Lee Birbrager

The applicant sought a determination that she sustained a catastrophic impairment (CAT) as a result of a motor vehicle accident, along with entitlement to attendant care benefits and a special award for unreasonable delay.

The Licence Appeal Tribunal found that the applicant did not meet the CAT threshold under Criterion 8, as she only demonstrated moderate, rather than marked, impairments in the spheres of functioning.

The claim for attendant care benefits was dismissed because the expenses were not incurred.

However, the Tribunal granted a special award under s. 10 of O. Reg. 664, finding that the respondent unreasonably delayed and withheld payment of income replacement benefits and treatment plans.

The respondent was ordered to pay an award equal to 25% of the delayed benefits.

The applicant sought statutory accident benefits following a motor vehicle accident, including a non-earner benefit and funding for various treatment plans.

The Licence Appeal Tribunal found that the applicant was not entitled to the non-earner benefit because he failed to prove a complete inability to carry on a normal life.

However, the Tribunal approved treatment plans for occupational therapy services, an occupational therapy assessment, and psychological assessments, finding them reasonable and necessary due to the applicant's accident-related psychological impairments.

A claim for physiotherapy services was denied as the applicant had reached maximum therapeutic benefit.

The Tribunal also awarded interest on the overdue payments but declined to order a special award under s. 10 of Reg. 664.