Application for accident benefits dismissed as applicant failed to prove treatments were reasonable and necessary.
The applicant was injured in a motor vehicle accident and sought medical benefits for physiotherapy and costs of examination for orthopaedic, attendant care, and psychological assessments.
The insurer denied the benefits, arguing the applicant's injuries had resolved or were related to a subsequent accident.
The Licence Appeal Tribunal dismissed the application, finding the applicant failed to prove the treatments and assessments were reasonable and necessary.
The Tribunal gave significant weight to the insurer's examination reports and noted the applicant's lack of candor regarding a second motor vehicle accident.
OLATOntario Licence Appeal TribunalJun 4, 2019
