Regulation - LGIC
Ontario Regulation 38/10
Regulation Number(s):
Ontario Regulation 38/10
Instrument Type:
Regulation - LGIC
Bill or Act:
Insurance
Summary of Decision:
This regulation amends Regulation 283/95 to ensure that, where there may be a dispute regarding which insurer is liable to pay for statutory accident benefits, claims will not be deflected and claimants will receive payments without delay, pending a resolution regarding which insurer is required to pay the benefits. The changes include:
• Requiring insurers to provide timely access to applications for benefits to claimants.
• Prohibiting insurers from attempting to prevent or discourage claimants from submitting applications to them.
• Prohibiting insurers from refusing applications or attempting to redirect claimants to other insurers.
• Requiring claimants to submit their applications for benefits to only one insurer, rather than all insurers who may be liable.
• Requiring the first insurer that receives a completed application to provide benefit payments without delay.
• Requiring insurers to provide timely access to applications for benefits to claimants.
• Prohibiting insurers from attempting to prevent or discourage claimants from submitting applications to them.
• Prohibiting insurers from refusing applications or attempting to redirect claimants to other insurers.
• Requiring claimants to submit their applications for benefits to only one insurer, rather than all insurers who may be liable.
• Requiring the first insurer that receives a completed application to provide benefit payments without delay.
Further Information:
Ontario Regulation 38/10
Proposal Number:
10-MOF011
Posting Date:
March 22, 2010
Summary of Proposal:
This regulation amends Regulation 283/95 to ensure that, where there may be a dispute regarding which insurer is liable to pay for statutory accident benefits, claims will not be deflected and claimants will receive payments without delay, pending a resolution regarding which insurer is required to pay the benefits. The changes include:
• Requiring insurers to provide timely access to applications for benefits to claimants.
• Prohibiting insurers from attempting to prevent or discourage claimants from submitting applications to them.
• Prohibiting insurers from refusing applications or attempting to redirect claimants to other insurers.
• Requiring claimants to submit their applications for benefits to only one insurer, rather than all insurers who may be liable.
• Requiring the first insurer that receives a completed application to provide benefit payments without delay.
• Requiring insurers to provide timely access to applications for benefits to claimants.
• Prohibiting insurers from attempting to prevent or discourage claimants from submitting applications to them.
• Prohibiting insurers from refusing applications or attempting to redirect claimants to other insurers.
• Requiring claimants to submit their applications for benefits to only one insurer, rather than all insurers who may be liable.
• Requiring the first insurer that receives a completed application to provide benefit payments without delay.
Contact Address:
Cathryn MacFarlane
Senior Manager
Industrial and Financial Policy Branch
Ministry of Finance
95 Grosvenor Street, Frost North, 5th floor
Toronto ON M7A 1Z1
Senior Manager
Industrial and Financial Policy Branch
Ministry of Finance
95 Grosvenor Street, Frost North, 5th floor
Toronto ON M7A 1Z1
Effective Date:
September 1, 2010
Decision:
Approved