Applicant statute-barred from claiming assessment for failing to attend insurer's examination; most treatment plans denied.
The applicant sought various statutory accident benefits following a November 2019 motor vehicle accident.
The Tribunal found the applicant was statute-barred from proceeding with a claim for an orthopaedic assessment due to her failure to attend a scheduled insurer's examination without a reasonable explanation.
Regarding the substantive claims, the Tribunal denied the majority of the disputed treatment plans for chiropractic services, massage therapy, and assistive devices, finding the applicant failed to prove they were reasonable and necessary on a balance of probabilities.
The Tribunal awarded $200 for documentation support activity with interest, but denied the claim for a section 10 award.
OLATOntario Licence Appeal TribunalMay 2, 2025
