Regulation - LGIC
Service Provider Licensing - Proposed Amendment to O. Reg. 34/10 (Statutory Accident Benefits Schedule - Effective September 1, 2010)
Regulation Number(s):
Ontario Regulation 34/10 (Statutory Accident Benefits Schedule – Effective September 1, 2010)
Instrument Type:
Regulation - LGIC
Bill or Act:
Insurance Act
Summary of Decision:
The amendment to Ontario Regulation 34/10 (Statutory Accident Benefits Schedule - Effective September 1, 2010) has been approved.
Further Information:
Financial Services Commission of Ontario – Service Providers
Ontario Regulation 34/10 (Statutory Accident Benefits Schedule – Effective September 1, 2010)
Insurance Act
Ontario Regulation 227/14
Proposal Number:
14-MOF018
Posting Date:
September 30, 2014
Summary of Proposal:
The Statutory Accident Benefits Schedule (SABS) would be amended to require claimants who go to unlicensed service providers to obtain specified billing information from their service provider and submit this information to their insurer when seeking reimbursement.
The SABS would also be amended to require insurers to report to the central processing agency (currently the Health Claims for Auto Insurance or ?HCAI? system) the same information when they reimburse a claimant for a ?listed expense? as they are already required to report when invoiced by a service provider for services specified in the HCAI Guideline issued by the Superintendent of Financial Services.
These amendments will ensure the continuity of robust and more complete data collection by the central processing agency. It will avoid possible loss of data that may otherwise occur when claimants are invoiced directly by service providers who are not licensed to be paid directly through the central processing agency.
The SABS would also be amended to require insurers to report to the central processing agency (currently the Health Claims for Auto Insurance or ?HCAI? system) the same information when they reimburse a claimant for a ?listed expense? as they are already required to report when invoiced by a service provider for services specified in the HCAI Guideline issued by the Superintendent of Financial Services.
These amendments will ensure the continuity of robust and more complete data collection by the central processing agency. It will avoid possible loss of data that may otherwise occur when claimants are invoiced directly by service providers who are not licensed to be paid directly through the central processing agency.
Contact Address:
Senior Manager
Insurance Policy Unit
Financial Institutions Policy Branch
Ministry of Finance
95 Grosvenor Street
Frost Building North, 4th Floor
Toronto, ON
M7A 1Z1
Insurance Policy Unit
Financial Institutions Policy Branch
Ministry of Finance
95 Grosvenor Street
Frost Building North, 4th Floor
Toronto, ON
M7A 1Z1
Effective Date:
December 1, 2014
Decision:
Approved