Applicant denied IRB for failing to seek treatment, but awarded medical benefits due to defective denial notices.
The applicant sought statutory accident benefits following a 2015 motor vehicle accident.
The Tribunal found the applicant was not entitled to an income replacement benefit because she failed to comply with section 57(2) of the Schedule by not engaging in recommended psychological treatment for her psychological impairments.
The Tribunal granted the claims for medical cannabis and occupational therapy services because the respondent failed to provide proper denial notices under section 38(8) of the Schedule.
The request for an electric mattress and elongated toilet was dismissed as the devices were found to be reasonable but not necessary.
A claim for chiropractic services was found payable directly to the treatment provider.
OLATOntario Licence Appeal TribunalJul 27, 2022
