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Province makes sweeping changes to auto insurance policy requirements

Ontario drivers are being encouraged to review their auto insurance policies following the implementation of sweeping changes to the province’s accident benefits system that took effect on July 1.

The reforms, introduced by the Ontario government, give motorists greater flexibility in choosing the level of accident benefits included in their insurance policies. While the province says the changes are intended to provide consumers with more choice and help manage insurance costs, consumer advocates are urging drivers to understand what protections they may be giving up before opting out of coverage.

The most significant change affects statutory accident benefits, which provide support to people injured in motor vehicle collisions regardless of who is at fault.

Under the new rules, several benefits that were previously included in every standard auto insurance policy are now optional. Drivers purchasing or renewing a policy can choose whether to maintain coverage for income replacement benefits, caregiver benefits, housekeeping and home maintenance expenses, non-earner benefits, lost educational expenses, visitor expenses, damage to clothing and personal items, and death and funeral benefits.

Core medical, rehabilitation and attendant care benefits remain mandatory and continue to be available under every Ontario auto insurance policy.

The reforms also change how certain medical expenses are paid following a collision. For accidents occurring on or after July 1, auto insurance becomes the first payer for most medical and rehabilitation costs, excluding prescription drugs. Previously, many of those expenses were initially covered through workplace or private extended health benefit plans.

The Financial Services Regulatory Authority of Ontario (FSRA) says the change is intended to streamline claims and preserve employer-sponsored health benefits for non-automobile-related medical needs.

Another notable change affects who is eligible for optional accident benefits. While mandatory benefits remain available to eligible accident victims, optional coverage is generally limited to the named insured, their spouse, dependants and listed drivers on the policy. Passengers, pedestrians and cyclists who are not covered under one of those categories may no longer have access to optional benefits unless they are insured under a qualifying policy.

The changes do not automatically alter existing insurance contracts. Drivers with policies already in force will generally retain their current level of coverage until their policy comes up for renewal or is amended. At that point, insurers are required to explain the available options so consumers can decide whether to keep or remove optional protections.

Insurance industry representatives have welcomed the reforms, saying they offer greater flexibility for consumers who may not need every available benefit. However, legal experts and consumer advocates caution that reducing coverage could leave some people facing significant financial hardship if they are seriously injured in a collision.

The Ontario government has encouraged drivers to carefully review their policies and discuss their individual circumstances with their insurance broker or provider before making decisions about optional coverage.

The July 1 reforms represent one of the most significant changes to Ontario’s auto insurance system in recent years, shifting from a standardized package of accident benefits toward a more customizable model that places greater responsibility on consumers to determine the level of protection that best meets their needs.

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