Application for accident benefits dismissed as applicant failed to prove treatments were reasonable and necessary.
The applicant sought statutory accident benefits following a motor vehicle accident, including treatment plans for an orthopaedic assessment, assistive devices, chiropractic services, and a non-earner benefit.
The Licence Appeal Tribunal dismissed the application, finding the applicant failed to prove the treatment plans were reasonable and necessary, largely due to a lack of supporting medical evidence and failure to submit the OCF-18 forms.
The Tribunal also denied the non-earner benefit, relying on insurer examinations and surveillance evidence showing the applicant continued to engage in normal daily activities and employment.
OLATOntario Licence Appeal TribunalApr 11, 2025