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Shpati v. Travelers Canada (19-008988)

  • June 2, 2021

The claimant disputed the insurer’s determination that her injuries fell within the MIG, as well as her entitlement to various medical/rehabilitation benefits. The claimant made no submissions and made no reference to any evidence of a non-MIG injury, but rather made a broad claim that all of the insurer’s denials failed to comply with section 38 of the SABS. Adjudicator Norris dismissed the application, as the claimant failed to make a direct reference to any specific denial or document to support her position. He went on to note that in any event, the claimant had not proven that she incurred the goods and services in dispute, which she was required to do if she wished to claim entitlement due to the insurer’s failure to comply with section 38.

Full decision here

TGP Analysis

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  • FILED UNDER Minor Injury Guideline
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