Applicant awarded chiropractic treatment for temporary pain relief, but denied occupational therapy and assistive devices.
The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer denied treatment plans for chiropractic treatment, occupational therapy, and assistive devices.
The adjudicator found that the chiropractic treatment was reasonable and necessary because temporary pain relief and maintaining function are valid rehabilitative goals.
However, the claim for occupational therapy was dismissed because the treatment plan had been withdrawn and the sessions were not incurred.
The claim for assistive devices was also dismissed as the headphones were purchased before the treatment plan was submitted, and the applicant failed to show why a new cell phone was necessary.
The adjudicator denied an award for unreasonable withholding of benefits, finding the insurer's reliance on its assessor was an error but not unreasonable conduct.
Interest was awarded on the overdue chiropractic benefits.
OLATOntario Licence Appeal TribunalJan 26, 2023
