Allan Blott

The applicant sought reinstatement of income replacement benefits that were suspended by the respondent insurer after the applicant failed to provide requested medical documentation.

The Tribunal found that the insurer was entitled to suspend benefits under section 33(6) of the Schedule during the period of non-compliance.

However, because the applicant eventually provided the requested disability certificate and evidence of ongoing treatment on March 24, 2017, the Tribunal ordered the insurer to recommence payment of the benefits from that date.

The applicant sought statutory accident benefits for a digital motion x-ray exam, assessments, and transportation expenses following a motor vehicle accident.

The adjudicator found that the applicant failed to provide sufficient objective medical evidence to prove the digital x-ray and assessments were reasonable and necessary, relying instead on the respondent's insurer examinations which found no accident-related abnormalities.

The claim for transportation expenses was denied because the applicant failed to submit a required treatment plan.

The application was dismissed, and the respondent's request for costs was denied as there was no evidence of unreasonable or bad faith conduct by the applicant.