Orthopaedic assessment and psychological treatment found reasonable and necessary; functional abilities evaluation and special award denied.
The applicant sought statutory accident benefits following a motor vehicle accident, claiming costs for an orthopaedic assessment, a functional abilities evaluation, and psychological treatment.
The respondent insurer denied the benefits, relying on its own independent medical examinations.
The Licence Appeal Tribunal found that the orthopaedic assessment and psychological treatment were reasonable and necessary, noting the applicant's ongoing chronic pain and psychological symptoms, which were exacerbated by the accident.
The Tribunal dismissed the claim for the functional abilities evaluation, finding it redundant given the orthopaedic assessment.
The Tribunal also dismissed the applicant's claim for a special award, finding the insurer did not unreasonably withhold or delay payments.
OLATOntario Licence Appeal TribunalJun 28, 2021
