Dr. V. Naumetz

The applicant was injured in a motor vehicle accident and sought medical benefits for two chiropractic treatment plans and one psychological treatment plan under the Statutory Accident Benefits Schedule.

The respondent denied the plans based on insurer's examinations.

The Licence Appeal Tribunal found the first chiropractic treatment plan reasonable and necessary, noting the applicant's ongoing pain and the physical impairments documented even in the respondent's own medical examination.

However, the Tribunal dismissed the claims for the second chiropractic plan and the psychological plan, finding insufficient evidence of ongoing physical impairment and concluding the applicant had already reached her psychological treatment goals.

The applicant was awarded the cost of the first chiropractic plan plus interest.

The applicant was injured in a rear-end motor vehicle accident and sought $2,000 for an orthopaedic assessment under the Statutory Accident Benefits Schedule.

The respondent insurer denied the treatment plan.

The Licence Appeal Tribunal found that the applicant had significant pre-existing conditions and that the medical evidence did not establish an orthopaedic injury resulting from the accident.

Preferring the respondent's medical examination report, which found no physical impairments, the Tribunal concluded the assessment was not reasonable and necessary.

The application was dismissed.