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G.K. v Coseco Insurance (18-007434)

  • April 7, 2020

The claimant disputed her MIG determination and sought entitlement to various medical/rehabilitation benefits and income replacement benefits. Adjudicator Hans concluded that the claimant’s injuries did not fall within the MIG, as the medical evidence established that she suffered from chronic pain syndrome that was not merely a sequelae of the soft tissue injuries sustained in the accident, and which caused functional limitations and impacted the claimant’s activities of daily living. Adjudicator Hans further concluded that the claimant met the eligibility test for income replacement benefits. He noted that the claimant provided convincing evidence regarding how her impairments specifically affected her functionality and her ability to perform the essential tasks of her employment, while the insurer’s IE assessor did not undertake a sufficient analysis of the essential tasks of her employment before coming to a conclusion.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits, Minor Injury Guideline
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