Application for attendant care benefits dismissed; insurer did not unreasonably withhold payment.
The applicant sought attendant care benefits following a motor vehicle accident.
The respondent insurer initially paid the benefits but terminated them after an insurer's examination by an occupational therapist concluded there was no ongoing need.
The applicant argued the expenses should be deemed incurred because the respondent unreasonably withheld payment.
The Tribunal found that the respondent's reliance on its assessor's report was not unreasonable and dismissed the application, finding the applicant was not entitled to the disputed benefits.
OLATOntario Licence Appeal TribunalJul 19, 2018