Medical benefit for physiotherapy and chiropractic treatment granted; claim for unreasonable delay award dismissed.
The applicant was injured in a motor vehicle accident and sought a medical benefit of $4,086.68 for physiotherapy, chiropractic treatment, and massage therapy, which the respondent insurer denied.
The Licence Appeal Tribunal found the treatment plan to be reasonable and necessary, noting the applicant's consistent reports of pain and improvement with treatment.
The Tribunal ordered the respondent to pay the medical benefit and interest on the overdue amount.
However, the applicant's claim for an award under Regulation 664 for unreasonable delay was dismissed, as the insurer relied on a medical assessment at the time of denial.
OLATOntario Licence Appeal TribunalJun 24, 2019
