The applicant was involved in two motor vehicle accidents and sought payment for various treatment and assessment plans under the Statutory Accident Benefits Schedule, which the respondent insurer denied.
The Licence Appeal Tribunal found the applicant's evidence regarding his accident details and symptoms lacked credibility, noting significant inconsistencies and a failure to disclose his return to full-time work.
The Tribunal approved an occupational therapy assessment, a psychological assessment, and assistive devices, finding them reasonable and necessary.
However, claims for ongoing chiropractic care, chronic pain programs, a neurocognitive assessment, and a vocational assessment were dismissed due to lack of credible evidence supporting their necessity and the applicant's pre-existing conditions.
The Tribunal also denied the applicant's request for a lump sum award, finding that the applicant's own refusal to attend insurer's examinations mitigated any delay by the insurer.
