Friday 12 April 2019

Ontario Government Takes a Different Approach to Auto Insurance Reforms

The 2019 Ontario Budget is out and there's some positive news for auto insurance consumers.

Finally, a government in Ontario takes a slightly different approach to repairing a damaged auto insurance product. For too long, the focus has been largely on no-fault accident benefits and ignoring virtually every other aspect of the product. The result has been a complex system that has not kept up with our changing society.

Here is what the 2019 Ontario Budget has to say about auto insurance:

1. Lowering Costs and Fighting Fraud

Fighting fraud is a common theme for every government. The current government is looking for FSRA to overhaul the licensing system for service providers to reduce regulatory burden and fraud, including treatment fees. I'm not impressed with the existing licensing system. When I worked on it in the early part of the decade, I had intended on it to truly focus on identifying fraudulent operators. It would have only licensed the largest billing facilities. Instead, the government just designed a broad licensing system. Hopefully, someone will look back at the original intent. Streamlining the system will also reduce costs.

 The government has indicated that they would like to see contingency fee agreements become more transparent and review the effectiveness of contingency fees. Sounds like a good idea.

The government has also signalled a desire to establish a Serious Fraud Office. This is an idea that has been bounced around for years now. My view is that it is the insurance industry that has to take the lead on fraud as is the case with other industries.

The government also is pushing the idea of more e-commerce. That would mean more electronic communications when purchasing insurance and making claims. The Budget specifically mentions electronic proof of insurance, something I advocated for 6 years ago.

2. Increasing Accessibility and Affordability

This is a common theme when a government talks about auto insurance. How to achieve it is the trick. The Budget leaves the door open to basing rates on credit scoring and preferred provider for vehicle repairs and health care services. I don't see credit scores and providing more accessibility or affordability. It will have the opposite affect on low income families. Insurers will gladly swap territorial rating for credit score rating.

The government is also planning to simplify insurance forms, policies and other insurance documents. I'm all for that!

3. Adopting the Driver Car Plan

This is the most intriguing part of the Budget announcement for me. It talks about a Driver Care Card, which would streamline access to care. I have no idea what this would look like. It does relate to the long awaited programs of care.

I initiated the Programs of Care project before I left FSCO in 2011 and agree with its introduction. Led by Dr. Pierre Côté, the work on developing programs of care was completed in three years. Long overdue, this aspect of the Marshall recommendations and subsequent government announcement has been in development for six years.

 Programs of care were first developed by the Workplace Safety and Insurance Board (WSIB) to deal with low back pain. The initial whiplash associated disorder guidelines were created in 2003 based on the WSIB low back pain program of care. FSCO had undertaken to develop programs of care for a range of soft tissue injuries. An interim solution was the introduction of the minor injury definition and minor injury guideline in 2010. The expectation is that programs of care will simplify access to treatment and reduce disputes in the system. If that does occur, it will potentially reduce some of the transactional costs in the system.

Finally, the no-fault accident benefits cap on medical, rehabilitation and attendant care benefits for those catastrophically injured will be restored to $2 million. The cap was reduced to $1 million in 2016 by the previous government and was one of the worst changes they made. I'm for controlling costs for those with minor injuries but those with the most serious injuries need to be properly covered.

 4. Increasing Competition

Increasing competition really means breaking the existing mold where everyone has the same type of auto insurance product. Driving behaviour, usage and technology have all changed. The product needs to reflect that. So I agree, lets see some innovative products. As long as the regulator ensures consumers are adequately protected.

Again, the government is looking to FSRA to achieve these changes. What can we expect to see? Things like pay-as-you-go insurance. Great for people who don't drive much. Perhaps more telematics. A simplified rate approval process. Streamlining the SABS, something I've been advocating for, for years. Higher limits for small claims court.

This is an ambitious agenda and a break from previous reform initiatives. Can't wait to see how this plays out.