Claimant removed from Minor Injury Guideline due to pre-existing condition is eligible for attendant care assessment.
The appellant insurer appealed a Licence Appeal Tribunal (LAT) decision finding the respondent eligible for funding for an attendant care benefit assessment.
The respondent suffered minor injuries in a motor vehicle accident but was removed from the Minor Injury Guideline (MIG) due to a pre-existing medical condition.
The insurer argued that because the injuries were minor, the respondent was excluded from attendant care assessments under the Statutory Accident Benefits Schedule (SABS).
The Divisional Court upheld the LAT's interpretation that once a claimant is removed from the MIG due to a pre-existing condition, they are no longer subject to the limits for minor injuries, and the test for services becomes what is reasonable and necessary.
The appeal was dismissed.
Co-Operators General Insurance Company v. Bennett, 2024 ONSC 467