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A.W.A. v. Certas Home and Auto Insurance (18-007207)

  • May 27, 2020

The claimant sought entitlement to IRBs, a series of catastrophic impairment assessments, and further physiotherapy. Adjudicator Gosio awarded IRBs up to the 104 week mark, but denied the remainder of the claims. The claimant worked as a machine operator, and his chronic neck pain inhibited his work. The claimant did not submit any evidence that he met the “complete inability” test. The proposed physiotherapy was not reasonable because it made the claimant’s pain worse. Finally, there was no reasonable basis on which to award the catastrophic impairment assessments. The evidence of psychological impairment was minimal, and he did not meet the criteria for any psychological disorder.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits, CAT Assessments
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