Dr. Georgia Palantzas

The applicant was struck by a motor vehicle as a pedestrian and sought statutory accident benefits, including income replacement benefits (IRBs), a functional abilities evaluation, and physiotherapy.

The insurer denied the claims.

The Licence Appeal Tribunal dismissed the appeal, finding the applicant was barred from claiming IRBs due to her failure to provide reasonably requested financial information under section 33 of the Schedule.

The Tribunal also found the applicant failed to prove the requested medical benefits and assessments were reasonable and necessary, preferring the insurer's medical evidence that the applicant had suffered uncomplicated soft tissue injuries that did not require further treatment.

The applicant sought statutory accident benefits following a motor vehicle accident.

The respondent insurer denied the claims, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).

The Tribunal found that while the applicant did not suffer a psychological injury warranting removal from the MIG, he did establish a chronic pain condition that placed his claims outside the MIG.

The Tribunal approved the treatment plan for chiropractic services as reasonable and necessary, but denied the treatment plan for a psychological assessment.

Interest was awarded on the overdue payments for the approved chiropractic treatment.

The Applicant sought payment for three chiropractic treatment plans and non-earner benefits following a 2015 motor vehicle accident.

The insurer denied the claims on the basis that the Applicant's injuries fell within the Minor Injury Guideline (MIG) and were not reasonable and necessary.

The Tribunal found the Applicant lacked credibility due to inconsistent statements about his employment and failure to disclose a prior 2013 accident with similar injuries.

The Tribunal accepted the insurer's independent medical examinations, concluding the Applicant failed to prove his impairments were directly caused by the 2015 accident or that he met the test for non-earner benefits.

The appeal was dismissed entirely.