Applicant denied catastrophic impairment status but awarded 25% penalty against insurer for unreasonable delay.
The applicant sought a determination that she sustained a catastrophic impairment (CAT) as a result of a motor vehicle accident, along with entitlement to attendant care benefits and a special award for unreasonable delay.
The Licence Appeal Tribunal found that the applicant did not meet the CAT threshold under Criterion 8, as she only demonstrated moderate, rather than marked, impairments in the spheres of functioning.
The claim for attendant care benefits was dismissed because the expenses were not incurred.
However, the Tribunal granted a special award under s. 10 of O. Reg. 664, finding that the respondent unreasonably delayed and withheld payment of income replacement benefits and treatment plans.
The respondent was ordered to pay an award equal to 25% of the delayed benefits.
OLATOntario Licence Appeal TribunalMay 15, 2026