Tribunal grants psychological and chiropractic treatment plans but denies IRBs and ACBs.
The Applicant sought statutory accident benefits following a motor vehicle accident, including income replacement benefits (IRBs), attendant care benefits (ACBs), and various medical and rehabilitation treatment plans.
The Licence Appeal Tribunal found the Applicant was not entitled to IRBs because he failed to provide the insurer with requested information, and was not entitled to ACBs because they were neither reasonable and necessary nor incurred.
However, the Tribunal approved the treatment plans for chiropractic and psychological services, preferring the evidence of the Applicant's treating practitioners over the insurer's paper-review assessors.
Claims for occupational therapy and a special award under s. 10 of Regulation 664 were dismissed.
OLATOntario Licence Appeal TribunalApr 12, 2024
