S.31(1)(a) of SABS – GENERAL EXCLUSIONS

<S.31(1)(a) of SABS – GENERAL EXCLUSIONS> – If it turned out the client didn’t have the proper insurance in place in order to access his benefits, after MVA occurred – –>S.31(1)(a) of SABS does not require the claimant to investigate his coverage, but it simply explores whether claimant knew about his non-coverage. – In Tribunal … Read More

<Impoundment of a Motor Vehicle> The Tribunal also handles Appeal under section 50.2 of the Highway Traffic Act, R.S.O. 1990, c. H.8, from an impoundment of a motor vehicle under section 55.1 of the Act for driving while suspended. To prove to Tribunal the impoundment will result in an exceptional hardship.

<Webex Meeting with another multidisciplinary clinic> Our Legal Services just finished another Webex Meeting with another multidisciplinary clinic manager. Our goal is to coordinate s.18 physical therapies and s.25 assessments to take MVA clients’ injuries outside of MIG and have their psych, chronic impairments exposed to insurer.

– May 16, 2022

EPISODE 2: THE IMPOSTER: American Greed DR. BARNES – He Impersonated a Real Doctor And Fooled the FBI! Example of why doctors have to be vetted and we have to be vigilant when dealing with medical practitioners.

<Calculation of the self-employment income> – $150,000.00 (gross annual employment income during the last fiscal year) – less $50,000 (loss from self-employment to be subtracted = $100,000.00 Multiply by 70% equals $70,000.00 (our client earned no post-accident income.) This amount is then divided by 52 weeks to come to a weekly income replacement benefit of … Read More

<Dental impairments in MVA cases> Part of the dental-related impairments commonly noticed in MVA clients or disability medical records: Crossbite sleep apnea temporomandibular joint (TMJ) disorders frequent headaches pain in his jaw, neck, and shoulder pain, Dental injury from MVA can aggravate the above.

<Approval of Psychotherapy Sessions> Since those MVA clients were taken out of MIG (with their medical limits increased up to $65K), all psych treatments have been approved by the insurer. And, this ongoing approval gives those clients full leverage of fully taking advantage of their psychotherapies since their MVA.