I Have Never Been In So Much Pain. Why Does My Insurance Company Insist That I Have Suffered A "Minor" Injury?

LL
Lerners LLP
Contributor
Lerners LLP is one of Southwestern Ontario’s largest law firms with offices in London, Toronto, Waterloo Region, and Strathroy. Ours is a history of over 90 years of successful client service and representation. Today we are more than 140 exceptionally skilled lawyers with abundant experience in litigation and dispute resolution(including class actions, appeals, and arbitration/mediation,) corporate/commercial law, health law, insurance law, real estate, employment law, personal injury and family law.
In September, 2010, the Statutory Accident Benefits Schedule was amended to introduce the Minor Injury Guideline.
Canada Litigation, Mediation & Arbitration
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In September, 2010, the Statutory Accident Benefits Schedule ("SABS") was amended to introduce the Minor Injury Guideline ("MIG"). Many people are surprised to hear that their injuries are being described as "minor". In fact, the minor injury guideline is a misnomer. It is not based upon the severity of one's injuries but on the type of injury that a person has suffered. Any individual who has suffered a soft tissue injury, partial tear, and certain other types of injuries will be placed in the MIG, regardless of the severity of their injuries.

Unfortunately, under the minor injury guideline, medical and rehabilitation benefits are capped at $3,500 and many people find that this is insufficient to pay for the medical treatment that they require as a result of their accident injuries.

Given that the MIG is relatively new, its terms and definitions have received very little consideration by judges or arbitrators. However, there are some ways that a person can be moved out of the MIG and receive additional coverage for medical and rehabilitation benefits. If a person has a pre-existing medical condition that would prevent him or her from achieving maximum recovery within the limits available under the MIG, or if a person has suffered another type of injury (such as a psychological injury) in addition to physical injuries, then the person can attempt to have his or her benefits enhanced.

This posting is meant to provide only general information not legal advice. Individuals should hire a lawyer to obtain legal advice with respect to the specifics of their particular case.

www.lernerspersonalinjury.ca

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

I Have Never Been In So Much Pain. Why Does My Insurance Company Insist That I Have Suffered A "Minor" Injury?

Canada Litigation, Mediation & Arbitration
Contributor
Lerners LLP is one of Southwestern Ontario’s largest law firms with offices in London, Toronto, Waterloo Region, and Strathroy. Ours is a history of over 90 years of successful client service and representation. Today we are more than 140 exceptionally skilled lawyers with abundant experience in litigation and dispute resolution(including class actions, appeals, and arbitration/mediation,) corporate/commercial law, health law, insurance law, real estate, employment law, personal injury and family law.
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