Insurer ordered to pay treatment costs until DAC report receipt, but income replacement benefits denied.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits, including medical/rehabilitation benefits and income replacement benefits.
The insurer terminated treatment payments and income replacement benefits based on medical assessments.
At arbitration, the tribunal ordered the insurer to pay for physiotherapy treatment up to the date the applicant received the Designated Assessment Centre (DAC) reports, at the rates charged by the clinic.
However, the tribunal dismissed the claim for ongoing income replacement benefits, finding that the medical evidence, including psychiatric and orthopaedic assessments, did not establish a substantial inability to perform the essential tasks of her pre-accident employment as a sewing machine operator.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 11, 1999
