Application for accident benefits dismissed; applicant failed to prove chiropractic and psychological treatments were reasonable and necessary.
The applicant sought statutory accident benefits for chiropractic and psychological treatment following a motor vehicle accident.
The respondent insurer denied the treatment plans based on insurer's examinations which concluded the applicant had reached maximum medical recovery and did not suffer from a psychological diagnosis.
The Licence Appeal Tribunal dismissed the appeal, finding the applicant failed to prove the treatments were reasonable and necessary, noting inconsistencies in her presentation, a lack of objective medical evidence, and her successful return to full-time employment.
OLATOntario Licence Appeal TribunalAug 7, 2018