Insurer ordered to pay disputed treatment plans and a 50% special award for unreasonable denial.
The applicant was injured in a motor vehicle accident and sought various medical benefits, including physiotherapy, occupational therapy, and psychological services, which the respondent insurer denied.
The Licence Appeal Tribunal found that the applicant's compression fracture was caused by the accident and that the disputed treatment plans were reasonable and necessary.
The Tribunal also found that the respondent unreasonably withheld benefits, particularly where its own assessors had recommended treatment, and ordered a 50% special award under s. 10 of Regulation 664 along with interest on overdue payments.
OLATOntario Licence Appeal TribunalJul 16, 2018
