Accident benefits claim dismissed as applicant failed to prove causation and reasonableness of proposed treatments.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for a psychological assessment, chiropractic services, and an occupational therapy in-home assessment.
The insurer denied the benefits, arguing the physical injuries were pre-existing and the psychological assessment costs were unreasonable.
The Licence Appeal Tribunal dismissed the appeal, finding the applicant failed to prove the claimed psychological assessment costs were reasonable compared to the insurer's examination.
The Tribunal also found the applicant failed to establish causation for the physical injuries, noting extensive pre-existing conditions and a lack of evidence connecting the requested chiropractic and occupational therapy treatments to the accident.
OLATOntario Licence Appeal TribunalMar 29, 2019
