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Applicant v Peel Mutual Insurance Company (17-003087)

  • May 30, 2018

The claimant sought various medical and rehabilitation benefits, costs of moving, and interest on the overdue payment of benefits. Adjudicator Parish held that the claimant did not demonstrate that the medical/rehabilitation benefits in dispute for physical therapy and online classes were reasonable and necessary. The treatment plans for online courses were premature at the time they were submitted. Adjudicator Parish further held that the claimant did not demonstrate that the treatment plans for optometric vision therapy, eye examinations, and eyeglasses were linked to the subject motor vehicle accident. Additionally, the moving expenses were not payable in accordance with the SABS. Moving expenses are not listed under s.16(3) of the SABS and the decision to move was made prior to the accident.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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