Changes to Ontario Auto Insurance

As a result of announcements made in the Ontario provincial budget for 2015, there are several pending changes to the Ontario Automobile Insurance product. In particular, there are several important changes to the Accident Benefits coverage in each Ontario Auto policy, which pays those costs associated with injury to you or your passengers in an accident. These are important changes that can impact you and your family – please take a moment to read through the changes:

1. Combination of Medical/Rehab and Attendant Care Benefit Limits
   1. The maximum benefit level for medical/rehabilitation and attendant care services has been combined with a $65,000 limit. Previously, limits were $50,000 for medical/rehabilitation and $36,000 for attendant care. While this combined $65,000 limit represents a reduction in the overall limit, it remains the richest accident benefits product in Canada.
   2. Policyholders will have the option to upgrade these benefits, up to a total limit of $1,000,000.
2. Reducing the Maximum Duration of Medical & Rehabilitation Benefits from 10 years to 5 years
   1. A five year limit will apply to all medical & rehabilitation benefits with the exception of children claimants, who will have 10 years.
   2. This five year limit remains longer than the claim duration available in other provinces.
   3. Policyholders will have the option to increase this coverage.
3. Catastrophic Injury Definition Update and Change to Catastrophic Benefit Limits
   1. Updating the definition of a ‘catastrophic impairment’, which triggers a new maximum limit of $1,000,0000 for Medical/Rehabilitation and Attendant Care services. Previously, the limit was $1M for Medical/Rehab and $1M for Attendant Care.
   2. The government’s expert panel and the Superintendent of Insurance sought to change the definition to reflect updated medical knowledge and to provide a clear definition to apply in the case of serious injuries. In recent years, an unclear definition allowed many less serious injuries to be designated catastrophic, triggering these high benefit payouts and increasing the overall cost of auto insurance for all users.
   3. Policyholders will have the option of increasing their catastrophic benefit limit from $1,000,000 to $2,000,000.
4. Non-Earner Benefits
   1. The current six-month waiting period for non-earner benefits will be eliminated, with the duration of these benefits being limited to two years from the date of the accident.

There are other changes to the Ontario Auto product arising out of this budget, including the introduction of a “Winter Tire” discount in January 2016 for all Insurers. As more details on the premium implications of the optional benefits above and other changes to the policy become available, we will keep you informed.

For more details, visit:

• 2015 Ontario Budget – Auto Reforms (Insurance Bureau of Canada)
• Amendments to Automobile Insurance Legislation and Regulations (Financial Securities Commission of Ontario)