Applicant's injuries held within the Minor Injury Guideline; claims for chronic pain and psychological injury dismissed.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied the benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant claimed chronic pain and psychological injuries warranted removal from the MIG.
The Tribunal found the medical evidence did not support the applicant's claims of chronic pain with functional impairment or psychological injury.
The applicant was held within the MIG, and the disputed treatment plans, award, and interest were denied.
Applicant held within Minor Injury Guideline; claims for chronic pain and psychological impairments dismissed.
The respondent denied various treatment plans, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant argued for removal from the MIG based on chronic pain and psychological impairments.
The Tribunal found the applicant's injuries were predominantly minor, preferring the insurer's medical and psychological assessments which indicated no functional impairment and no accident-related psychological diagnosis.
As the applicant remained within the MIG, the disputed treatment plans were not payable.
Claims for an award and interest were also dismissed.
Application for accident benefits dismissed; applicant failed to prove entitlement to removal from the Minor Injury Guideline.
The applicant sought accident benefits following a motor vehicle accident, claiming entitlement to a non-earner benefit, various treatment plans, and removal from the Minor Injury Guideline (MIG) due to psychological impairment and chronic pain.
The Licence Appeal Tribunal found that the applicant's psychological evidence was unpersuasive as it contradicted the clinical notes of his family doctor, and that his physical injuries were soft tissue in nature, resolving within expected timeframes.
The Tribunal concluded the applicant did not suffer a complete inability to carry on a normal life and remained within the MIG.
All claims for benefits, an award, and interest were dismissed.
Application for accident benefits dismissed; applicant held within Minor Injury Guideline and denied non-earner benefits.
The applicant sought statutory accident benefits following a motor vehicle accident, claiming entitlement to a non-earner benefit and various treatment plans outside the Minor Injury Guideline (MIG).
The respondent denied the benefits, arguing the injuries were minor.
The Licence Appeal Tribunal found the applicant failed to provide sufficient medical evidence to support claims of chronic pain or psychological injury warranting removal from the MIG.
Furthermore, the applicant did not demonstrate a complete inability to carry on a normal life, as he maintained or increased his pre-accident activities, including working as an Uber driver.
The application was dismissed.
Claims for physiotherapy and chronic pain assessment denied as applicant failed to prove they were reasonable and necessary.
The applicant sought statutory accident benefits following a motor vehicle accident, specifically claiming entitlement to a physiotherapy treatment plan for a vertigo assessment and a chronic pain assessment.
The respondent insurer denied the benefits.
The Tribunal found that the applicant failed to prove on a balance of probabilities that the proposed treatment plans were reasonable and necessary.
The evidence indicated that the applicant's vertigo symptoms were resolved or managed with medication, and the chronic pain diagnosis was not corroborated by the clinical notes and records of her treating physicians.
The Tribunal also dismissed the claims for an award for unreasonable delay and interest, finding the insurer's conduct was reasonable.
Accident benefits claim dismissed; applicant's injuries held within the Minor Injury Guideline and limitation period missed.
The Tribunal found that the applicant was barred from disputing one treatment plan because he missed the two-year limitation period and the respondent's denial notice was valid.
On the substantive issues, the Tribunal held that the applicant's physical and psychological injuries were predominantly minor, keeping him within the MIG.
The Tribunal also dismissed the claim for a non-earner benefit, finding the applicant returned to work and failed to establish a complete inability to carry on a normal life.
Application for accident benefits dismissed; limitation period expired and injuries fell within the Minor Injury Guideline.
The insurer denied a treatment plan, and the applicant applied to the Licence Appeal Tribunal more than two years later.
The Tribunal found that the insurer's denial letter was clear and unequivocal, triggering the two-year limitation period.
The Tribunal declined to extend the limitation period under section 7 of the LAT Act, barring the applicant from proceeding on that treatment plan.
On the substantive issues, the Tribunal found that the applicant's injuries were predominantly minor and fell within the Minor Injury Guideline (MIG), as she failed to prove chronic pain with functional impairment.
Consequently, the applicant was not entitled to the disputed treatment plan or interest.
Property assessment appeal allowed in part to adjust effective dates of supplementary assessments for residential improvements.
The Appellant appealed the 2023, 2024, and 2025 property assessments for a 231-acre property comprising residential, commercial, and managed forest lands.
The dispute centered on the valuation of newly constructed residential improvements, the classification of a machine shop as commercial rather than residential, and the valuation of the managed forest.
The Assessment Review Board upheld the commercial classification for the machine shop and the managed forest valuation methodology.
The Board adjusted the effective dates for the supplementary assessments of the residential improvements, finding that the pool and pool house were in use by June 2024 and the residence by January 2025, and set the current values accordingly.
Home modification benefit denied as proposed residence was not the applicant's existing home.
The applicant, who suffered a catastrophic impairment including a leg amputation in a motor vehicle accident, sought $607,445 for home modifications to his mother's residence.
The insurer denied the benefit.
The Licence Appeal Tribunal found that the mother's residence did not qualify as the applicant's "existing home" under s. 16 of the Schedule, as evidence showed he lived with his stepfather prior to the accident.
