S.P.F. v. Aviva General Insurance (18-010856)

The claimant sought entitlement to medical benefits proposed in two psychological treatment plans. Adjudicator Grant found that the treatment plans were not reasonable and necessary, based on the claimant’s self-reporting and the reports of section 44 assessors. The claimant had acknowledged that he had not experienced any significant disruption, and he denied a desire to participate in psychotherapy counselling. Adjudicator Grant also noted that if the claimant required further psychological treatment, he still had approximately $3,879.00 of approved and not incurred funding available for treatment.