Insurer ordered to pay for repair of applicant's heated car seat as a reasonable and necessary medical benefit.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for an occupational therapy device, specifically the repair of a heated car seat, costing $927.60.
The respondent denied the treatment plan, relying on an insurer's examination that concluded the device was not reasonable and necessary.
The Tribunal found that the applicant met her burden of proving the device was reasonable and necessary to manage her chronic pain while driving in winter months, supported by her occupational therapist's report.
The Tribunal ordered the respondent to pay for the treatment plan with interest, but declined to order a special award as there was no evidence of unreasonable delay or ill intention.
OLATOntario Licence Appeal TribunalMar 20, 2025