Dr. T. Toneatto

The applicant sought statutory accident benefits following a motor vehicle accident, disputing the insurer's denial of two chiropractic treatment plans, interest, and an award for unreasonable withholding.

The Tribunal found the October 2017 treatment plan reasonable and necessary based on timely medical records and psychological assessments, but dismissed the May 2018 plan due to a lack of persuasive evidence and an uncontested insurer examination finding symptom magnification.

The applicant was awarded interest on the approved plan but denied a special award, as the insurer had responded to the plans within the required timelines and provided valid medical reasons.

The applicant sought statutory accident benefits following a rear-end motor vehicle collision.

The respondent insurer denied funding for a psychological assessment and treatment plan, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).

The Licence Appeal Tribunal found that the applicant suffered from accident-related psychological injuries, including post-traumatic stress disorder, which removed him from the MIG.

The Tribunal ordered the respondent to pay for the disputed psychological assessment and treatment plan, along with interest, but denied the applicant's request for an award under Regulation 664, finding the insurer's initial denials were not unreasonable.