2 total
Application for catastrophic impairment and income replacement benefits dismissed; impairments attributed to pre-existing condition.
The applicant sought a determination of catastrophic impairment under criterion 8 and entitlement to income replacement benefits following a motor vehicle accident.
The respondent brought a preliminary motion to bar the application due to the applicant's failure to attend a follow-up insurer's examination.
The Tribunal dismissed the motion, finding the requested examination was not reasonable and necessary given the timing and lack of new issues.
On the substantive issues, the Tribunal found the applicant failed to prove she suffered a catastrophic impairment, preferring the respondent's experts who found her impairments were moderate and largely attributable to a pre-existing major depressive episode.
The Tribunal also dismissed the claims for income replacement benefits, an award, and interest.
Applicant denied catastrophic impairment status but awarded non-earner benefits due to physical limitations.
The applicant was injured in a motor vehicle accident while riding his bicycle and sought various statutory accident benefits, including a determination of catastrophic impairment.
The Licence Appeal Tribunal found that the applicant did not meet the criteria for catastrophic impairment under the Schedule, preferring the insurer's expert evidence that the applicant did not suffer a marked psychological impairment.
However, the Tribunal found the applicant was entitled to non-earner benefits, as his physical injuries caused a complete inability to carry on a normal life.
Claims for attendant care, housekeeping, and certain treatment plans were dismissed as not reasonable and necessary, though an occupational therapy assessment was approved.
The claim for a special award was denied.
No co-appearing lawyers found.
No judges found.