Ms. My-Linh Nguyen

The insurer appealed an Arbitrator's decision finding that the claimant suffered a catastrophic impairment due to a mental or behavioural disorder and awarding ongoing attendant care and housekeeping benefits.

The Director's Delegate allowed the appeal, finding that the Arbitrator failed to give adequate reasons, reversed the burden of proof, and failed to fairly consider the evidence.

The medical evidence presented by the claimant did not address the criteria under the AMA Guides, and her uncorroborated evidence was insufficient to prove catastrophic impairment.

The Arbitrator's orders were revoked, and the claimant was ordered to repay interim benefits.