Accident benefits claim dismissed due to late submission of disability certificate and lack of medical necessity.
The applicant sought a non-earner benefit (NEB) and payment for multiple treatment plans following a 2017 motor vehicle accident.
The Licence Appeal Tribunal found that the applicant's entitlement to a NEB was not triggered because he failed to submit a completed disability certificate within the required 104-week timeframe and did not provide a reasonable explanation for the delay.
The Tribunal also dismissed the claims for the treatment plans, preferring the respondent's insurer examination reports which concluded the requested psychological, chronic pain, physiotherapy, and occupational therapy services were not reasonable and necessary.
Claims for an award and interest were also dismissed.
OLATOntario Licence Appeal TribunalJun 2, 2023
