Application for psychological benefits dismissed; insurer's hourly rate for psychotherapist upheld and ongoing treatment deemed unnecessary.
The applicant sought entitlement to statutory accident benefits for psychological services following a motor vehicle accident.
The Licence Appeal Tribunal dismissed the application, finding that the applicant was not entitled to the unpaid balances of two partially approved treatment plans because the services were provided by a psychotherapist rather than a psychologist, and the insurer's approved hourly rate of $91.43 was reasonable.
The Tribunal also denied a third treatment plan for psychological services, preferring the respondent's section 44 assessment which concluded no further counselling was recommended, supported by the applicant's admission that therapy provided no benefit.
Claims for an award and interest were consequently dismissed.
OLATOntario Licence Appeal TribunalApr 19, 2024
