Sharat Chawla

The applicant sought attendant care benefits following a motor vehicle accident.

The respondent paid a portion of the claimed expenses but denied the remainder, arguing they were not incurred.

The Tribunal preferred the respondent's occupational therapy assessments, finding the applicant's condition had improved and she did not require the level of care claimed, particularly for night-time emergencies.

The Tribunal concluded the applicant was not entitled to any attendant care benefits beyond what the respondent had already paid, as the additional expenses did not meet the definition of an 'incurred expense' under section 3(7)(e) of the Schedule and could not be deemed incurred.

The applicant sought medical and rehabilitation benefits following a motor vehicle accident, which the respondent insurer denied.

The Licence Appeal Tribunal found that the applicant was entitled to the cost of a neurological assessment, as his treating physician diagnosed a nerve injury and the insurer's assessors lacked access to those medical records.

However, the Tribunal dismissed the claims for a chronic pain assessment, a Functional Ability Evaluation, psychological treatment, and transportation costs for an orthopaedic assessment, finding them not reasonable and necessary due to pre-existing conditions, lack of contemporaneous evidence, and unpersuasive expert reports.

The claim for a special award under Regulation 664 was also dismissed.