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Applicant v The Personal Insurance Company (16-000653)

  • July 24, 2017

The claimant sought entitlement to a treatment plan in which the claimant and her attendant care provider would fly to Iran to visit family. The insurer denied the benefit as not being reasonable as contemplated under section 16. Adjudicator Chris Sewrattan agreed with the insurer. A two-person trip to Iran was considered outside the scope of the rehabilitative process. Moreover, transportation as contemplated by the section was for the purpose of going “to and from counselling and training sessions” and not for any type of psychological benefit of seeing family abroad.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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