Applicant barred from disputing MIG due to missed assessment; partial treatment plans awarded for defective notice.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The adjudicator found the applicant was barred from proceeding with his MIG claim because he failed to attend a reasonably requested s. 44 psychological assessment without a reasonable explanation.
The applicant's claim for income replacement benefits was dismissed for lack of evidence.
However, the adjudicator found the respondent provided defective notice under s. 38(8) of the Schedule for two physiotherapy treatment plans.
Applying s. 38(11), the adjudicator ordered the respondent to pay the portions of those plans incurred prior to the defective notice being cured, with interest.
Claims for psychological treatment plans and an award were dismissed.
OLATOntario Licence Appeal TribunalMay 1, 2025