Thursday, 4 July 2013

FSCO Releases Final Statement Of Priorities For 2013

Section 11 of the FSCO Act requires FSCO to deliver to the Minister of Finance and publish in The Ontario Gazette by June 30th of each year, a statement setting out the proposed priorities of the Commission for the fiscal year in connection with the administration of this Act and all other Acts that confer powers on or assign duties to the Commission or the Superintendent.

FSCO has released a final Statement of Priorities for 2013 which varies slightly from the draft released in April of this year. The changes largely reflect initiatves included in the provincial budget which passed last month.  Here is a summary of the auto insurance initiatives:

Design and implement an information technology Enterprise Development Program
  • FSCO will develop a web-based information technology system offering integrated services to stakeholders by giving them one-window access for all of their dealings with FSCO.
Work with the Ministry of Finance to implement a cost and rate reduction strategy for auto insurance 
  • FSCO will work with the Ministry of Finance on the implementation of legislative amendments from the 2013 Budget that commit to an average auto insurance rate reduction of 15 percent within a period of time to be determined by regulation, and provide the Superintendent with authority to require insurers to re-file their rates for approval.
Respond to the recommendations of the Auto Insurance Anti-Fraud Task Force
  • FSCO is addressing several recommendations. It is working with stakeholders to develop a consumer engagement and education strategy, developing an anti-fraud hotline, and will continue to work with the Ministry of Finance to implement recommendations from the Task Force, as directed by the government.
Respond to Auditor General’s 2011 Value-for- Money follow-up audit
  • The 2012 Ontario Budget included two initiatives that address the auditor’s recommendations.
  • In 2013, FSCO will begin the next five-year review of the auto insurance system which will include a review of cost containment strategies and benefit levels in other provinces.
  • FSCO considers several factors, including ROE, in reviewing the reasonableness of auto insurance rates filed by insurers.
  • FSCO is expanding its auto insurance attestation.
 Enhance auto insurance information and analysis
  • FSCO will conduct a closed claims study on third-party liability bodily injury claims in Ontario.
  • FSCO will review the data available through the Health Claims for Auto Insurance (HCAI) system.
Review and implement requirements for usage based auto insurance
  • FSCO is examining key regulatory issues and working with the auto insurance sector to ensure consumers are fairly treated when implementing voluntary usage-based auto insurance rating programs.
Work with Ministry of Finance on statutory and system reviews
  • FSCO will lead a mandated five-year review of the auto insurance system and a three-year review of the auto insurance risk classification and rate determination regulations.
Develop Minor Injury Treatment Protocol 
  • FSCO has retained medical and scientific experts to develop an evidence-based Minor Injury Treatment Protocol.
Work with the Ministry of Finance to develop and implement changes to the definition of Catastrophic Impairment

Work with the Ministry of Finance to complete a review of insurance company solvency regulation leading to recommendations for changes to the Insurance Act

Develop proposals to modernize disciplinary hearings for insurance agents and adjusters
  • FSCO will consult on proposals to create a model that aligns with the modern disciplinary, licensing, and enforcement processes and standards used in the other sectors FSCO regulates.
Implement fraud awareness stakeholder engagement strategy
  • FSCO will expand its fraud awareness social media outreach across all its regulated sectors.
  • FSCO will partner with law enforcement, the Ministry of Finance, the Ministry of Consumer Services, and industry associations in joint fraud awareness activities.
Work with other auto insurance rate regulators on common rate filing issues and requirements

Thursday, 6 June 2013

Insurance News - Thursday, June 6, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Thursday, June 6, 2013:

Take a 2-week hiatus for a vacation.  Will be back on June 20th.

Will Telematics Put An End To Age and Gender Discrimination?



Telematics has been one of the most talked about issues within the automobile insurance sector over the past several years.  Recently Desjardins Insurance launched Ajusto, the first widely-available automobile insurance program in Ontario which offers savings to drivers centered on usage-based insurance (UBI) technology. This is the ground-breaking territory in Canada despite the fact that pay-as-you-drive insurance has been available in the United States and Europe for some time.

