Monday, 21 May 2012

Insurance News - Monday, May 21, 2012

NY to Boot Crooked Doctors From No-Fault Insurance

Insurance regulators plan to start kicking crooked doctors out of New York's no-fault program next month, calling them linchpins in fake-accident scams that cost insurers and ultimately policyholders hundreds of millions of dollars.

Regulations are set to take effect June 12. The Department of Financial Services sent certified letters in March to 135 doctors, chiropractors, acupuncturists and physical therapists, demanding they explain suspect billing patterns and threatening to remove them from the program if they don't respond.

read more here...

Driver Qualifies for Benefits Despite Driving Vehicle Without Owner's Consent

A Financial Services Commission of Ontario (FSCO) arbitrator has ruled a 17-year-old driver who suffered serious injuries in an accident should receive non-earner benefits even though it is alleged he was driving a car without the owner’s consent.

The main issue in the arbitration of R.P. and Intact Insurance Company was whether or not the driver, who was not named because of his status as a minor, could “reasonably have known that he lacked consent to drive the 1998 Lincoln.”

R.P. had regularly driven the car, which was owned by a family with which he lived. R.P. was seriously injuried in the The vehicle owner's testimony was determined not be be reliable and that R.P. was not allowed to drive the car. That being the case, the arbitrator ruled it was reasonable for him to assume R.P. had consent on the night of the accident, April 11, 2009.

read decision here...

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