Application for attendant care benefits dismissed as the requested services were not reasonable and necessary.
The applicant sought attendant care benefits, interest, and an award under O. Reg. 664 following a motor vehicle accident.
The insurer denied the benefits, initially arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
Although the insurer later removed the applicant from the MIG due to psychological impairments, it maintained the denial of attendant care.
The Tribunal found that the requested attendant care was not reasonable and necessary, noting the applicant's self-reported independence and return to work.
The Tribunal also declined to deem the expenses incurred under s. 3(8) of the Schedule, finding the insurer did not act unreasonably in its handling of the claim.
The application was dismissed.
OLATOntario Licence Appeal TribunalJul 9, 2020