Automotive telematics refers to the technology that uses hardware and software applications with remote communication devices, like cell phones, GPS, wireless devices and such, to obtain information about vehicles. Automotive telematics has been in use, mostly in high-end vehicles, for quite some time. But today newer technologies are helping unfold many opportunities for all stakeholders, more importantly in emerging economies.

Telematics enables vehicle owners or customers to constantly be in touch with service providers through incorporated software and hardware in their vehicles. In turn, service providers too, can offer a host of new services based on their customers’ preferences. Also, data sent remotely from a vehicle allows stakeholders like auto makers, dealers, fleet managers, and insurance providers to build better customer-relationship strategies.

There have been tomes written on the benefits of telematics and UBI including lowering premiums for good drivers¸ reducing traffic congestion, allowing parents to monitor teenage drivers and combating auto insurance fraud.  What we haven’t heard much about is that UBI will allow insurers to begin to move away from historical rating criteria such as age and gender, both of which have been contentious over the years.

In 1983 Michael Bates alleged that he was discriminated against because Zurich Insurance charged him higher premiums for his automobile insurance than a young, single, female driver with the same driving record or than drivers over age 25. He alleged that the rate classification system discriminated by grouping drivers by age, sex, and marital status and determining their premiums based on these factors.

Moving forward to 1992 the majority of the Supreme Court of Canada found that Zurich  did not discriminate against Michael Bates contrary to the Ontario Human Rights Code by charging him higher premiums for automobile insurance because of his age, sex, and marital status.

The Supreme Court found that charging higher premiums to young, unmarried, male drivers was discriminatory and contravenes the Ontario Human Rights Code. However section 21 of the Code permits discrimination in automobile insurance because of age, sex, marital status, family status or handicap as and the court determined that statistical evidence showed that young, male drivers are involved in proportionately more, and more serious, accidents than other drivers.

However the insurance industry was not totally absolved by the Supreme Court.  The Court encouraged the industry to begin looking more closely at non-discriminatory alternatives in rate setting in the automobile insurance industry. It ruled that the insurance industry could continue to use discriminatory criteria such as age and marital status as a bona fide means of assessing risk, but that the industry could not do so indefinitely.

To a certain extent insurers have used the Bates v. Zurich decision as a green light to base automobile insurance premiums on age, sex marital status and other socio-economic factors where statistical evidence supports higher rates.  It may be a matter of time before another court challenge occurs.  However, the next time it would be difficult to defend the existing practices now that non-discriminatory alternatives actually exist.

The move away rating based on age, sex and marital status has already begun.  It is prohibited to use gender in considering rates for automobile insurance in five provinces, with Alberta only allowing its use for private policies, not through the government-mandated scheme.  Ontario which has the largest share of the privately delivered automobile insurance market in Canada still uses age, sex and marital status in determining premiums.

In the U.S., California has recently joined 11 other states that prohibit gender rating in the individual health insurance market.  Consumer groups in the U.S. have been battling insurance regulators to prohibit or restrict non-driving factors in setting automobile insurance premiums.  Currently, insurers have been able to maintain the status quo while developing UBI programs that provide an alternative.

The European Union, has recently outlawed gender-based insurance premiums.  The European Court of Justice’s ruling, which follows a ten-year legal battle against the proposals by insurers, will put an end to women getting better deals on car insurance.  The ruling has increased pressure on the industry to adopt better discriminating factors, like those available through telematics.

It’s not just rating based on age, sex and marital status that is under the microscope but other socioeconomic factors like credit scoring as well.  Ontario, Alberta and Newfoundland and Labrador have banned the use of credit scoring in auto insurance as a result of pressure from politicians.  Politician supported by insurance brokers have begun to turn their attention to home insurance market where the use of credit information is also used.

The Office of the Privacy Commissioner of Canada recently released a report stating that it did not object to the use of credit information for purposes of assessing insurance risk.  It was noted that section 8 of Ontario’s Consumer Reporting Act confirms that credit information may be disclosed for the purpose of underwriting insurance. 

However, the privacy commissioner noted that there is no obvious link between credit information and insurance premiums and little transparency in the use of credit information.

