Applicant removed from Minor Injury Guideline due to psychological impairment; disputed treatment plans approved.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits.
The respondent denied treatment plans on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant applied to the Licence Appeal Tribunal.
The adjudicator found that the applicant should be removed from the MIG due to a psychological impairment, supported by expert evidence of post-traumatic stress disorder and depression.
The adjudicator approved the disputed treatment plans for physiotherapy, psychological services, and a psychological assessment as reasonable and necessary.
The claim for an award under section 10 of Regulation 664 was dismissed, as the respondent's reliance on its assessors was not unreasonable.
Interest was awarded on overdue benefits.
OLATOntario Licence Appeal TribunalDec 20, 2024
