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P.S. v. Aviva Insurance Canada (17-003200)

  • February 22, 2018

The claimant sought entitlement to IRBs and the cost of an orthopaedic assessment. Adjudicator Watt rejected both claims. He preferred the evidence of the IE assessors, who concluded that the claimant suffered soft tissue injuries and was able to return to his pre-accident employment. The family physician made no recommendations regarding avoiding work or referrals to specialists, and the treating chiropractor suggested that the claimant could return to work. The evidence also showed that the claimant had started a new job the summer after the accident. The disputed orthopaedic assessment was not awarded because the claimant did not submit evidence regarding the stated goals of the assessment or show why it was reasonable and necessary.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits
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