The applicant sought a non-earner benefit following a motor vehicle accident.
The dispute centered on two conflicting disability certificates (OCF-3s) submitted by the same physiotherapist.
The first OCF-3 endorsed a complete inability to carry on a normal life but not a substantial inability to perform essential employment tasks.
After the insurer contacted the clinic for clarification, an amended OCF-3 was submitted stating the applicant did not suffer a complete inability to carry on a normal life.
The applicant argued the insurer improperly contacted the provider and that the denial notice was non-compliant.
The Tribunal found the insurer's inquiry was reasonably required under s. 46.2(1) of the Schedule to determine eligibility.
The applicant failed to provide medical evidence establishing a complete inability to carry on a normal life or a copy of the denial notice to prove non-compliance.
The application for the non-earner benefit, interest, and an award was dismissed.