeks but terminated them, arguing the applicant did not meet the more stringent test of complete inability to engage in suitable employment.
The arbitrator found the applicant, who was functionally illiterate in English and had a history of heavy physical labour, suffered from chronic pain and psychological impairments caused by the accident.
The arbitrator rejected the insurer's expert evidence that the applicant was malingering, finding instead that he was completely disabled from working.
The applicant was awarded ongoing income replacement benefits.
However, his claim for a multidisciplinary pain management program was dismissed as he failed to prove it was reasonable and necessary, given a previous similar program had not yielded further recovery.
Insured entitled to ongoing income replacement benefits after unsuccessful attempts to return to work.
The applicant was injured in a motor vehicle accident and received statutory accident benefits.
The insurer terminated her income replacement benefits, arguing she was capable of returning to work.
The arbitrator found that the applicant made honest and sustained attempts to return to her pre-accident employment as an accountant, but was unable to continue due to her injuries.
The arbitrator rejected the insurer's medical assessments suggesting a lack of motivation, finding the applicant's testimony credible and her attempts to work genuine.
The applicant was found to be substantially disabled from performing the essential tasks of her employment and completely unable to engage in suitable employment, entitling her to ongoing income replacement benefits.
No linked lawyers found.
No linked judges found.