The applicant, who sustained a catastrophic impairment in a motor vehicle accident, sought payment for home accessibility reports prepared by Adapt-Able Design Group.
The insurer argued the reports were a rehabilitation benefit payable under section 15 of the Statutory Accident Benefits Schedule, which would erode the applicant's $1 million limit.
The applicant argued the reports were assessment expenses payable under section 24.
The arbitrator found that the reports were necessary to allow the applicant access to the benefit and assess the quantum, and were therefore properly compensated under section 24.
The insurer was also found to be estopped from arguing otherwise due to its prior approval of the assessment applications.
