Income replacement benefits awarded for heavy labourer with chronic pain; medical benefits denied for evidentiary failure.
The applicant was injured in a motor vehicle accident and sought income replacement benefits (IRBs) and medical benefits from his insurer.
The insurer denied the benefits based on its assessors' reports.
The Licence Appeal Tribunal found the applicant's testimony regarding his heavy physical labour as a drywaller and his debilitating pain to be credible, supported by his treating chronic pain specialist and the insurer's own kinesiologist.
The Tribunal awarded IRBs of $400 per week.
However, the claims for medical benefits and examination costs were dismissed because the applicant failed to enter the disputed treatment plans into evidence.
The Tribunal declined to award costs or a special award, finding the insurer did not act in bad faith.
OLATOntario Licence Appeal TribunalJul 17, 2018