Application for statutory accident benefits dismissed as claimed expenses were not reasonable and necessary.
The applicant sought various statutory accident benefits following a motor vehicle accident, including attendant care benefits, housekeeping and home maintenance, multiple treatment plans, medical cannabis, and botox injections.
The Licence Appeal Tribunal dismissed the application in its entirety.
The adjudicator found that the applicant's claims for attendant care and housekeeping were inconsistent with her pre- and post-accident level of function, noting she continued to work full-time and her family performed most household chores.
The requested treatment plans and medical expenses were deemed not reasonable and necessary, as they were unsupported by the contemporaneous medical evidence and the applicant failed to provide adequate information to the insurer.
Claims for an award and interest were also dismissed as no benefits were overdue.
OLATOntario Licence Appeal TribunalOct 3, 2023
