3 total
Application for non-earner benefits and treatment plans dismissed; applicant failed to prove complete inability to carry on a normal life.
The applicant sought statutory accident benefits following a motor vehicle accident, including non-earner benefits and various treatment plans.
The respondent denied the claims.
The Tribunal found that the applicant failed to prove she suffered a complete inability to carry on a normal life, noting inconsistencies in her self-reporting and preferring the evidence of the respondent's assessors.
The Tribunal also found the disputed treatment plans were not reasonable and necessary.
The application was dismissed, and no award or costs were granted.
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.
Non-earner benefit denied; one occupational therapy treatment plan approved to address psychological impairments.
The applicant sought statutory accident benefits following a motor vehicle accident, including a non-earner benefit and various medical and rehabilitation benefits.
The adjudicator found that the applicant did not suffer a complete inability to carry on a normal life, as the applicant was able to live independently, care for a child, and maintain relationships.
The claims for most of the medical and rehabilitation benefits were dismissed because they were not reasonable and necessary, largely due to a lack of evidence of cognitive impairment.
However, one treatment plan for occupational therapy services to address psychological impairments and assist the applicant in obtaining a GED was approved.
No co-appearing lawyers found.
No judges found.