L.S. v. Royal & Sun Alliance Insurance Company of Canada (16-002381)

The claimant sought entitlement to a medical treatment plan. In addition to the issues outlined in the Case Conference Order, the claimant also sought a lump sum payment of $35,000.00 for 5 years of future medical treatment. Adjudicator Truong noted that issues not codified by the Case Conference Order were not properly before the Tribunal and therefore could not be determined. On review of the medical evidence, the treatment plan in dispute was found not reasonable and necessary. It was noted that a treatment plan alone is not sufficient evidence to establish entitlement – corroborating evidence is also required.