Applicant removed from Minor Injury Guideline due to chronic pain; chronic pain assessment partially approved.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found the applicant demonstrated chronic pain with functional impairment, warranting removal from the MIG, based on reports from an orthopaedic surgeon and an OHIP-funded specialist.
The Tribunal denied the proposed physiotherapy treatment plans as the applicant failed to establish they were reasonable and necessary.
However, the Tribunal partially approved a chronic pain assessment plan for $2,200.00, finding sufficient grounds to investigate the pain condition.
Interest was awarded on overdue benefits.
OLATOntario Licence Appeal TribunalJun 17, 2026
