Applicant awarded float therapy and partial attendant care benefits; special award for unreasonable delay denied.
The applicant, who was catastrophically impaired following a 2011 motor vehicle accident, sought resolution of a dispute over statutory accident benefits.
The Tribunal found the applicant was entitled to reimbursement for medical records requested by the respondent, as well as the cost of float therapy, preferring the evidence of the treating psychologists over the respondent's paper review.
Regarding attendant care benefits, the Tribunal awarded $975.24 per month, finding that while the applicant required assistance with feeding, hygiene, and basic supervision, his claims for skilled supervisory care to address depression and suicidal ideation were better addressed through psychological treatment.
The Tribunal declined to deem the attendant care expenses incurred or to order a special award, finding the insurer had not acted unreasonably in relying on its assessments.
OLATOntario Licence Appeal TribunalMay 21, 2024
