Dr. Inese Robertus

The applicant sought statutory accident benefits, including non-earner benefits, medical benefits for psychological services, chronic pain treatment, physiotherapy, and assessments, following a motor vehicle accident.

The Licence Appeal Tribunal dismissed the application, finding that the applicant failed to prove her entitlement to the benefits.

The Tribunal gave substantial weight to the respondent's insurer's examination reports, noting that the applicant's self-reporting to her own experts was inconsistent with her statements to the respondent's assessors, undermining her claims of complete inability to carry on a normal life, psychological impairment, and chronic pain syndrome.

The applicant's requests for interest and a special award were also denied.

The applicant was injured in a motor vehicle accident and sought funding for physiotherapy and a chronic pain treatment program under the Statutory Accident Benefits Schedule.

The insurer denied the treatment plans on the basis that they were not reasonable and necessary.

The Licence Appeal Tribunal reviewed the medical evidence, including reports from psychologists and orthopaedic surgeons, and found that the applicant had made significant progress in his recovery.

The Tribunal concluded that the proposed treatment plans were not reasonable or medically necessary and dismissed the application.