2 total
Claim for chiropractic benefits dismissed as the treatment plan was not proven reasonable and necessary.
The applicant sought a medical benefit of $1,300.00 for chiropractic services following a motor vehicle accident.
The respondent denied the claim.
The Licence Appeal Tribunal found that the applicant failed to prove the treatment plan was reasonable and necessary, noting it was inconsistent with a recent physiotherapy discharge report indicating the applicant had returned to her pre-injury level of function.
The application was dismissed and no interest was awarded.
Arbitration applications dismissed and expenses awarded to insurer after applicant failed to attend the hearing.
The applicant was injured in a motor vehicle accident and applied for statutory accident benefits from the insurer.
After mediation failed, the applicant applied for arbitration at the Financial Services Commission of Ontario.
The applicant's representative was removed from the record prior to the hearing, and the applicant subsequently failed to attend the scheduled four-day arbitration hearing.
The arbitrator dismissed the applications due to the applicant's failure to present evidence and meet the burden of proof.
The insurer was awarded $1,750 in expenses for having to prepare for the hearing despite the applicant's non-attendance.
