Insurer ordered to fund physiotherapy and ergonomic assessment; psychological treatment approved due to defective denial notice.
The applicant sought statutory accident benefits following a motor vehicle accident.
The adjudicator denied the claims for medical cannabis and an in-home ergonomic assessment, finding them not reasonable and necessary.
However, the adjudicator approved a work site ergonomic assessment and physiotherapy services based on the recommendations of the applicant's treating physician and medical assessors.
The adjudicator also ordered the respondent to pay for a psychological treatment plan because the respondent's denial letter failed to provide sufficient medical and other reasons, breaching section 38(8) of the Schedule.
The claim for a special award was dismissed.
OLATOntario Licence Appeal TribunalDec 15, 2023
