Post-104-week IRBs denied based on surveillance evidence; psychological and driving reintegration assessments granted.
The applicant sought post-104-week income replacement benefits (IRBs) and various medical and rehabilitation benefits following a motor vehicle accident.
The Tribunal found the applicant did not meet the 'complete inability' test for post-104-week IRBs, relying on insurer's examinations and surveillance evidence showing her performing work activities.
The Tribunal denied claims for chiropractic services, massage therapy, and a chronic pain assessment, finding them not reasonable and necessary.
However, the Tribunal granted the applicant's claims for a psychological assessment and a driving reintegration assessment to address her vehicular anxiety, along with interest on those overdue amounts.
OLATOntario Licence Appeal TribunalAug 21, 2025
