Application for accident benefits dismissed as proposed assessments were not reasonable and necessary.
The minor applicant was involved in a motor vehicle accident and sought statutory accident benefits for optical, speech and language, and psychological assessments.
The respondent insurer denied the treatment plans.
The adjudicator found that the applicant failed to provide sufficient objective medical evidence to prove on a balance of probabilities that the proposed assessments were reasonable and necessary as a result of the accident.
The adjudicator accepted the respondent's medical evidence that the applicant's impairments were related to pre-existing diagnoses of Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder, rather than the accident.
The application was dismissed.
OLATOntario Licence Appeal TribunalMay 15, 2026
