Claims

Insurers must be clear about denying benefits: Ontario court

An insurer must be absolutely “clear and unequivocal” in its denial of benefits, and the word “refusal” in documents to the policyholder would probably help, a recent Ontario court decision suggests.In Sukhdev Gill v. Economical Insurance Company, the Ontario Superior Court ruled The Economical’s mere placing of a ‘zero’ in an expense column of a […]

By Canadian Underwriter | December 16, 2009

2 min read

OSFI requires insurers to state policies issued in the course of their “insurance business in Canada”

Canada’s solvency regulator has issued an update notice for Part XIII amendments, requiring insurers to include in all of their premium notices and policies a statement that the document was issued or made in the course of its insurance business in Canada.Amendments to Part XIII of the Insurance Companies Act come into effect on Jan. […]

By Canadian Underwriter | December 16, 2009

1 min read

Ontario broker working under son’s name has license revoked

Ontario’s broker regulator has revoked the license of Brampton insurance broker Mustapha Kassab, who had been representing himself for close to six years under the assumed name of his son, “Hadi.”The Registered Insurance Brokers of Ontario (RIBO) made its decision after hearing two complaints against Kassab.Kassab pleaded guilty to the first complaint, which is that […]

By Canadian Underwriter | December 15, 2009

2 min read

Insurers under-reporting fraud to police: StatsCan

Insurance companies beset by fraudulent claims are under-reporting the fraud to police, according to a Statistics Canada report, Survey of Fraud Against Businesses. The StatsCan report is based on a survey covering about 7,500 business establishments and head offices from the retail, banking, health and property insurance sectors.The study found just under half (about 45%) […]

By Canadian Underwriter | December 14, 2009

1 min read