Insurance adjustments in Ontario intend to shield future recipients of long-term disability payments by requiring any benefit plan be protected by contract and use of licensed insurers.
Author Archives: Admin2
Most MIG Claimants Continue to Receive Some Treatment After Completing MIG Treatment
The IBC has now published the standard HCAI reports for the first half of 2014. The document provides over 75 pages of aggregate data collected by HCAI going back to 2011. HCAI was made mandatory on February 1, 2011.
http://williehandler.blogspot.ca/2014/08/most-mig-claimants-continue-to-receive.html
Correcting medical information
Concerned about your medical file? The links below are from Information and Privacy Commissioner / Ontario http://www.ipc.on.ca/english/Resources/IPC-Corporate/IPC-Corporate-Summary/?id=667
Oct 03, 2005 | Forms
A generic request form for filing a request to correct your personal health information held by a health information custodian. This request form should be submitted directly to the health information custodian.
Aug 07, 2003 | Forms
A generic request form for filing a request for information held by a government organization or to request a correction of your personal information held by a government organization.
Jan 01, 2005 | Forms
A generic request form for filing a request for access to your personal health information held by a health information custodian. This request form should be submitted directly to the health information custodian.
Jul 11, 2005 | Forms
A form to be signed by a complainant who is represented by someone other than a lawyer.
Oct 14, 2004 | Forms
A form for filing a complaint relating to a decision by a health information custodian in response to a request made under the Personal Health Information Protection Act. The form can be completed online and then printed, or printed and then filled out wi
Nov 15, 2004 | Forms
A form for filing a complaint under the Personal Health Information Protection Act, if you feel your personal health information has been improperly collected, used or disclosed by a health information custodian. The form can be completed online and then
Running hot
Private sector-run auto insurance systems in provinces across Canada are experiencing troubling loss trends in key areas. While reforms, such as minor injury caps, treatment protocols and anti-fraud measures, have had stabilizing effects in recent years, there are signs of overheating in claims frequency and severity. Adjusters argue that a more thorough approach to claims handling and statement taking at first notice is a sound way to address cost pressures.
http://www.claimscanada.ca/issues/article.aspx?aid=1003221555
What happens when a lawyer says something bad to an Ontario Jury: the case of the dismissed Jury
99% of all car accident and injury cases settle out of Court.
1% (or less) of car accident and injury cases do in fact go to trial.
link to the case can be found here
PwC advises insurers to outsource claims ‘where appropriate’
One leading insurer uses “third-party fraud frameworks within special investigative units, resulting in increased efficiency and accuracy by preventing, detecting, and managing claim fraud,” PwC said in the report. The un-named insurer also partners with “third-party data providers to provide real-time data (such as geospatial, workers’ compensation injury reporting) that is integrated into insurer’s claims operations.”
Revised Standard Benefit Statement
A system so dysfunctional with so many changes and band-aids that even FSCO cannot keep up and doesn’t have a clear idea of what benefits we do and don’t have – if THEY don’t know – how are we supposed to figure this stuff out?
Following further testing and development of the Standard Benefit Statement, which was released with Bulletin A-09/13 on December 20, 2013, a deficiency in the form has been identified. https://www.fsco.gov.on.ca/en/auto/autobulletins/2014/Pages/a-05-14.aspx
Is there a better system out there?
Insurers and stakeholders are struggling to find a cure for Ontario’s auto insurance woes. But the solution may lie right next door, says Echelon Insurance’s President and Chief Operating Officer, George Kalopsis.
http://www.insurancebusiness.ca/news/is-there-a-better-system-out-there-181471.aspx
Ruling raises questions about limitation periods
A leave to appeal on an Appeal Court ruling dismissed by the Supreme Court of Canada has raised the question of whether there is a limitation period on claims