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Tribunal denies majority of $334,000 home modification claim, approving only fridge relocation for accessibility.
The applicant, who sustained catastrophic impairments in a motor vehicle accident, sought $334,363.41 in disputed rehabilitation benefits for extensive home modifications, including new flooring, rewiring, and a home addition.
The Licence Appeal Tribunal found that the majority of the proposed modifications were not reasonable and necessary, as the applicant failed to establish a sufficient connection between the requested renovations and her accident-related impairments.
The Tribunal approved only the costs associated with relocating the kitchen fridge to allow access to the fuse panel, along with applicable interest, dismissing the remainder of the claim.
Physiotherapy treatment plan denied as applicant relied on outdated medical evidence and failed to prove ongoing impairment.
The applicant sought a medical benefit of $1,836.00 for a physiotherapy treatment plan following a 2011 motor vehicle accident.
The respondent denied the claim, arguing the applicant had reached maximum medical recovery.
The Tribunal found the applicant's medical evidence, which was over four years old, insufficient to demonstrate an ongoing impairment.
Preferring the respondent's more recent insurer examination report, the Tribunal concluded the treatment plan was neither reasonable nor necessary and dismissed the application.
No co-appearing lawyers found.
No judges found.