Posts Tagged: minor injury guideline
Premised on the need to fight fraud, Ontario Regulation 194/11 is being introduced effective July 1, 2011.
Car insurers can ask for backgfound information and identity confirmation for all service providers who seek to provide treatment to people involved in car accidents.
Car insurers can also request copies (or inspect originals) of all supporting documentation relating to treatment plans which are submitted on behalf of people hurt in car accidents.
Payment for treatment is not required until all of this information is provided.… Continue Reading
Our thanks to Chinese News Group and Nancy Jin for allowing us to participate in their October 22, 2010 article about the changes to Ontario’s SABS (Statutory Accident Benefits Schedule) in September 1, 2010. The article is also here in PDF format.
As background, readers may wish to review our:
· blogs on changes to Ontario’s Accident Benefits system – Parts 1,2, 3, 4, 5, 6, 7, 8 and 9;
· our blogs on Accident Benefits cases in general; and
· our FAQS regarding background information on Accident Benefitsand motor vehicle accidents.… Continue Reading
The new SABS (Statutory Accident Benefits Schedule) in Ontario, introduced in September, 2010, is found here.
The Minor Injury Guideline is found on the FSCO (Financial Services Commission of Ontario) website here.
Given that the focus and purpose of the Minor Injury Guideline is to guide claimants to maximal medical recovery within the $3,500 hard cap, query whether this will affect the application of the income replacement benefits issue across the board.
Under the Minor Injury Guideline, there is approximately $1700 worth of treatment anticipated in the initial 3 blocks of treatment. … Continue Reading
One exception to the Minor Injury Guideline are pre-existing medical conditions which “will prevent the insured person from achieving maximal recovery from the minor injury if he or she is subject” to the Minor Injury Guideline (i.e. the $3,500 hard cap).
This exception is only expected rarely, as explicitly set out in Paragraph 4 of the Minor Injury Guideline:
Only in extremely limited instances where compelling evidence provided by a health practitioner satisfactorily demonstrates that a pre-existing condition will prevent a person from achieving maximal recovery from the minor injury for the reasons described above is the person’s impairment to be determined not to come within this Guideline.… Continue Reading
A significant change in September, 2010 was to introduce a new concept, the “Minor Injury Guideline”, into the lexicon of car accident claims in Ontario.
The actual Minor Injury Guideline is found on the FSCO (Financial Services Commission of Ontario) website here.
The Minor Injury Guideline imposes a $3,500 hard cap on the Accident Benefits insurer’s obligation to fund all treatment and assessments for those injuries that fall within.
Simply put, if you have an injury that falls inside the Minor Injury Guideline, you will then only receive up to $3,500 in treatment in Accident Benefits.… Continue Reading
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