Applicant entitled to attendant care benefits but none payable as expenses were not incurred.
The applicant, who was catastrophically impaired after being struck by a vehicle as a pedestrian, sought attendant care benefits of $6,000 per month.
The adjudicator determined the applicant was entitled to attendant care benefits at a rate of $1,529.96 per month, finding that she required assistance with routine personal care and complex hygiene but did not require around-the-clock supervisory care.
However, the adjudicator held that the benefits were not payable because the applicant had not actually incurred the expenses, and the insurer had not unreasonably withheld or delayed payment to justify deeming the expenses incurred.
Claims for an award and interest were dismissed.
OLATOntario Licence Appeal TribunalMar 25, 2026