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ARTICLE · 26 SEPTEMBER 2016

No Nonsense LAT - MB At The Forefront!

Both decisions demonstrate strict scrutiny by the Adjudicator of all the evidence filed by the claimants, and suggest that the LAT will be strictly holding claimants to their burden of proof.

CanadaInsurance

McCague Borlack is thrilled to announce that James M. Brown, a partner from our Ottawa Office, successfully argued two of the first accident benefits decisions before the Licencing Appeal Tribunal (“LAT”) that help shed some light on this new process.

In Anne Pollex and Aviva Canada, the applicant was injured in a motor vehicle accident on March 19, 2015. In dispute were outstanding Treatment and Assessment Plans (“OCF-18”) that were denied as a result of the Minor Injury Guideline (“MIG”) and the denial of income replacement benefits (“IRBs”). After a mixed written and teleconference hearing, the Adjudicator ruled in the insurer's favour on both issues.

Similarly, in Krysta Pollex and Aviva Canada, the applicant was injured in the same motor vehicle accident as the above decision. In dispute in that case was a further OCF-18 payable for physiotherapy treatment that was denied based on the MIG. Following a purely written hearing, the Adjudicator once again found

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