Application for statutory accident benefits dismissed; treatment plans found not reasonable and necessary.
The applicant sought medical benefits for occupational therapy and chiropractic treatment following a motor vehicle accident where they were struck as a pedestrian.
The Licence Appeal Tribunal found that the occupational therapy plan was not reasonable and necessary as it proposed case management services to which the applicant was not entitled, and there was no evidence of cognitive issues.
The Tribunal also dismissed the claims for chiropractic treatment, finding no supporting medical evidence and noting that the applicant had mostly recovered.
Claims for interest and an award for unreasonable delay were also dismissed.
OLATOntario Licence Appeal TribunalAug 8, 2019