Insurer ordered to pay for assessments due to defective denial notices; other treatment plans denied.
The applicant sought statutory accident benefits following a motor vehicle accident, which was followed by a second accident less than two months later.
The insurer denied several treatment plans for physiotherapy, psychotherapy, and various assessments.
The Tribunal found that the applicant's physical injuries were caused by the first accident, but she failed to prove her psychological injuries were caused by it.
The Tribunal ordered the insurer to pay for an impairment assessment and a neurological assessment because its denial notices failed to comply with the medical reasons requirement under s. 38(8) of the Schedule.
The remaining claims for treatment plans, an award for unreasonable delay, and costs were dismissed.
OLATOntario Licence Appeal TribunalMar 25, 2020
