Claims

FSCO Denies Claim For Caregiver And Housekeeping Benefits

A Financial Services Commission of Ontario (FSCO) arbitrator has denied an insured’s claim for caregiver benefits and housekeeping/ home maintenance benefits following a vehicle collision. Mohammad Asghar was injured in a motor vehicle accident on Aug. 2, 2006. He applied for and received statutory accident benefits from State Farm Mutual Automobile Insurance Company. Asghar’s dispute […]

September 30, 2009

1 min read

Ontario Court Awards Record Auto Injury Amount Of $18.4 Million

A 22-year-old Beeton, Ont. woman who suffered a serious brain injury in a 2002 auto accident has received a court award of $18.4 million. The sum, awarded by the Ontario Superior Court, is thought to be the highest-ever damage award in Canada for injuries suffered in a car accident. Katherine-Paige (KP) MacNeil, 15 years old […]

September 30, 2009

2 min read

Insurer’s Reserves “Should Almost Never Be Ordered Produced”: FSCO Arbitrator

An insurer’s reserves “should almost never be ordered produced” in statutory accident benefits claims made under Ontario’s SABS legislation, an arbitrator for the Financial Services Commission of Ontario (FSCO) has found. Reserves are estimated amounts assigned by an insurer to account for the total possible future payout of a person’s claims arising from an accident. […]

September 30, 2009

1 min read

Issues Affecting The Claims Manager

Deficient infrastructure is a significant problem in many areas, which could lead to restrictions on coverage or the creation of a different pricing structure, according to panelists at the Canadian Insurance Claims Managers’ Association (CICMA) general meeting. George Cooke, president and CEO of The Dominion, noted at the Sept. 9 meeting the lack of proper […]

September 30, 2009

3 min read