Commentary: The Failure of No-Fault Insurance

By Gary Wickert | May 12, 2016

  • May 12, 2016 at 9:12 am
    Bert Gindy says:
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    It’s not the No Fault system that’s a failure anymore than the tort system is the savior. In fact, No-Fault replaced Tort because it was abused and fraud was rampant there too.

    It’s the Legal system that needs to be reformed. Liberal laws, courts and an over abundance of lawyers drives up the cost of all goods and services in our economy. Oh, and did I mention fraud!

  • May 12, 2016 at 9:19 am
    Raymond Blacklidge says:
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    In 1990, the Ontario government introduced the no-fault insurance system to replace the old tort system. No-fault insurance was meant to expedite the processing of claims, to combat fraud and to prevent injured parties from suing those who caused the accidents (except in rare circumstances).

    The term ‘no-fault’ implies that no single person is at fault when an accident occurs. But that’s not entirely true. It simply means that when an accident occurs, each party involved reports the accident to his/her own insurance company, regardless of who is at fault.

    Under the no-fault system, an accident victim can still take legal action against the driver who causes an accident. This is known as a “tort” action, and in certain situations accident victims could sue for non-economic losses, in addition to any damages or benefits that their insurance provided paid out.

    No-fault insurance has helped to reduce the administration costs and the number of law suits arising from auto accidents, and made it easier for injured parties to receive prompt medical treatment and to be compensated for any loss as a result of an accident.

    One of the intended goals of the no-fault system was to keep auto insurance costs down. Instead, insurance rates in Ontario have continued to rise. The Financial Services Commission of Ontario has reported that auto insurance premiums increased by 5.6 per cent in 2008, 8.8 percent in 2009 and 6.2 percent in 2010. According to the Fraser Institute (2011), Ontario has the highest auto insurance rates in Canada.

    One of the reasons Ontarians pay higher auto insurance premiums is due to the systemic fraud within the system. Rehabilitation clinics, lawyers, repair shops, tow truck operators and accident victims who submit exaggerated claims are all complicit in driving costs up.

    On the benefits side of things, the Insurance Bureau of Canada recently stated in a media release that benefits for accident victims in Ontario were among the most generous in Canada. A close inspection of the facts reveals that this simply is not true.

    For accident victims who suffer minor injuries (60 per cent of all accident victims), rehabilitation benefits are capped at $3,500. To my knowledge, nowhere else in Canada is there a cap on minor injuries.

    For moderate injuries, victims are entitled to $50,000 in medical rehabilitation benefits (prior to 2010, it was $100,000). That $100,000 coverage is still available to anyone who pays a premium.

    For injuries deemed catastrophic (representing one per cent of accident victims), the cap for medical rehabilitation is $1 million. No other province provides a cap for catastrophic injuries, although some provinces allow for more than $1 million in coverage, if warranted.

    One nagging issue that consumers and dealers have with the no-fault system is the inherent loss of value of vehicles involved in accidents, and an inability to recoup those lost values.

    With vehicles involved in an accident, insurance will cover the cost of the repairs, but not the cost of lost value to that vehicle. Dealers are obligated by law to disclose the accident status (if applicable) on all vehicles offered for sale.

    While such disclosure and transparency are good for consumers, it still means that accident ‘status vehicles’ command a lower price and neither consumers nor dealers are not compensated for the dollar value difference.

    Over the past 26 years, the no-fault insurance legislation has been modified several times in order to make the system work more efficiently and equitably for consumers, and there has been considerable debate about the real benefit for Ontarians.

    Now is a good time for the province and all interested parties to revisit this topic with a fresh perspective. Trillium Automobile Dealers Association

  • May 12, 2016 at 3:13 pm
    Claims Guy says:
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    The litigious nature of our society, and the unabashed brain-washing by the ever-growing number of scumbag ambulance chasers & their misleading commercial/radio/billboard ads is what’s destroying any potential for no-fault laws to actually work. We are all fighting a never-ending battle to pull the hands of these thieves out of our pockets. If you ask me, PI attorneys commit more fraud per capita than any individual claimant by a factor of 100. Stop THAT, and you fix the system.

    Besides disbarring the entire lot of PI attorneys and starting over by educating the next crop of new attorneys to actually incorporate ethics when evaluating an injury case, and I mean a REAL injury case as opposed to a subjective tinnitus claim or a sore neck & back claim that everyone on the planet outside of the lawyer’s conference room knows is exaggerated, I don’t know what can be done to stop this runaway train.



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