Application for post-104-week income replacement benefits and treatment plans dismissed due to insufficient evidence of inability to work.
The applicant sought income replacement benefits (IRBs) post-104 weeks, as well as payment for chiropractic services and catastrophic assessments following a motor vehicle accident.
The Licence Appeal Tribunal dismissed the application, finding the applicant failed to prove a complete inability to engage in suitable employment, relying on surveillance evidence and independent medical examinations showing the applicant could perform employment-type activities.
The Tribunal also found the proposed treatment plans and assessments were not reasonable and necessary, as they were duplicative of previously completed programs or lacked justification.
Claims for interest and an award were consequently dismissed.
OLATOntario Licence Appeal TribunalApr 23, 2025
