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Applicant v RBC General Insurance Company (17-005285)

  • March 26, 2018

The claimant argued that his injuries fell outside the MIG and sought medical benefits. Adjudicator Mazerolle held that the claimant’s injuries fell within the MIG. Adjudicator Mazerolle preferred the insurer’s psychological assessment that noted the claimant exhibited adjustment reactions which were mild symptoms and treatable within the MIG. The insurer’s report relied on seven psychometric tests, whereas the claimant’s report relied on three tests. Additionally, the insurer’s report found validity issues which demonstrated potential over-reporting of symptoms, whereas the claimant’s report exclusively used self-reporting measures. With regard to chronic pain, Adjudicator Mazerolle held that the claimant failed to demonstrate that it was not clinically associated sequelae to the soft tissue injuries caused by the accident.

Full decision here

TGP Analysis

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  • FILED UNDER Minor Injury Guideline
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