Claims
The Financial Services Commission of Ontario (FSCO) has denied the appeal of an insurer that was ordered to pay auto insurance benefits to a man (now deceased) who suffered a stroke at about the same time he was involved in an accident at a Tim Horton’s drive-through. In Dominion of Canada General Insurance Company and […]
March 31, 2010
2 min read
A person injured in a motor vehicle accident requires only one marked (i. e. Class 4) impairment to be considered catastrophically impaired, a Financial Services Commission of Ontario (FSCO) arbitrator has ruled. “[FSCO] Arbitrator [Elizabeth] Nastasi in Pastore and Aviva Canada Inc. . . . notes that the Superintendent’s Guidelines for undertaking catastrophic impairment assessments […]
An Ontario arbitration decision has once again raised a question about the deductibility of collateral benefits. This time a decision determined that long-term benefits received from a group disability insurance plan underwritten by Sun Life can be deducted from income replacement benefits underwritten by The Co-operators. In making the decision, Financial Services Commission of Ontario […]
Ontario’s definition of a “catastrophic impairment” may have widened as a result of a recent decision by the Financial Services Commission of Ontario, lawyers are saying about the case of Aviva and Pastore. In Aviva and Pastore, a FSCO director delegate ruled there is no inconsistency in defining an auto injury victim as “catastrophically impaired,” […]
An insurer that has satisfied its legal requirement for policy cancellation has not automatically proven the insured knew his policy had been cancelled, an Ontario arbitrator has ruled. In Ersin Aksoy and Markel Insurance Company of Canada, the Financial Services Commission of Ontario (FSCO) found Markel had to pay Ersin Aksoy income replacement benefits and […]
I am very pleased to report that the CIAA strategic planning initiatives are taking shape. By the time this message goes to print, some of our absolutely key projects will be underway and we will soon deliver some important changes to the membership. Our critical areas of focus are communication, education, advocacy and benefits. The […]
By Patti Kernaghan | March 31, 2010
3 min read
Fraud costs the insurance industry an estimated $1.3 to $2.6 billion annually -- 10 to 15 per cent of claims paid. Reducing that figure takes the dedication of all areas of the claims field.
By Laura Kupcis | March 31, 2010
13 min read
QA Adjusting Company in Winnipeg is celebrating its 10th anniversary on April 10, and as owner Russ Malkoske looks back, he never could have imagined where his company would be today.
6 min read
Determining damages for loss of companions and a new method for calculating loss of income
The reforms made as a result of the first Five Year Review of Automobile Insurance have now been released to the public and the proposed changes come into effect Sept. 1, 2010. The changes are aimed at keeping insurance premiums affordable for Ontario drivers by providing consumers with more choice and flexibility to purchase coverage […]
By Philippa Samworth And Carlie Smith | March 31, 2010
8 min read
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