Occupational therapy treatment plan approved as reasonable and necessary for catastrophically impaired applicant.
The applicant, who was catastrophically impaired in a 2010 motor vehicle accident, sought a rehabilitation benefit of $2,388.93 for occupational therapy.
The respondent insurer denied the benefit, arguing the treatment plan lacked measurable goals and timelines.
The Tribunal found the occupational therapy was reasonable and necessary to help reduce the effects of the applicant's physical and psychological disabilities and facilitate his reintegration into his family.
The Tribunal ordered the respondent to pay the benefit with interest, but denied the applicant's request for costs, finding the respondent's conduct during the proceeding was not unreasonable.
OLATOntario Licence Appeal TribunalJun 20, 2017