So while the use of age, sex and marital status as well as other socio-economic factors in rating drivers has been upheld by the courts and tribunals, their continued use attracts criticism and in some cases legislative action.  Although UBI is still not available to many drivers, insurers who are considering moving towards UBI ensures that predictive criteria continued to be available as governments prohibit or restrict traditional criteria. In Canada, automobile insurers are keeping a close watch on developments at Desjardins.

Monday, 3 June 2013

Anti-Fraud Regulations Became Effective on June 1, 2013

Earlier this year the Ontario Government released the regulatory changes that will be made to help combat auto insurance fraud.  The changes were approved on January 21, 2013 and became effective on June 1, 2013. 

Regulation 14/13 amends the Statutory Accident Benefits Schedule (SABS) - 34/10

The amendments to the SABS include:

  • a requirement for insurers to provide all reasons when denying medical and rehabilitation claims; 
  • providing FSCO with authority to stipulate additional information that insurers must provide in bi-monthly benefit statements to claimants; 
  • giving insurers authority to require claimant confirmation of receipt of goods and services that have been billed; and 
  • providing FSCO with authority to stipulate by Guideline the maximum payable by insurers for goods as well as services.
A revised Cost of Goods Guideline was issued by FSCO on May, 29, 2013.  The accompanying Bulletin (A-2/13) also releases a number of revised claim forms. Effective January 1, 2013, the maximum fines under Part XIX of the Act have increased from $100,000 to $250,000 for a first conviction for an offence, and from $250,000 to $500,000 for each subsequent conviction. 


The following forms have been revised to reflect these changes:

Regulation 15/10 amends the Unfair or Deceptive Acts or Practices (UDAP) Regulation - 7/00.

The changes to the UDAP regulation include:

  • an offence to request, require or permit a claimant to sign an incomplete claim form and 
  • clarifying the exemption for lawyers and paralegals to ensure the regulation applies to lawyers and paralegals when not acting in a legal capacity.

Regulation 16/13 amends the Disputes Between Insurers (DBI) Regulation - 283/95.

The amendment to the DBI regulation allows for the insurer that receives the initial application for benefits to request one examination of the claimant under oath to assist in the determination of priority issues.

This amendment provides insurers with a second opportunity to request a claimant undergo an examination under oath.  The new DBI requirement is to assist an insurer to determine which insurer is liable to pay the claimant accident benefits.  The SABS provisions continues to assist an insurer to determine whether the claimant entitled to accident benefits.

Thursday, 30 May 2013

Insurance News - Thursday, May 30, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Thursday, May 30, 2013:

Wednesday, 29 May 2013

Electronic Proof



One would think that the standard auto insurance card seems like a throwback in this increasingly paperless age, but that it is not the case in Canada.

Despite smartphones, tablets and other technological gadgets now being part of everyday life, providing proof of auto insurance coverage is like a nostalgic trip back to the days of our parents or grandparents. In Canada, insurance companies and brokerages mail, fax and e-mail copies of the standard pink insurance slips to policyholders upon renewal or policy changes. 

In March 2013, Industrial Alliance Insurance and Financial Services provides its group health customers in Quebec with the option of an electronic version of their plastic insurance card. However, there is currently no movement to do the same for auto insurance policyholders.

In Ontario, the Compulsory Automobile Insurance Act (CAIA) states that drivers must “have in the motor vehicle at all times, (a) an insurance card for the motor vehicle; or (b) an insurance card evidencing that the operator is insured under a contract of automobile insurance, and the operator shall surrender the insurance card for reasonable inspection upon the demand of a police officer.”

Despite confirming existence of a card, fake or invalid insurance cards can be easily acquired. Obviously, an invalid card is going to look legitimate if an unscrupulous driver cancels the policy immediately after getting the card.
 
The Uninsured Vehicle Project, an initiative led by Ontario’s Ministry of Transportation, provides an electronic means of determining whether or not a vehicle carries mandatory insurance coverage when licence plates are being renewed by checking with the insurance industry’s online database. The wrinkle is that police officers do not have access to the database and accept as valid any insurance card that appears to not have expired.

