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K.H. v Unifund Assurance Company (17-008686)

  • July 30, 2018

The claimant appealed Unifund’s MIG determination due to a pre-existing condition and sought medical benefits for physiotherapy. Adjudicator Ferguson held that the claimant’s pre-existing scoliosis of the upper thoracic spine did not remove her from the MIG because her condition was undetected before the accident, and the claimant provided no evidence that her condition would prevent maximal recovery within the MIG. Further, none of the IE assessors found any evidence of a pre-existing condition that would remove the claimant from the MIG, and the IE reports were not contested by the claimant. The adjudicator also held that the claimant’s evidence did not support a finding of chronic pain because her medical reports did not contain evidence regarding the severity, frequency, and duration of her pain or the functional impacts of her pain complaints.

Full decision here

TGP Analysis

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  • FILED UNDER Minor Injury Guideline
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