The applicant sought payment for the cost of preparing two Treatment and Assessment Plans (OCF-18s) and the applicable HST, which the respondent insurer had denied on the basis that the costs were included in the $2,000 cap for assessments under s. 25(5) of the Statutory Accident Benefits Schedule.
The Tribunal found that, pursuant to the Superintendent's Guidelines, the fee for preparing an OCF-18 and the applicable HST are separate from and payable in addition to the fees and expenses for conducting an assessment.
The applicant's claims for the OCF-18 fees and HST were granted, but requests for a special award and costs were dismissed as the respondent's denial was based on an interpretation of the regulation and did not constitute bad faith.