Jessica N. Telfer

The applicant sought entitlement to statutory accident benefits for physiotherapy and psychological services following a motor vehicle accident.

The Licence Appeal Tribunal found that the applicant failed to demonstrate that the proposed treatment plans were reasonable and necessary.

The medical evidence did not support the need for further facility-based treatment, and the applicant failed to provide sufficient explanation for the increased length and cost of psychological sessions.

The application was dismissed.

The applicant sought statutory accident benefits following a motor vehicle accident.

The insurer denied benefits and scheduled multiple insurer's examinations under section 44 of the Schedule, which the applicant failed to attend.

The Tribunal found that the insurer's notices of examination complied with the Schedule and that the applicant failed to provide a reasonable explanation for his non-attendance.

Consequently, the applicant was barred from proceeding to a substantive issues hearing for all claimed benefits pursuant to section 55(1)2 of the Schedule.

The applicant sought statutory accident benefits following a motor vehicle accident.

During the course of the proceedings, the applicant passed away, leading to multiple adjournments to allow for the appointment of an estate trustee.

After the applicant's counsel withdrew and no submissions were filed on behalf of the estate despite notice, the respondent moved to dismiss the application.

The Tribunal proceeded with a written hearing in the absence of the applicant under s. 7(2) of the Statutory Powers Procedure Act and dismissed the application as abandoned.

The applicant was injured in a motor vehicle accident and sought statutory accident benefits.

The respondent insurer denied the claims, arguing the injuries fell within the Minor Injury Guideline (MIG) and its $3,500 funding limit.

The applicant argued she suffered from chronic pain and psychological injuries warranting removal from the MIG.

The Tribunal found insufficient evidence of chronic pain or psychological impairment, noting the lack of diagnosis in the family physician's records and the unpersuasive nature of the psychological pre-screen report.

The Tribunal concluded the applicant's injuries were minor and subject to the MIG.

As the applicant had exhausted the $3,500 limit, the disputed treatment and assessment plans were denied, and no interest was payable.

The applicant sought payment for a physiotherapy treatment plan, interest, and a special award following a motor vehicle accident.

The insurer denied the treatment plan on the basis that the applicant's physical injuries were minor and did not warrant further facility-based treatment, relying on an insurer's examination report.

The Tribunal agreed with the insurer, finding insufficient objective medical evidence to support ongoing physical impairments requiring the proposed treatment.

The claims for the treatment plan, interest, and a special award were dismissed.