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R.K.K. v. Cooperators General Insurance Co. (19-002834)

  • June 17, 2020

The claimant sought entitlement to IRBs and a series of assessments to address the “complete inability” test, and removal from the MIG. Adjudicator Watt did not accept the opinions of the claimant’s medical experts as they relied upon the claimant’s self-reporting, which was not credible. The claimant had reported to Ontario Works that she had no restrictions on working. She was also seen on surveillance engaging in normal activities. Adjudicator Watt concluded that the claimant did not suffer from somatic symptoms disorder, and that her injuries fell within the MIG. Further IRBs were denied, as were the claimed assessments.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits
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