2 total
Reconsideration request dismissed; no significant error of fact or law found regarding delayed benefit payment.
The applicant requested a reconsideration of a previous decision denying an award for the respondent's delayed payment of income replacement benefits.
The applicant argued the adjudicator erred in finding the delay was an administrative error and not imprudent conduct.
The adjudicator dismissed the request, finding no significant error of fact or law that would have led to a different result, and noted the applicant was attempting to relitigate arguments that failed at the original hearing.
Treatment plans approved as reasonable and necessary; claim for unreasonable delay award dismissed.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied treatment plans for chiropractic care and occupational therapy, and the applicant sought an award for unreasonable delay in paying income replacement benefits.
The Tribunal found the treatment plans reasonable and necessary, noting they were supported by the applicant's treating practitioners and consistent with the medical evidence, while rejecting the respondent's independent medical examinations as inconsistent.
The Tribunal awarded the treatment plans and interest but declined to order an award under Regulation 664, finding the respondent's two-month delay in paying the reinstated income replacement benefit was an error promptly corrected and did not constitute unreasonable conduct.
