Ensuring fair treatment for people claiming auto accident benefits

Ontario’s financial services regulator (FSRA) is taking steps to better protect the rights of individuals who are injured in a motor vehicle accident and ensure health service providers (HSPs) comply with their regulatory obligations.

During the past two fiscal years, FSRA conducted three supervision initiatives which identified unacceptable levels of non-compliance by HSPs. This behaviour was still prevalent despite increased educational initiatives to address a lack of understanding.

That was the finding of a Market Conduct Compliance Report being released today. In response, FSRA issued warning letters and will consider further initiatives that will lead to a more informed and compliant sector, including enforcement.

Here are some of the key findings:

  • false or misleading information reported in the Annual Information Return (AIR)
  • inadequate policies and procedures
  • failure to report business changes to FSRA within the required timeframe
  • failure to keep HCAI roster current
  • unsigned Auto Insurance Standard Invoices (OCF-21s)
  • inaccurate reporting of Statutory Accident Benefits Schedule (SABS) claimant count to FSRA

FSRA licenses HSPs, allowing them to receive direct payment from auto insurers to cover health and rehabilitative expenses of Ontarians injured in motor vehicle accidents.

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FSRA continues to work on behalf of all stakeholders, including consumers, to ensure financial safety, fairness, and choice for everyone.

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