Application for statutory accident benefits dismissed as proposed treatment plans were not reasonable and necessary.
The applicant sought various statutory accident benefits following a motor vehicle accident, including treatment plans for chiropractic, massage, and physiotherapy, a social work assessment, an in-home assessment, transportation expenses, and the cost of a disability certificate.
The Licence Appeal Tribunal dismissed the application in its entirety.
The adjudicator found that the proposed treatment plans were not reasonable and necessary, preferring the evidence of the respondent's independent medical examiners who concluded that the applicant's soft tissue injuries had resolved and that further passive treatment was not warranted.
The transportation expenses were denied due to the 50-kilometre deductible, and the cost of the disability certificate was denied because it was not requested by the insurer or required under the Schedule.
OLATOntario Licence Appeal TribunalSep 28, 2020
