Applicant v. State Farm Mutual Automobile Insurance Company (16-001226)

The claimant sought a catastrophic impairment on both mental or behavioural grounds as well as WPI. Adjudicator Paul Gosio reviewed the medical evidence and conducted a pre- and post-accident review of the claimant’s functionality, and determined that the claimant sustained a Class 4 marked impairment in the fields of activities of daily living, concentration, persistence and pace, as well as adaptation. However, since the claim was brought under an older version of the SABS, only one of the findings was necessary. Moreover, given the finding, Adjudicator Gosio did not conduct at whole person impairment analysis. The claimant was deemed catastrophically impaired.