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Applicant v. Aviva Insurance Canada (17-005950)

  • June 28, 2018

The claimant sought entitlement to IRBs and three medical benefits. Adjudicator Go dismissed all of the claims other than the claimed psychological assessment. She held that there was insufficient information to support objective limitations or restrictions to support the IRB claim, and the claimant had not provided sufficient information to quantify the IRB even if it had been awarded. In terms of the medical benefits, two of the treatment plans were submitted to the wrong insurer and had never been submitted to the proper insurer. The claimed psychological assessment was awarded because Adjudicator Go favoured the evidence of the claimant’s assessor over that of the IE assessor.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits
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