Applicant found not catastrophically impaired; most treatment plans denied except for a chronic pain assessment.
The applicant sought statutory accident benefits following a 2016 motor vehicle accident, claiming catastrophic impairment under Criteria 7 (55% whole person impairment) and Criteria 8 (marked impairment in three of four domains).
The Licence Appeal Tribunal found the applicant's whole person impairment was 47%, falling short of the 55% threshold, and that he did not suffer marked impairment in social functioning.
The Tribunal denied most of the disputed treatment and assessment plans, finding them not reasonable and necessary, but approved a $2,665.50 chronic pain assessment.
Claims for attendant care benefits, an award for unreasonable delay, and costs were dismissed.
OLATOntario Licence Appeal TribunalDec 10, 2024
