The Applicant sought statutory accident benefits following a motor vehicle accident.
The Tribunal found the Applicant was entitled to the balance of a 2015 treatment plan for documentation and an assessment, as the insurer had previously approved the documentation and failed to provide medical reasons for denying the assessment.
The Tribunal denied a 2016 physiotherapy treatment plan, finding the claimed shoulder and back impairments were not caused by the accident.
The Tribunal awarded interest on the overdue payments and granted a maximum 50% special award under section 10 of O. Reg. 664, finding the insurer's refusal to pay an explicitly approved expense and failure to update its denial notice to be unreasonable.