CHANGING TIMES
In Ontario, the five-year review report of the superintendent of financial services at the Financial Services Commission of Ontario (FSCO) raised the issue of electronic commerce back in 2009. The superintendent noted he had received feedback from insurers that they would like to see legislation and regulations updated so that transactions regarding applications, policies, endorsements and renewals could be conducted electronically. 

The submission of the Canadian Association of Direct Response Insurers stated, “Of concern also is the requirement to provide a paper copy of the liability card. Companies should be able to provide the liability card along with all the other documentation in electronic form if the customer approves.”

The regulator indicated its primary concern regarding electronic commerce is the production of fraudulent liability cards. However, FSCO also acknowledged that fraudulent paper insurance cards currently exist and technological solutions may exist to address these concerns.

Based on the submissions received, FSCO noted it appeared that not all industry stakeholders were aware that Ontario’s Electronic Commerce Act, 2000 already enables auto insurers and others doing business in the province to implement electronic document delivery and electronic counterparts to traditional written documents and written signatures, provided certain functional equivalency rules are followed.

The five-year review signalled to the insurance industry that electronic documents, including the insurance card, was acceptable under existing Ontario law yet no insurer has introduced electronic proof on insurance over the past four years.

Steve Whitelaw, senior vice president of business solutions at The Dominion of Canada General Insurance Company, says that guidance is required from regulators in all jurisdictions with respect to security and auditability requirements. In addition, there are other logistical issues that need to be addressed by The Dominion that are relevant to its distribution of insurance through brokers, Whitelaw reports.

The capability to issue electronic policy documentation, including liability slips, is on The Dominion’s roadmap. “There are competing priorities,” he says, pointing out that “this topic does not appear to be a priority for consumers, and from our perspective, The Dominion’s focus remains on the replacement of our legacy systems.”

Ontario law is silent about whether or not an electronic version of the insurance slip counts as valid proof of insurance, but it is uncertain if police officers would accept an electronic version.

Consider such an incident: a driver in a recent minor accident could not locate his pink insurance slip. He contacted his broker from the scene of the accident who e-mailed him his pink slip as a PDF file. The police officer responding to the accident informed the driver that he bought himself one hour to produce a paper copy.

Bob Percy, deputy chief of the Halton Regional Police Service, says he sees an electronic insurance card being accepted by police “as long as there was comprehensive awareness of the process, and assurances that the material could in no way, shape or form be manipulated to create false, but legitimate-looking insurance slips.”

But how many people would be comfortable handing their personal devices to an officer who requires the information to complete the accident report?

Percy suggested the ideal approach would be to have an insurance database that officers could access, similar to the Canadian Police Information Centre (CPIC) database. This concept would be an up-to-date information repository that confirms insurance particulars with no reliance on the driver.

SERVICE ADJUSTMENT
Last year, J.D. Power and Associations issued results of a survey of the insurance industry in the United States, entitled, 2012 U.S. Auto Insurance Study Management Discussion.

“As customer preferences and interaction behaviours continue to evolve, insurers must be prepared to adjust their service strategies to keep pace with those changing preferences,” the report notes. “All insurers face the reality that customer expectations are being reshaped by market forces beyond their control — whether through the emergence of devices, such as the iPhone or iPad and platforms such as Twitter or Facebook, or through changing servicing dynamics being introduced in other industries. Every insurer must recognize that adapting to the changing service — channel preferences is a decision of necessity that will need to be made in the not-too-distant future. Ultimately, it all comes down to customer choice — today that choice is rapidly expanding to include a variety of new self-service tools and interfaces.”

The Property Casualty Insurers Association of America (PCIAA) reports that 11 U.S. states — Alabama, Arizona, Arkansas, California, Idaho, Kentucky, Louisiana, Minnesota, Mississippi, Virginia and Wyoming — now have laws or regulations on the books that allow for electronic insurance cards to be used for both vehicle registration and when being pulled over by the police.

In Colorado, drivers can use the e-cards for registration, but will not for police traffic stops. However, the he state is considering legislation that would extent electronic proof to traffic stops as well.

