Applicant removed from Minor Injury Guideline due to psychological condition; partial treatment plans approved.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits.
The respondent insurer denied several treatment plans, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found the applicant's psychological condition, including an adjustment disorder with mixed anxiety and depressed mood, warranted removal from the MIG.
The Tribunal approved treatment plans for a psychological assessment and one physiotherapy plan supported by clinical notes, but denied a second physiotherapy plan and a psychological services plan due to a lack of supporting evidence.
Interest was awarded on the overdue benefits.
OLATOntario Licence Appeal TribunalFeb 13, 2025
