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The Minor Injury Guideline (MIG): Why Ontario’s $3,500 Cap Could Be Costing You Thousands

8 min read February 2025By Bahman (Ben) Azimi

What Is the Minor Injury Guideline?

The Minor Injury Guideline (MIG) is a SABS framework applicable to claimants whose injuries are classified as “minor.” Under the MIG, total combined medical and rehabilitation benefits are capped at $3,500, inclusive of assessments. This compares to $65,000 available to non-MIG claimants — making MIG classification disputes genuinely high-stakes.

What Injuries Attract MIG Classification

The MIG applies to sprains, strains, whiplash-associated disorders (WAD I and II), contusions, abrasions, and lacerations. Insurers frequently apply the MIG reflexively upon reviewing the initial OCF-3 Disability Certificate, often without adequate investigation of the claimant’s full presentation.

MIG exceptions: The MIG does not apply where the claimant has a pre-existing condition that would prevent maximum recovery under the guideline. Conditions like degenerative disc disease, prior accident injuries, or psychological vulnerabilities can take a claimant outside the MIG — but only if properly documented in the medical record.

Psychological Injuries and the MIG

Psychological conditions — PTSD, adjustment disorder, major depressive disorder, anxiety disorders — are expressly excluded from the definition of minor injuries. Where a claimant has a genuine psychological component to their post-accident condition, MIG classification is inappropriate and should be challenged with supporting psychiatric or psychological evidence.

How to Challenge a MIG Classification

Successfully challenging MIG classification requires comprehensive documentation from treating providers. The OCF-3 and OCF-18 treatment plans must clearly describe functional limitations inconsistent with minor injury. A psychological or psychiatric assessment documenting post-traumatic conditions, or a physiatric opinion identifying pre-existing conditions, provides the factual foundation for a successful MIG challenge at FSRA arbitration.

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Legal Disclaimer: This article is for general informational purposes only and does not constitute legal advice. Reading this content does not create a solicitor-client relationship with Azimi Law. Always consult a qualified Ontario lawyer regarding your specific situation.

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Legal Disclaimer: Articles on this blog are for general informational purposes only and do not constitute legal advice. Laws and regulations change — always consult a qualified Ontario lawyer regarding your specific situation.