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A.W. v. Cooperators General Insurance Company (16-000283)

  • February 7, 2017

The claimant sought entitlement to non-earner benefits as well as a number of treatment plans. The insurer took a MIG position and also noted that the initial OCF-3 did not support an NEB claim. Although a subsequent disability certificate was submitted supporting NEBs, no further medical evidence was provided. On review, Adjudicator Pay concluded that the claimant was not entitled to NEBs or the disputed treatment plans.

Full decision here

TGP Analysis

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  • FILED UNDER Non-Earner Benefits
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