C.A. v. Intact Insurance Company (18-000579)

The claimant sought reconsideration of the Tribunal’s denial of the cost of catastrophic impairment assessments. Adjudicator Lester held that section 25(1)(5) only obligates an insurer to pay the reasonable fees charged in connection with filling out the application for the catastrophic determination rather than the assessments themselves. She also agreed that the reasonable and necessary standard applies to the determination of whether catastrophic impairment assessments would be payable by the insurer.