PCIAA reports that the governors of Kansas and Indiana are expected to sign legislation in their states, while several other states — Florida, Georgia, Hawaii, Indiana, Iowa, Maine, Michigan, Missouri, Ohio, Oregon, Rhode Island, South Carolina, Texas, Utah, Washington and Wisconsin — have pending legislation on the matter.

For drivers in states that allow for electronic insurance cards, it would be wise to still have a paper copy handy when driving outside of home jurisdiction.

PRIVACY MATTERS
There are some valid concerns about e-cards. For example, what privacy rights, if any, are being handed over when someone — let alone a police officer — is allowed to look at a driver’s phone to view his or her insurance card? While some states have put limits on what can be viewed — Arizona, for example, specifies that showing an e-card does not imply consent to view other items on a wireless device — many have no such language.

It appears inevitable that electronic proof of insurance will come to Canada. The technology exists and both government regulators and police forces appear open to the change. It just seems that no insurer particularly wants to be the first to make the move.

Monday, 27 May 2013

Insurance News - Monday, May 27, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Monday, May 27, 2013:

Thursday, 16 May 2013

Insurance News - Thursday, May 16, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Thursday, May 16, 2013:

Friday, 10 May 2013

Auto Insurance Sections of Budget Bill (Bill 65)

The first reading version of the Budget Bill (Bill 65) is now available online.  Approximately 50% of Bill 65 is related to auto insurance which clearly illustrates how politicized the auto insurance file has become.  The Bill, if passed by the legislature, would amend the Automobile Insurance Rate Stabilization Act, 2003, Financial Services Commission of Ontario Act, 1997 and the Insurance Act.

Amendments to the Automobile Insurance Rate Stabilization Act, 2003

The Automobile Insurance Rate Stabilization Act, 2003 (Bill 5) was passed in 2003 to temporarily freeze auto insurance rates for private passenger vehicles and to provide for the review and regulation of risk classification systems and automobile insurance rates for private passenger vehicles.  Some of the provisions were repealed in subsequent years.

A new provision would establishes an industry-wide target for the reduction of rates that insurers are permitted to charge for the private passenger vehicles.  The rate would be set 15%.   A regulation would be approved that sets out how to determine an industry-wide average rate reduction as well as the time frame for achieving the rate reduction. The regulation could allow for periodic reductions as opposed to a one-time reduction.

The Superintendent would be able to order an insurer to file new rates before a certain as well as order the insurer to begin using the new rates as of a specific date.  An insurer's rates would be presumed to be not "just and reasonable" if in the Superintendent's opinion they do not contribute to the 15% rate reduction target.  In addition, the Superintendent would be able to refuse a rate filing if the proposed risk classification system is not reasonably predictive of risk, the proposed rates would impair the insurer's solvency or the proposed rates are excessive in relation to the insurer's financial circumstances.

An order by the Superintendent is final and not subject to appeal.

Amendments to the Financial Services Commission of Ontario Act, 1997

The sectors regulated by FSCO would be expanded to include service providers licensed by FSCO.  A service provider's licence can be revoked if they have not paid an assessment required by the Act.

 Amendments to the Insurance Act

The amendments to the Insurance Act fall into 2 categories: those that related to the payment of statutory benefits and those that relate to the regulatory powers of the Superintendent.

A new category of accident benefits would be created called "listed expenses."  Listed expenses would include medical, rehabilitation and attendant care benefits under sections 15, 16 and 19 of the SABS as well as assessments and examinations under sections 25 and 44 of the SABS.

An insurer would not be able to make payment for listed expenses to a service provider unless the provider was licensed by FSCO.  An insurer would be able to reimburse a claimant.  Other exceptions may be set out in regulations. Licensed service providers would be required to comply with business standards which are to be set out in regulations and submit invoices directly to an insurer (or HCAI).  The classes of licences would also be set out in regulations.

The Superintendent would be authorized to issue a licence if he is satisfied that the service provider applying meets all the requirements for licensing.  The Superintendent can impose conditions on a licence and can revoke or suspend a licence for non-compliance.  A licence is not transferable.  Decisions of the Superintendent can be appealed to the Financial Services Tribunal.

