Applicant v. RSA Insurance Company (17-000502)

The claimant sought pre- and post-104 IRBs and entitlement to various medical benefits, as well as the cost of a completed OCF-3. Adjudicator Truong found the claimant to be an unreliable witness at the oral hearing, and he gave less weight to the s. 25 psychology opinion as the claimant’s unreliable self-reporting was the entire basis for the s. 25 report. Adjudicator Truong found that the claimant was not entitled to any of the benefits in dispute. The cost of the OCF-3 was found not payable as it was not requested by the insurer and it was not required under ss. 21, 36, 37 of the SABS.