C.M. v. The Co-operators General Insurance Company (16-000793)

The claimant sought a determination that his impairments were outside of the MIG and entitlement to one treatment plan for a psychological assessment. Adjudicator Sewrattan found that the claimant’s injuries were predominantly minor and that his entitlement was subject to the MIG. In terms of psychological impairments, the adjudicator found that the diagnosis of mixed anxiety and depressive disorder made during the psychological assessment was too far removed from the test results produced. In terms of physical injuries, the adjudicator noted that the claimant’s submission that he suffered from chronic pain was based on a single clinical note from his new family doctor, with no explanation for the diagnosis. The Adjudicator concluded that the claimant was entitled to payment for the psychological assessment only if funds remained within the MIG.