Applicant established entitlement to housekeeping benefits but payment denied because expenses were not proven incurred.
The applicant sought housekeeping and home maintenance (HH) benefits and a special award following a catastrophic motor vehicle accident.
The Tribunal found that the applicant's traumatic brain injury and physical impairments resulted in a substantial inability to perform his pre-accident HH tasks, rejecting the insurer's reliance on surveillance footage and an Examination Under Oath.
However, the Tribunal denied payment of the HH benefits because the applicant failed to prove the expenses were incurred under section 3(7)(e) of the Schedule.
The claim for a section 10 award was dismissed as the insurer's conduct was not excessive or imprudent.
OLATOntario Licence Appeal TribunalJun 24, 2025