Chronic pain assessment approved based on specialist evidence; functional assessment denied due to telephone-only evaluation.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for a chronic pain assessment and a functional assessment, as well as a special award for unreasonable delay.
The Licence Appeal Tribunal found the chronic pain assessment to be reasonable and necessary, preferring the evidence of the applicant's assessors over the respondent's assessors.
However, the Tribunal denied the functional assessment because it was based solely on a telephone consultation.
The claim for a special award was also dismissed as the respondent's denial did not constitute unreasonable conduct.
OLATOntario Licence Appeal TribunalSep 12, 2022