Applicant awarded disputed medical and assessment benefits for post-concussive syndrome; special award denied.
The applicant sought statutory accident benefits following a motor vehicle accident, including costs for a physiatry assessment, an occupational therapy assessment, acupuncture, and pharmacotherapy.
The respondent denied the claims based on insurer's examinations concluding the applicant suffered only from minor physical injuries.
The Tribunal found the applicant's medical evidence, which diagnosed concussion, post-concussive disorder, and chronic pain, outweighed the respondent's evidence.
The Tribunal ordered the respondent to pay the disputed benefits and interest.
However, the Tribunal dismissed the applicant's claim for a special award, finding the respondent had reasonable grounds to doubt the claims based on its own specialist reports.
OLATOntario Licence Appeal TribunalNov 16, 2017
