Category: Medical Benefits

D.J. v. Aviva Insurance Canada (16-000098)

Post author By tgp-admin
Post date November 29, 2016
No Comments on D.J. v. Aviva Insurance Canada (16-000098)

The claimant sought removal from the MIG and entitlement to various treatment plans. Adjudicator Theoharis concluded that the claimant suffered from depression and anxiety, which entitled her to benefits above the MIG limits. However, Adjudicator Theoharis concluded that all treatment plans for physical treatment were not reasonable and necessary, as the claimant had met maximum medical improvement from a physical perspective.

J.H. v. Intact Insurance Company (16-000009)

Post author By tgp-admin
Post date September 8, 2016
No Comments on J.H. v. Intact Insurance Company (16-000009)

The claimant sustained a catastrophic impairment and sought mileage expenses for his service providers. Adjudicator Pay held that the SABS did not require the insurer to pay for the mileage expenses of the service providers (the insurer was already paying for the hourly rate of the service providers, which included their transportation time).