Applicant denied catastrophic impairment designation due to lack of causation but awarded pre-260-week treatment plans.
The applicant sought statutory accident benefits following a 2016 motor vehicle accident, claiming catastrophic impairment under criterion 8 due to mental and behavioural disorders.
The Tribunal found the applicant was not catastrophically impaired, as she failed to establish that her psychological impairments would not have occurred 'but for' the accident, noting a significant time gap and high level of functioning in the intervening years.
The Tribunal granted entitlement to several treatment plans for occupational therapy, assistive devices, and assessments incurred prior to the 260-week mark, but denied plans submitted after that period and denied the claim for living accommodations due to non-compliance with section 38(2) of the Schedule.
The claim for a special award was also dismissed.
OLATOntario Licence Appeal TribunalOct 17, 2025
