<Costs of examination for $20,765.25 including $19,000.00 for catastrophic determination assessments> Issue: “Is the claimant entitled to the costs of examination in the amount of $20,765.25 including $19,000.00 for catastrophic determination assessments, $1000.00 for transportation and $765.25 for interpretation services?” -1. Section 25(1)5 of the SABS stipulates that an insurer shall pay reasonable fees incurred by … Read More
catastrophic impairments
What is the test to determine entitlement to payment for a Catastrophic Impairment Assessment?
16-002858 v State Farm Insurance Company, 2017 CanLII 85692 C.A. vs. Intact Insurance Company, 2018 ONLAT 18-000579/AABS Each constituent assessment that makes up the multidisciplinary catastrophic impairment determination assessment must be reasonable and necessary. The correct test for entitlement to a catastrophic impairment determination assessment is reasonable and necessary. The onus is on the claimant … Read More