T.L.D. v. Aviva General Insurance Company (19-009050)

The claimant sought IRB, removal from the MIG, and various medical benefits. Adjudicator Grant held that the claimant failed to prove that the accident results in injuries preventing him from returning to his pre-accident employment in food delivery. He also concluded that the claimant’s injuries fell within the MIG. With regard to a hospital expense, the insurer argued that the claimant was required to submit it to his university insurance plan before seeking coverage under the SABS. Adjudicator Grant agreed that section 47(2) exempted the insurer from paying for the expense until the claimant had submitted it to his student plan.