Group home rent and mandatory program fees upheld as reasonable care expenses for brain-injured claimant.
The Motor Vehicle Accident Claims Fund (MVAC) appealed an arbitration order requiring it to pay various expenses for R.W., who suffered a severe brain injury in a motorcycle accident and resided in a supportive group home.
The Director's Delegate upheld the arbitrator's findings that R.W.'s rent, mandatory program fees, and transportation costs were reasonable and necessary care and rehabilitation expenses under the Statutory Accident Benefits Schedule.
The Delegate reversed the award for personal care items and confectionary due to a lack of medical evidence.
The special award against MVAC for unreasonably refusing to pay the core expenses was upheld.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJun 23, 1999
