Applicant removed from Minor Injury Guideline due to fractured tooth, but disputed treatment plans denied.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied funding for several treatment and assessment plans, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the applicant sustained a fractured tooth, which is not a minor injury, and therefore he was not subject to the MIG.
However, the Tribunal dismissed the claims for physiotherapy and chiropractic treatment plans because they were submitted as standard plans rather than MIG treatment confirmation forms before evidence of the non-minor injury was provided.
The claims for psychological and occupational therapy assessments were also dismissed as the applicant failed to prove they were reasonable and necessary.
Claims for an award and interest were denied.
OLATOntario Licence Appeal TribunalJan 20, 2025