2 total
Income replacement benefits properly suspended for failure to provide reasonably required financial documents.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent suspended income replacement benefits after the applicant failed to provide requested financial and tax documents.
The Tribunal found that the requested documents were reasonably required under s. 33(1) of the Schedule to verify pre- and post-accident income, and upheld the suspension of benefits.
The Tribunal also approved treatment plans for physiotherapy and partial payment for physiatry and neurological assessments, finding them reasonable and necessary based on the applicant's ongoing chronic pain and concussion symptoms.
The applicant's claim for a special award was dismissed as the respondent's conduct was not unreasonable.
Applicant removed from Minor Injury Guideline due to psychological impairments; partial entitlement to treatment plans granted.
The applicant, who was 15 years old at the time of the motor vehicle accident, sought various medical and rehabilitation benefits.
The respondent insurer denied the benefits, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the applicant sustained psychological impairments, including major depressive disorder and somatic symptom disorder, removing him from the MIG.
The Tribunal approved several treatment plans for chiropractic and physiotherapy services, finding them reasonable and necessary based on ongoing physical impairments.
However, other treatment plans, including those for psychological services, were denied due to a lack of evidence regarding their goals and costs.
The applicant's claim for a special award was dismissed, but interest was awarded on overdue payments.
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