Superintendent's and Commissioner's Guidelines - Auto Insurance SABS

The guidelines below have been issued by the Superintendent of Financial Services and the former Commissioner of the Ontario Insurance Commission (OIC) on the interpretation and operation of the Statutory Accident Benefits Schedule (SABS). They set out the rights and responsibilities of insurers and claimants when dealing with statutory accident benefits claims relating to auto insurance, and set out the rules for such matters as the filing of documents, time limits and payments of fees and expenses. Where reference is made to the OIC and/or Commissioner, these should read as Financial Services Commissioner of Ontario and/or Superintendent.

Each guideline is issued as part of an auto insurance bulletin. For convenience, the following provides direct links to the guidelines, listed chronologically by year (No. 3/01 is the third guideline issued in 2001), starting with guidelines issued by the Superintendent of Financial Services. Following each guideline is a link to the specific bulletin with which the guideline was issued.

Superintendent's Guidelines

2007

• No. 07/07: Health Claims for Auto Insurance Guideline (Bulletin A-08/07)

• No. 06/07: Pre-approved Framework Guideline for Grade I and II Whiplash Associated Disorders (Bulletin A-04/07)

• No. 05/07: Pre-Approved Framework Guideline for Whiplash Associated Disorder Grade II Injuries With or Without Complaint of Back Symptoms (Bulletin A-03/07)

• No. 04/07: Pre-Approved Framework Guideline for Whiplash Associated Disorder Grade I Injuries With or Without Complaint of Back Symptoms (Bulletin A-03/07)

• No. 03/07: Revised Professional Services Guideline (Bulletin A-03/07)

• No. 02/07: Professional Services Guideline (Bulletin A-01/07)

• No. 01/07: Health Claims for Auto Insurance Rollout Guideline (Bulletin A-01/07)

2006

• No. 06/06: Revised Professional Services Guideline (Bulletin A-06/06)

• No. 05/06: Pre-Approved Framework Guideline for Whiplash Associated Disorder Grade II Injuries With or Without Complaint of Back Symptoms (Bulletin A-06/06)

• No. 04/06: Pre-Approved Framework Guideline for Whiplash Associated Disorder Grade I Injuries With or Without Complaint of Back Symptoms (Bulletin A-06/06)

• No. 3/06: Transportation Expense Guideline (Bulletin A-1/06)

• No. 2/06: Revised Pre-approved Framework Guideline for Whiplash Associated Disorder Grade II With or Without Complaint of Back Symptoms (Bulletin A-1/06)

• No. 1/06: Revised Pre-approved Framework Guideline for Whiplash Associated Disorder Grade I With or Without Complaint of Back Symptoms (Bulletin A-1/06)
  

2005

• No. 1/05: Professional Services Guideline (Bulletin A-6/05)
  

2004

• No. 7/04: Guideline on Designated Assessment Centre Selection Process (Bulletin A-8/04)

• No. 6/04: Professional Services Guideline (Bulletin A-5/04)

• No. 5/04: Guideline on Insurers' Delivery of Documents to Insured Persons (Bulletin A-5/04)

• No. 4/04: Transportation Expense Guideline (Bulletin A-5/04)

• No. 3/04: Designated Assessment Centre Fee Guideline (Bulletin A-4/04)

• No. 2/04: Designated Assessment Centre Fee Guideline (Bulletin A-2/04)

• No. 1/04: Professional Services Guideline (Bulletin A-2/04)

2003

• No. 9/03: Insurers’ Delivery of Documents to Insured Persons (Bulletin A-17/03)

• No. 8/03: Conflicts of Interest in the Designated Assessment Centre (DAC) Selection Process, and Reporting Obligations for DACs Assessing Treatment Plans (Bulletin A-17/03)

• No. 7/03: Pre-approved Framework Guideline for Whiplash Associated Disorder Grade II Injuries With or Without Complaint of Back Symptoms (Bulletin A-16/03)

• No. 6/03: Pre-approved Framework Guideline for Whiplash Associated Disorder Grade I Injuries With or Without Complaint of Back Symptoms (Bulletin A-16/03)

• No. 5/03: Professional Services Guideline (Bulletin A-16/03)

• No. 4/03: Guideline on Designated Assessment Centre Selection Process (Bulletin A-15/03)

• No. 3/03: Fee Guideline for Fast-Track Medical and Rehabilitation Designated Assessment Centres (Bulletin A-14/03)

• No. 2/03: Pre-approved Framework Guideline for Whiplash Associated Disorder Grade II Injuries With or Without Complaint of Back Symptoms (Bulletin A-5/03)

• No. 1/03: Pre-approved Framework Guideline for Whiplash Associated Disorder Grade I Injuries With or Without Complaint of Back Symptoms (Bulletin A-5/03)

2001

• No. 3/01: Transportation Expense Guidelines (Bulletin A-5/01)

• No. 2/01: Psychology Assessment and Treatment Guidelines (Bulletin A-5/01)

• No. 1/01: Professional Fee Guideline – Occupational Therapists, Occupational Therapy Utilization Guidelines (Bulletin A-3/01)
  

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Commissioner's Guidelines

1997

• No. 2/97 (Bulletin: A-12/97)
  
  
• No. 1/97: Guideline Respecting Conflict of Interest in the Provision of Medical and Rehabilition Services (Bulletin: A-8/97)

1996

• No. 7/96: Optional Indexation Benefit Guidelines (Bulletin: A-12/96)

• No. 6/96: Transportation Expense Guidelines (Bulletin: A-12/96)

• No. 5/96: Guideline on the Management of Claims Involving Whiplash-Associated Disorders (Bulletin: A-12/96)

• No. 4/96: Guideline for Identifying Self-employed Individuals (Bulletin: A-12/96)

• No. 3/96: Guideline for Identifying Students Who Qualify for The Student Non-Earner Benefit (Bill 59) (Bulletin: A-12/96)

• No. 2/96: Guideline for Statutory Accident Benefits Applications, the Claims Process and the Mediation Process (Bill 59) (Bulletin: A-12/96)

• No. 1/96 (Bulletin: A-12/96)

1995

• No. 4/95: Guideline for Identifying Individuals Who Qualify for Education Disability Benefits (Bulletin: A-17/95)

• No. 3/95 (Bulletin: A-15/95)

• No. 2/95: Guideline for Statutory Accident Benefits Applications, the Claims Process and the Mediation Process (Bulletin: A-7/95)

• No. 1/95 (Bulletin: A-4/95)

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