ATTENTION: BULLETIN NO.: F DATE: APRIL 7, 2010 SUBJECT:

Transcription

1 TO: ATTENTION: MEMBERS OF THE FACILITY ASSOCIATION CHIEF EXECUTIVE OFFICER ONTARIO RISK SHARING POOL PROJECT MANAGERS BULLETIN NO.: F DATE: APRIL 7, 2010 SUBJECT: RISK SHARING POOL ONTARIO AUTO REFORM Please be advised that the Ontario Risk Sharing Pool record layout format is being revised to accommodate the choices and flexibility consumers will have in their auto insurance coverage effective September 1 st, The Accident Benefits and Bodily Injury coverage options have introduced eight new subcoverages which must be reported on all policies ceded to the Ontario Risk Sharing Pool with effective dates of September 1 st, 2010 or later. Please refer to the attached for further details. We will be providing members with a two-week test period for the revised record layout format which is scheduled to commence on June 28 th, The scheduled go-live date for the changes is July 12 th, During the test period members will be able to view their submitted test data on the Risk Sharing Pool Submission Reports. Confirmation of these dates and details surrounding testing procedures will be communicated in a future bulletin. If you have comments or questions on the record format layout changes, please contact Facility Association by at RSP@facilityassociation.com. David J. Simpson, M.B.A., FCIP President & CEO

2 Bulletin F10-25 Attachment - Page 1 of 7 Ontario Risk Sharing Pool Accident Benefits /Bodily Injury Options Rcd. Fmt. Id. 61 Medical and Rehabilitation 62 Attendant Care Caregiver, Housekeeping and Home Maintenance Income Replacement 65 Dependant Care 66 Death and Funeral Level of Code Value Description 0 Option 1 1 $100,000 non-catastrophic Option 2 2 $1,100,000 for Medical and Rehabilitation and $1,072,000 for Attendant Care 0 Option 1 1 $72,000 non-catastrophic Option 2 2 $1,100,000 for Medical and Rehabilitation and $1,072,000 for Attendant Care 0 Optional (noncatastrophic) 1 Housekeeping and home maintenance up to $100 per week, Caregiver benefits up to $250 per week plus $50 per dependant 0 Option 1 1 Maximum $600 per week up to 70% of gross income Option 2 2 Maximum $800 per week up to 70% of gross income Option 3 3 Maximum $1,000 per week up to 70% of gross income 0 None offered Optional 1 $75 per week for the first dependant and $25 for every additional dependant, up to $150 per week 0 Optional 1 $50,000 eligible spouse; $20,000 each dependant; maximum $8,000 funeral expenses

3 Bulletin F10-25 Attachment - Page 2 of 7 Ontario Risk Sharing Pool Accident Benefits /Bodily Injury Options Rcd. Fmt. Id. 67 Indexation Level of Code Value Description 0 Optional 1 Certain weekly benefit payments and monetary limits will increase on an annual basis to reflect changes in cost of living Rcd. Fmt. Id. 60 Bodily Injury Level of Description 0 Added to Offset Tort Deductible OPCF 48 not selected Optional 1 Add to Offset Tort Deductible OPCF 48 selected - $20,0000 deductible (not at fault accident victims) $10,000 deductible (family members under the Family Law Act)

4 Bulletin F10-25 Attachment - Page 3 of 7 Submission Control 1. RSP Identifier* NUM 3 All 1 3 N/A N/A N/A N/A N/A N/A N/A N/A 2. Record Identifier NUM 1 All Batch Code CHAR 3 All Entry Year / Month DATE 6 CCYYMM All Company Number NUM 3 All Branch Code CHAR 2 All Agency Code CHAR 5 All Entry Number NUM 2 All Transaction Code CHAR 1 All For Future Use (blanks) CHAR 13 All Policy 11. Policy Number ** CHAR 20 All Transfer Date DATE 8 CCYYMMDD All Expiry Date DATE 8 CCYYMMDD All Mass Merchandising Indicator CHAR 1 ON only N/A N/A N/A N/A N/A N/A For Future Use (blanks) CHAR 8 All Vehicle 16. Territory Code NUM 3 All

5 Bulletin F10-25 Attachment - Page 4 of Vehicle Number** NUM 3 All Type of Business NUM 1 All Type of Use NUM 2 All Occasional Operator CHAR 1 All TPL Driving Record NUM 1 All Collision /All Perils Driving Record NUM 1 All Accident Benefits Driving Record NUM 1 ON only N/A N/A N/A N/A N/A N/A Grid Indicator CHAR 1 AB only N/A N/A N/A N/A N/A N/A 25. Inexperienced or Experienced Driver Indicator CHAR 1 NS only N/A N/A N/A N/A N/A N/A 26. For Future Use (blanks) CHAR 10 All Operator 27. Operator s Age NUM 2 All Years Licensed NUM 2 All Number of Chargeable Accidents NUM 2 All Number of Minor Violations NUM 2 All Number of Major Violations NUM 2 All Number of Criminal Code Convictions NUM 1 All For Future Use (blanks) CHAR 9 All

6 Bulletin F10-25 Attachment - Page 5 of Third Party Liability Code CHAR 2 All Third Party Liability Limit CHAR 1 All For Future Use (blanks) CHAR 8 All Third Party Liability Premium NUM 7 SNNNNNN All BI - Bodily Injury Code CHAR 2 ON only N/A N/A N/A N/A N/A N/A BI - Premium NUM 7 SNNNNNN ON only N/A N/A N/A N/A N/A N/A PD - Property Damage Tort Code CHAR 2 ON only N/A N/A N/A N/A N/A N/A PD - Premium NUM 7 SNNNNNN ON only N/A N/A N/A N/A N/A N/A DCPD Direct Compensation Code 43. DCPD Direct Compensation Deductibles CHAR 2 ON only N/A N/A N/A N/A N/A N/A NUM 2 ON only N/A N/A N/A N/A N/A N/A For Future Use (blanks) CHAR 8 All DCPD Premium NUM 7 SNNNNNN ON only N/A N/A N/A N/A N/A N/A UA Uninsured Automobile Code CHAR 2 NB, NS, ON N/A N/A UA Uninsured Automobile Premium NUM 7 SNNNNNN NB, NS, ON N/A N/A Underinsured Motorist Code CHAR 2 All For Future Use (blanks) CHAR 8 All

7 Bulletin F10-25 Attachment - Page 6 of Underinsured Motorist Premium NUM 7 SNNNNNN All Accident Benefits Code NUM 2 All Accident Benefits Premium NUM 7 SNNNNNN All Collision/All Perils Code CHAR 3 All For Future Use (blanks) CHAR 8 All Collision/All Perils Premium NUM 7 SNNNNNN All Comprehensive/ Specified Perils code CHAR 3 All For Future Use (blanks) CHAR 8 All Comprehensive/Specified Perils Premium NUM 7 SNNNNNN All Total Premiums NUM 7 SNNNNNN All Third Party Liability Bodily Injury Added to offset tort deductible 61. Accident Benefits Optional - Medical and Rehabilitation 62. Accident Benefits Optional - Attendant Care 63. Accident Benefits Optional Caregiver, Housekeeping and Home CHAR 1 ON only CHAR 1 ON only CHAR 1 ON only CHAR 1 ON only

8 Bulletin F10-25 Attachment - Page 7 of 7 Maintenance 64. Accident Benefits Optional - Income Replacement 65. Accident Benefits Optional - Dependant Care 66. Accident Benefits Optional - Death and Funeral 67. Accident Benefits Optional - Indexation CHAR 1 ON only CHAR 1 ON only CHAR ON only CHAR ON only