The applicant was injured in a motor vehicle accident and sought statutory accident benefits from the respondent insurer.
The insurer denied an income replacement benefit (IRB) and two treatment plans.
On a rehearing, the Tribunal found the applicant was entitled to the IRB, as medical evidence supported a substantial inability to perform the essential tasks of his pre-accident employment due to chronic pain and a right shoulder impairment.
The Tribunal denied the April 11, 2022 treatment plan as it was submitted while the applicant was in the Minor Injury Guideline (MIG) and duplicated an approved OCF-23.
The September 21, 2022 treatment plan was approved as reasonable and necessary.
The Tribunal denied the applicant's request for a special award, finding the insurer's reliance on its assessors' reports was not unreasonable.