The applicant sought various statutory accident benefits following a motor vehicle accident, including attendant care benefits, multiple treatment plans, and an award for unreasonable delay.
The Licence Appeal Tribunal found the applicant entitled to attendant care benefits of $1,372.21 and $1,297.46 per month, preferring the applicant's occupational therapy assessments over the insurer's examination.
The Tribunal also approved assessments for concussion and chronic pain.
However, claims for extended physiotherapy, chiropractic care, and other assessments were denied as not reasonable and necessary.
The Tribunal held that outstanding invoices were payable only after collateral benefits were exhausted, and declined to order a section 10 award, finding the insurer's conduct was not unreasonable.
