The applicant was injured in a motor vehicle accident and sought statutory accident benefits from the insurer, claiming he sustained a catastrophic impairment due to severe psychological and physical injuries.
The insurer denied the claims, arguing the applicant was malingering and not significantly disabled.
The arbitrator found the applicant credible and concluded he suffered a catastrophic impairment under s. 2(1.2)(g) of the Schedule, experiencing marked impairment in activities of daily living and concentration, persistence, and pace.
The arbitrator awarded income replacement benefits, attendant care benefits at $6,000 per month, and an occupational therapy treatment plan.
Housekeeping benefits were denied due to insufficient evidence of the pre-accident baseline.
A special award of $5,000 was ordered against the insurer for unreasonably delaying payment for the applicant's psychiatric medications.
