The applicant, who sustained catastrophic mental and behavioural impairments in a motor vehicle accident, sought various medical and rehabilitation benefits, home modifications, and a special award.
The Licence Appeal Tribunal partially approved the treatment plans, allowing funding for physiotherapy, exercise programs, and specific assistive devices that promoted independence, such as a Nespresso machine and slip-on shoes.
However, claims for chiropractic care, massage therapy, a laptop, and a lift chair were denied for lack of medical recommendation or inconsistency with the applicant's demonstrated functionality.
The tribunal also dismissed the claim for over $1.1 million in home modifications and an accessible apartment lease, relying on surveillance evidence showing the applicant could independently traverse stairs.
The request for a special award under section 10 of Regulation 664 was denied, as the insurer's investigation into overlapping attendant care benefits was deemed reasonable.