A licensed service provider would have to designate a principal representative based on criteria set out in regulations and that person would have to carry out certain duties set out in regulations.

There is a new provision that clarifies that a guideline issued by the Superintendent would be binding if it is incorporated by reference into the SABS.

The three auto insurance statutory reviews (in sections 289, 289.1 and 417.1) would be combined into one review that must occur at least every three years.  The Minister would provide the report to the legislature.  The first review would take place in 2013.

The powers of the Superintendent would be expanded to investigate anyone who was previously in the business of insurance, licensed service providers or anyone else the Superintendent considers may be engaged in unfair or deceptive acts or practices.  This would include examining records, books and other information held by a licensed service provider.

Insurance News - Friday, May 10, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Friday, May 10, 2013:

Thursday, 2 May 2013

2013 Ontario Budget - Auto Insurance

The section on auto insurance in the Ontario Budget document is likely the longest I can remember.  Certainly the auto insurance file has been given a higher profile given rate relief is one of the demands coming from the NDP over the past few months.

To achieve the 15% premium reduction, the government will introduce legislative amendments that would, if passed:
  • Legislate a premium reduction of 15% on average within a period of time to be prescribed by regulation.  The Budget does not indicate whether that time period would be 1 year as demanded by the NDP.
  • Require insurers to offer lower premiums for consumers with safe driving records. This is an interesting twist.  If the average reduction is 15% and safe drivers are being targeted for the biggest reductions, does that mean they will see greater than 15% reductions?  Also it will be interesting to see how a "safe driving record" is defined.
  • Give the Financial Services Commission of Ontario (FSCO) the authority to license and oversee business practices of health clinics and practitioners who invoice auto insurers.  This is part of the implementation of recommendations made by the Auto Insurance Anti-Fraud Task Force.
  • Provide the Superintendent of Financial Services with the authority to require insurers to file for rates.  Bill 5 in 2003 removed from the Insurance Act, the authority for the Superintendent to require insurers to refile their rates.  That authority is finally being restored.
  • Make the Superintendent’s Guidelines binding — incorporated by reference in the Statutory Accident Benefits Schedule.  This is directly related to the recent Scarlett and Belair arbitration decision. It may soothe jittery insurance company nerves but is not likely needed. 
  • Expand and modernize the Superintendent’s investigation and enforcement authority, particularly in the area of fraud prevention.  This is also part of the implementation of recommendations made by the Auto Insurance Anti-Fraud Task Force.
  • Consolidate statutory auto insurance reviews. This recommendation was first made by the Superintendent in the 2009 Five-Year Review Report but has never been implemented. Currently, FSCO conducts a two-year review of the statutory accident benefits, a three-year review of the rates and classifications system and a five-year review of the auto insurance system  There are no cost savings related to this proposed legislative amendment.
There are some additional changes being proposed.  A new independent annual report by outside experts will look at the impact of reforms introduced to date on both costs and premiums. The report will review industry costs and changes to premiums, and recommend further actions that may be required to meet the government’s reduction targets.  This appears to overlap with the existing statutory auto insurance reviews so it will be interesting to see who will be involved in developing these annual reports and what they will contain.

Other government announcements include:
  • A review of the current auto insurance dispute resolution system by an expert and propose legislative amendments in the fall of 2013.  This initiative was included in the 2012 Budget.
  • Basing auto insurance benefits on medical evidence, including directing the regulator to provide an interim report this year on the progress of the Minor Injury Treatment Protocol project.
  • Investigating additional new measures to reward safe driving and reduce costs and premiums.
The government will call on FSCO to reduce the current 12% return-on-equity benchmark used in rate filings. Depending on the new benchmark selected, this could fund a significant portion of the 15% rate roll-back.

The government will also conduct further study and consultation on other initiatives to reduce costs, including provincial oversight of towing and amending the definition of catastrophic impairment in the Statutory Accident Benefits Schedule. There are both contentious issues to the government is only committing to further review and consultation.

Insurance News - Thursday, May 2, 2013

Here are the leading auto insurance headlines from ONTARIO AUTO INSURANCE TOPICS ON TWITTER for Thursday, May 2, 2013: