1 total
Accident benefits denied as applicant failed to provide compelling evidence that pre-existing conditions precluded MIG limits.
The applicant was injured in a motor vehicle accident and sought medical benefits for chiropractic treatment.
The respondent insurer denied the claims on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant argued that pre-existing injuries from a prior accident should remove him from the MIG.
The Tribunal found that the applicant failed to provide compelling medical evidence of a pre-existing condition that would prevent him from achieving maximum medical recovery under the MIG.
Consequently, the applicant's injuries were deemed predominantly minor, and the disputed treatment plans were found not reasonable or necessary.