Applicant v. TD Insurance Meloche Monnex (17-000640)

The claimant sought entitlement to NEBs, removal from the MIG, and two treatment plans. Adjudicator Neilsen first exclude one report submitted by the claimant because it was given to the insurer 10 days prior to the hearing. In terms of the benefits in dispute, the adjudicator concluded that the claimant failed to adduce sufficient evidence supporting a pre-existing condition, psychological impairments, or chronic pain. She noted that chronic pain was not the same as chronic pain syndrome, and that pain does not take a person out of the MIG unless it is functionally disabling. The adjudicator also concluded that the claimant did not suffer a complete inability to live a normal life.