Furthermore, the Tribunal held there is no authority under the Schedule to redirect home modification funds into a trust for a future home purchase.
The Tribunal also dismissed the insurer's preliminary motion to dismiss the application for the applicant's failure to attend an Examination Under Oath, noting the Schedule does not prescribe dismissal as a penalty for such non-compliance.
The claims for an award and interest were dismissed.
Assessment appeal dismissed; on-farm cheese and milk processing facility correctly classified as industrial property.
The appellant appealed the 2022, 2023, and 2025 property tax assessments of his 99-acre dairy farm, challenging the reclassification of a newly constructed cheese-making and milk pasteurization building from 'rural' to 'industrial'.
The appellant argued the small-scale operation should remain in the farm property class or be classified as commercial.
The Assessment Review Board dismissed the appeal, finding that the conversion of raw milk to cheese and pasteurized milk meets the definition of 'processing' under O. Reg 282/98, thereby justifying the industrial classification.
The Board noted that while the property qualified for a small-scale on-farm business subclass that could reduce taxes, the local municipality had not enacted the enabling by-law to activate the reduction.
Accident benefits denied as passenger's fall on accelerating bus did not involve a collision.
The applicant sought statutory accident benefits after falling on a TTC bus due to sudden acceleration.
The respondent denied benefits, arguing the incident did not involve a collision as required by s. 268(1.1) of the Insurance Act for public transit vehicles.
The Tribunal reviewed video evidence and found the bus did not collide with any object, including a manhole cover as alleged by the applicant.
The application was dismissed as the applicant was barred from receiving benefits under the public transit exception.
Catastrophic impairment claim dismissed; expert evidence excluded for non-attendance and surveillance contradicted claimed impairments.
The applicant sought statutory accident benefits following a 2018 motor vehicle accident, claiming catastrophic impairment under Criteria 6, 7, and 8 of the Schedule.
The Tribunal gave no weight to the applicant's key expert witness, who failed to attend the hearing for cross-examination, citing procedural fairness.
Relying on surveillance evidence that contradicted the applicant's claims of severe impairment and social isolation, the Tribunal found the applicant did not meet the threshold for catastrophic impairment.
Consequently, claims for medication expenses beyond the non-catastrophic limit, a special award, and interest were dismissed.
ATV collision on private property qualifies as an accident because the vehicle regularly traversed public roadways.
The applicant was catastrophically injured when the ATV she was driving collided with a tree on private property.
The respondent denied statutory accident benefits, arguing the incident did not meet the definition of an 'accident' because the ATV was not required to be insured while on the owner's property.
The Licence Appeal Tribunal found that because the ATV was regularly driven along and across public municipal roadways to access different parts of the property, it was required to be insured under the Compulsory Automobile Insurance Act.
Consequently, the ATV met the enlarged statutory definition of an 'automobile', and the incident qualified as an 'accident' under the Schedule.
Property assessment appeal allowed in part; current value set at $1,315,000 with a 6% equity reduction.
The appellant appealed the 2024 and 2025 property assessments of their residential property in Oakville, arguing the assessed value was too high.
MPAC had increased the assessment after discovering significant renovations and a basement apartment.
The Assessment Review Board evaluated comparable property sales provided by both parties and preferred MPAC's evidence, setting the current value at $1,315,000.
The Board then applied a 6% equity reduction based on the assessment-to-sales ratio of similar properties in the vicinity, resulting in a final assessed value of $1,236,000.
Property assessment reduced to $514,000 based on direct comparison approach; no equitable adjustment granted.
The appellant appealed the 2024 and 2025 property tax assessments for a residential property in Burlington.
MPAC assessed the property at $539,000, while the appellant argued for a value of $432,000.
The Assessment Review Board applied the direct comparison approach, utilizing a bracketing methodology with time-adjusted sale prices of comparable properties.
The Board adjusted MPAC's calculation to account for differences in building size, determining the correct current value to be $514,000.
The Board accepted MPAC's Assessment to Sales Ratio study, finding that the assessment was equitable with similar properties in the vicinity and no further reduction was warranted.
Applicant met catastrophic impairment and IRB tests but denied payment for failing to file taxes.
The Tribunal found the applicant sustained a catastrophic impairment under Criterion 7, reaching a 57% whole-person impairment rating.
The Tribunal also found the applicant met the test for post-104 income replacement benefits due to a complete inability to engage in suitable employment, but denied payment because the applicant failed to file income tax returns as required by section 4(5) of the Schedule.
Finally, the Tribunal determined the applicant was entitled to attendant care benefits of $889.21 per month, but denied payment because the expenses were not incurred.
Application for accident benefits dismissed; applicant failed to prove injuries fell outside Minor Injury Guideline.
The respondent denied several treatment plans on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant applied to the Licence Appeal Tribunal, arguing for removal from the MIG due to chronic pain and psychological impairments.
The Tribunal found the applicant's medical evidence insufficient to establish functional impairment from chronic pain or a diagnosable psychological injury, preferring the respondent's s. 44 assessments.
As the applicant remained within the MIG and the $3,500 limit was exhausted, the disputed treatment plans and claims for an award were dismissed.