Author Archives: Admin2

How to bust P&C insurance fraud at its source

The bombshell news of the “Wicked Tuna” TV star defrauding the U.S. government for $44,000 worth of disability benefits should serve as a critical lesson: insurance fraud is prevalent, and can come from almost anywhere.

http://www.insurancebusiness.ca/news/how-to-bust-pandc-insurance-fraud-at-its-source-193714.aspx

Story here:

TV star indicted for insurance fraud

http://www.insurancebusiness.ca/news/tv-star-indicted-for-insurance-fraud-193694.aspx

Could the auto insurance industry be obsolete in 20 years?

In today’s world, change is inevitable, especially as technology quickly changes how we live and work. So, it’s not surprising that an auto insurance market research analyst is predicting the end of the auto insurance business as we currently know it.

http://www.ilstv.com/will-the-auto-insurance-industry-be-obsolete-in-20-years/

Will driverless cars ‘eviscerate’ insurance industry?

Safer cars, including driverless ones, are likely to “eviscerate” the car insurance industry, according to one auto insurance analyst. But until that day of reckoning comes, new technology also will make it easier and cheaper for carriers to sign up policyholders.

http://www.ilstv.com/will-driverless-cars-eviscerate-insurance-industry/

FSCO: Chronic Pain Removes Applicant from Minor Injury Guideline

The Minor Injury Guideline (MIG) was introduced in Ontario on September 1, 2010,  imposing a limit of $3500 on auto insurance claims for a minor injury, which can include a “sprain, strain, whiplash associated disorder, contusion, abrasion, laceration or subluxation and any clinically associated sequelae”. Despite having been introduced almost 5 years ago, interpretation of this area been challenging, as only a few written decisions have addressed the MIG.

http://www.timleighbell.com/car-accidents/fsco-chronic-pain-removes-applicant-from-minor-injury-guideline/

Oxycodone prescribing down, but deaths from opioids overall on rise: experts

TORONTO – Measures to reduce prescribing of oxycodone have cut the number of fatal overdoses in Ontario, but other opioids are increasingly taking its place and contributing to a rise in drug-related deaths, addiction experts say.

http://www.cfra.com/HealthCP/Article.aspx?id=474591

LIMITATION PERIOD FOR EXAMINATIONS UNDER OATH

In a recent FSCO decision, Arbitrator Murray concluded that the Insurer was precluded from conducting an examination under oath in relation to the Applicant’s claim for IRBs and HK benefits pursuant to section s.36(4)(c) as the request was made more than 10 days after the insurer received the application for the benefits. The Applicant was injured in a motor vehicle collision and applied for and was in receipt of SABS.

http://www.judithhull.com/limitation-period-for-examinations-under-oath/

Div Crt Resets Clock on Attendant Care Interest

In Grigoroff v Wawanesa, the plaintiff was involved in a motor vehicle accient on December 7, 2001. She retained occupational therapists and case managers who prepared assessments of her attendant care needs on the form required by the SABS (Form 1). Invoices were prepared pursuant to these assessments, all of which the insurer paid in full.

http://www.insblogs.com/auto/div-crt-resets-clock-attendant-care-interest/5737?utm_source=CU&utm_medium=email&utm_campaign=CU-EN07272015&e=s7vw03Wsv64srM2vx

Northern Ontario workers stay longer on disability: study

A new study has found that northern Ontario workers spend more time off the job because of workplace illnesses and injuries than do their southern Ontario counterparts.

http://www.cbc.ca/news/canada/thunder-bay/northern-ontario-workers-stay-longer-on-disability-study-1.3166885

Insurance coverage for medical marijuana on the horizon: experts

TORONTO (NEWS 1130) – Canadians who have been prescribed medical marijuana could one day see their insurance company footing the bill, experts predict, following the introduction of new Health Canada rules that allow for the sale of cannabis oils.

http://www.news1130.com/2015/07/26/insurance-coverage-for-medical-marijuana-on-the-horizon-experts/

TTC benefits used in alleged insurance fraud

Toronto police have charged the owner and two employees of an orthotics store, Healthy Fit, in connection with a fraud scheme in which Manulife Insurance was allegedly bilked of more than $4 million through the TTC’s benefits program.

http://metronews.ca/news/toronto/1435307/ttc-benefits-used-in-alleged-insurance-fraud/