The claimant disputed entitlement to IRBs in the amount of $400.00 per week from October 26, 2016 to January 7, 2019 with interest. As a preliminary issue, the claimant sought to add entitlement to IRBs beyond January 7, 2019. Adjudicator Lake dismissed the claim, and the preliminary issue. She noted that the claimant did not bring the preliminary matter up during the Case Conference, and had sufficient time before the hearing to bring the matter up and submit a motion to include the issue, which would have allowed the insurer to respond. As it was highly prejudicial to significantly change the period of the benefit claimed, and an Order from the Tribunal was required to add issues to a hearing, the preliminary issue was dismissed. Adjudicator Lake dismissed the claimant’s claim for IRBs, noting that although an OCF-3 was completed on October 31, 2016, it was not provided to the insurer until April 9, 2018; therefore, there was no entitlement to IRBs prior to April 9, 2018. Furthermore, the claimant had failed to prove on a balance of probabilities that he was entitled to the benefit. The practitioners who completed his OCF-3s did not have direct knowledge of his job requirements, and instead used generic terms; the description of his employment was vague and generic when described by medical practitioners, and sick notes provided did not directly reference the subject accident.
Category: LAT Rules
A Tribunal hearing began regarding the claimant’s entitlement to NEBs and the cost of assessments. Shortly after the start of the hearing, Adjudicator Paluch determined that he was involved in a similar hearing involving the relationship between counsel and the clinics the claimant attended. He ordered himself recused from the matter on the basis that a reasonable apprehension of bias could arise. A new hearing was scheduled with a different adjudicator.
The claimant sought reconsideration of the Tribunal’s decision to adjourn a preliminary motion to be heard by the hearing adjudicator. Associate Chair Batty held that the adjournment decision was not a final order and dismissed the reconsideration request.
The claimant’s counsel sought reconsideration of the Tribunal’s decision to allow the adjuster to represent himself, and an order putting the claimant on notice that failure to participate in the next Case Conference would result in a dismissal of the claim. Associate Chair Batty dismissed the reconsideration because it was not in relation to a final order.
The claimant sought entitlement to IRBs. The claimant failed to attend the scheduled hearing and did not submit any evidence in support of the claim. Vice Chair Shapiro dismissed the claim.
The claimant sought reconsideration of the Tribunal’s denial of ACBs and order barring the claim for medical benefits based on IE Non-Attendance; the Tribunal had awarded IRBs. Adjudicator Mazerolle held that the Tribunal denials did not meet the criteria in Rule 18 for reconsideration. However, Adjudicator Mazerolle found that the award of IRBs beyond the 104-week mark was an error and that the claimant had not led evidence to support IRBs on the “complete inability” test.
The claimant sought reconsideration of the Tribunal’s motion order that permitted the insurer to cross-examine the claimant on her affidavit. Associate Chair Batty dismissed the reconsideration request because it was not a final order disposing of the dispute.
The claimant sought reconsideration of the Tribunal’s decision that the claim for IRBs was barred by the limitation period. The claimant also sought further benefits, which were not addressed in the preliminary hearing. Associate Chair Batty dismissed the reconsideration request because it was not a final order disposing of the entire dispute.
The claimant sought reconsideration of the Tribunal’s decision that the claim for NEBs was barred by the limitation period. The claimant also sought further benefits, which were not addressed in the preliminary hearing. Associate Chair Batty dismissed the reconsideration request because it was not a final order disposing of the entire dispute.
The claimant sought removal from the MIG and entitlement to three medical benefits. Adjudicator Boyce dismissed the claim and held that the claimant had abandoned the application due to his failure to submit and written submissions or participate in any of the preliminary stages of the LAT dispute.