The applicant was injured in a motor vehicle accident and sought an income replacement benefit (IRB) beyond the 104-week mark.
The insurer denied the benefit, arguing the applicant did not suffer a complete inability to engage in employment.
The Tribunal found that the applicant's accident-related chronic pain syndrome and functional impairments caused a complete inability to engage in any employment for which he was reasonably suited by education, training, or experience.
The Tribunal preferred the evidence of the applicant's chronic pain expert over the insurer's assessors.
The applicant was awarded the IRB of $600 per week and interest on overdue payments.