Chris Beckett

The applicant sought $3,067.84 for an occupational therapy treatment plan following a motor vehicle accident.

The respondent denied the claim on the basis that it was not reasonable and necessary.

The adjudicator found that the applicant failed to provide corroborating medical evidence to support the need for further occupational therapy, noting that the respondent's psychiatric assessment concluded the applicant had reached maximum psychological improvement.

The application was dismissed.

The applicant, a minor, sought payment for a $2,000 treatment plan for tutoring following a motor vehicle accident.

The respondent insurer denied the plan on the basis that it was not reasonable and necessary.

The Licence Appeal Tribunal found that the applicant's academic struggles were related to a pre-existing learning disability and that she was functioning well within her school's Individual Education Plan.

The Tribunal concluded that the proposed tutoring would not address her accident-related emotional and behavioural issues, which required cognitive behavioural therapy instead.

The application for the treatment plan and associated interest was dismissed.

The applicant, a minor, sought payment for a treatment plan for speech language pathology services in the amount of $2,556.61 following a motor vehicle accident.

The respondent denied the treatment plan on the basis that it was not reasonable and necessary.

The Licence Appeal Tribunal found that the applicant failed to provide independent medical evidence to support the treatment plan, noting a lack of clinical notes, school records, or assessment reports.

The application was dismissed, and no interest was awarded.