Current to August 2026

Ontario legal information · Ottawa and Eastern Ontario

01 · Understanding the issue

The MIG question is narrower than the entire injury claim.

The insurer considers whether the impairment falls within the minor-injury definition and whether evidence supports treatment outside the guideline.2

A pre-existing condition matters when supported evidence shows it prevents maximal recovery under the guideline—not simply because it appears in an old chart.

02 · Insurance and responsibility

Keep classification, treatment and damages distinct.

MIG treatment

Access the guideline’s structured goods and services.

Outside-MIG treatment

Use evidence directed to the statutory classification test.

Civil claim

Develop causation, prognosis and loss independently.

03 · Evidence

Focus evidence on the disputed definition.

01Diagnoses

Identify accident-related impairments precisely.

02Pre-existing condition

Show its documented effect on recovery, if relied upon.

03Treatment response

Record progress, plateau and unmet goals.

04Insurer reason

Keep the classification notice and medical basis.

Treatment goals, response and barriers matter more than frustration with the funding limit.
04 · Timing and decisions

A classification disagreement should be addressed before care stalls.

Ask the provider to explain the clinical and statutory reason for proposed care outside the guideline.3

Keep denial and LAT timing even if a revised plan is being considered.

05 · When legal help may matter

How a personal injury lawyer may help with accident benefits.

A useful review should reduce the file to a defined benefit, disputed period, governing test and evidence problem—then explain the available response in plain language.

  • Apply the minor-injury definition
  • Develop criterion-specific medical evidence
  • Separate funding classification from civil value
  • Choose a proportionate dispute response

Not every file requires every step or legal representation. The work should respond to the actual dispute, evidence gap or decision that is approaching.

Sources

Sources and legal references

These official sources provide the legal and procedural foundation for this page. Their current wording and the facts of the claim control.

View 4 sources
  1. FSRA — Minor Injury Guideline

    The active Ontario Minor Injury Guideline incorporated into the SABS.

    Back to footnote ↑
  2. Ontario — Statutory Accident Benefits Schedule

    The current regulation governing Ontario automobile accident benefits.

    Back to footnote ↑
  3. Tribunals Ontario — LAT-AABS

    The official service for disputes about statutory automobile accident benefits.

    Back to footnote ↑
  4. FSRA — OCF-18 Treatment and Assessment Plan

    The current approved treatment and assessment plan.

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