Mr. Rod Hare

The Applicant was injured in a motor vehicle rollover accident and applied for a determination of catastrophic impairment.

The Insurer disputed the claim.

At arbitration, multiple medical experts testified regarding the Applicant's physical, mental, and behavioural impairments.

The arbitrator found that the Applicant sustained a Class 4 (marked) impairment in Concentration, Pace and Persistence, and Adaptability, relying on the Applicant's neuropsychologist.

The arbitrator also found that the Applicant would have met the 55% Whole Person Impairment threshold based on a combination of physical and psychological ratings.

The arbitrator concluded that the Applicant sustained a catastrophic impairment within the meaning of the Statutory Accident Benefits Schedule.

The applicant was injured in a motor vehicle accident and sought payment for exercise therapy under the Statutory Accident Benefits Schedule.

The insurer denied the claim, arguing the treatment was not reasonable and necessary.

The arbitrator found that the applicant had pre-existing shoulder issues and lacked credibility regarding his medical history.

Relying on expert medical assessments, the arbitrator concluded the applicant had regained almost full mobility prior to the disputed therapy and did not have an impairment requiring the treatment.

The claims for medical benefits and a special award were dismissed.