Keyword
SABS
Why this address misrepresentation ruling was set aside
September 27, 2023 by Jason ContantOntario’s Licence Appeal Tribunal (LAT) erred in law when ruling it had to rely solely on the Statutory Accident Benefits Schedule (SABS) and had no jurisdiction to award equitable remedies under the Insurance Act, a provincial court has found. In…
Is spilling coffee on yourself at a drive-thru an auto ‘accident’?
July 10, 2023 by Jason ContantOntario’s Licence Appeal Tribunal (LAT) has ruled in favour of Co-operators in an accident benefits case after finding a driver’s use and operation of his vehicle did not directly cause his injuries and thus did not meet the definition of…
What the regulator’s review of auto insurance health care practitioners uncovered
September 9, 2022 by Alyssa DiSabatinoOntario’s insurance market conduct regulator took a closer look at how auto insurance health care providers are billing insurers through the province’s electronic billing system, and found that 27 medical health professionals on the billing roster have been sanctioned by…
Ontario ministry issues guidance on paying HST on accident benefits
March 27, 2019 by Jason ContantOntario’s Ministry of Finance has proposed regulatory amendments clarifying that harmonized sales tax (HST) is required to be paid in addition to accident benefit limits. If approved, the proposed changes to the Statutory Accident Benefits Schedule (SABS) under the Insurance…
Six insurer examinations “significantly intrusive,” accident benefits tribunal rules
March 20, 2018 by David GambrillSix insurer examinations [IEs] turned out to be three too many, an Ontario tribunal has decided, allowing an accident benefits claimant to go ahead with her hearing despite her refusal to attend the insurer’s three additional IEs. “Three in-person examinations;…
Hot coffee scalds your client in a drive-through. Is that an auto “accident”?
February 23, 2018 by Greg MeckbachOntario auto insurance policies will have to cover a much wider scope of risk if the Supreme Court of Canada does not overturn a recent court ruling against Aviva Canada, Aviva’s lawyer argues. In Dittmann v. Aviva Insurance Company of Canada,…
A personal support worker seeking work? You’re an attendant care provider, arbitrator rules
February 7, 2018 by Jason ContantA catastrophically impaired driver can claim expenses incurred for attendant care services provided by his mother, a personal support worker [PSW] who was not employed when she cared for her son at the time of his accident, an Ontario arbitrator…
Tribunal decision imperils limitation periods in auto claims
January 30, 2018 by Jason ContantThe Insurance Act is just one act to consider among all the other factors when dealing with the two-year limitation period in statutory accident benefits disputes, the Ontario Licence Appeal Tribunal (LAT) has found. “So that’s frightening,” Philippa Samworth, a…
BIP Talk aims to let brokers ‘better understand’ underlying problems with Ontario auto insurance: Forgeron
August 25, 2017 Greg Meckbach, Associate EditorMore than four months after the release of David Marshall’s report on auto insurance, Insurance Bureau of Canada’s president and chief executive officer is hoping Ontario’s brokers will “add their voice” to calls from the industry to “fundamentally overhaul” auto…
‘Fresh approach’ needed for Ontario auto insurance: IBC CEO
April 25, 2017 Greg Meckbach, Associate EditorA report released two weeks ago is “probably the best description we have to date of what is wrong” with Ontario’s auto insurance system, the chief executive officer of Insurance Bureau of Canada said Tuesday. In opening remarks at IBC’s…
Hospital-based examination centres should provide Ontario auto accident treatment plans: Marshall
April 12, 2017 by Canadian UnderwriterOntario should not move to a government-run auto insurance system but the province should establish hospital-based examination centres with authority to establish treatment plans that would have to be provided by the insurers, without dispute, a special advisor to the…
Impact of June Ontario auto changes ‘will be something to see going forward:’ A.M. Best
November 13, 2016 Greg Meckbach, Associate EditorIt is too early to gauge the exact financial impact, on insurers, of Ontario auto changes that took effect this past June, and in the meantime, the mandated 15% rate reduction announced three years ago is still affecting loss ratios,…