Application for statutory accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant, a minor, sought various statutory accident benefits following a motor vehicle accident, including chiropractic services, physiotherapy, and several assessments.
The respondent insurer denied the treatment plans based on independent medical examinations.
The Licence Appeal Tribunal dismissed the application, finding that the applicant failed to provide compelling medical evidence to prove the treatment plans were reasonable and necessary.
The Tribunal accepted the respondent's medical assessments, which concluded the applicant sustained uncomplicated strains and had no functional impairments.
The Tribunal also found the respondent's denial notices complied with the requirements of section 38 of the Schedule.
OLATOntario Licence Appeal TribunalJul 24, 2025
