Applicant held to Minor Injury Guideline and denied ongoing IRBs due to undisclosed participation in PSW program.
The applicant sought statutory accident benefits following a motor vehicle accident where a vehicle crashed into her workplace lunchroom.
The respondent denied benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The adjudicator found that the applicant failed to prove she suffered from chronic pain or a psychological condition that would warrant removal from the MIG, noting significant inconsistencies in her self-reporting, particularly her failure to disclose her participation in a physically demanding, full-time Personal Support Worker program shortly after the accident.
Consequently, the disputed treatment plans were denied.
However, the adjudicator awarded an Income Replacement Benefit for a closed period from the date the disability certificate was submitted until the date the applicant's family doctor cleared her to participate in the PSW program.
OLATOntario Licence Appeal TribunalOct 21, 2025