Tribunal grants psychological assessment cost but denies IRB and other medical benefits due to insufficient evidence and improper delivery.
The applicant sought entitlement to an income replacement benefit, medical benefits for physiotherapy, and the costs of psychological and orthopaedic assessments following a motor vehicle accident.
The Licence Appeal Tribunal dismissed the claims for the income replacement benefit, physiotherapy, and orthopaedic assessment, finding insufficient medical evidence for the IRB and noting that the treatment plans for physiotherapy and orthopaedics were improperly delivered to the wrong insurer.
However, the Tribunal granted the cost of the psychological assessment, finding the respondent's denial unreasonable as it relied on an unhelpful and generalized independent examination report that failed to adequately address the applicant's psychological symptoms.
OLATOntario Licence Appeal TribunalJun 28, 2018
