Application for statutory accident benefits dismissed as treatment and assessments were not reasonable and necessary.
The applicant was injured in a motor vehicle accident and sought various medical, rehabilitation, and assessment benefits from the respondent insurer.
The respondent denied the benefits on the basis that they were not reasonable and necessary, relying on insurer examinations.
The adjudicator found that the applicant failed to meet his burden of proving the treatment and assessment plans were reasonable and necessary, noting a lack of objective medical evidence linking his current complaints to the accident and a lack of functional impairment.
Additionally, one claim for chiropractic treatment was found to be statute-barred as the appeal was filed past the two-year limitation period.
The application was dismissed.
OLATOntario Licence Appeal TribunalJul 17, 2020
