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Companies Forum Minutes of Meeting - December 4, 2008

Attendees:
 
   
Insurer Representatives   FSCO – DRS
Mike De La Haye –Wawanesa - (Chairperson)   Asfaw Seife - FSCO
Dave Alpert – belairdirect – (Co-chair)   John Lobo – FSCO
John Berriault – ING   Janine Macey – FSCO
Mark Cekuta – ING   Margaret Orlander - FSCO
Wayne Clay – Wawanesa   A.Rozdilsky - FSCO
Tina Maasland – TD Meloche Monnex    

Amarin Tsujimura – RSA

   
Tom Walsh – Dominion of Canada    

Shabnam Shamlou - ING

   

Pierre Gravesande – Economical

   

Jay Zealand – TD Meloche Monnex

   

The Dispute Resolution Group - Companies Forum includes repesentatives from auto insurance companies dealing with disputes before the Commission involving motor vehicle accident claims and Statutory Accident Benefits. It consults with the Dispute Resolution Group of Financial Services Commission of Ontario on issues relating to the dispute resolution system.
 

Review and Approval of Minutes from September 11, 2008 Meeting

There were no changes save for editing involving spelling applied to the DRS excellence update by Janine Macey. 


DRS Excellence Update by Janine Macey


There were no significant updates except that technology upgrades are continuing. Input will be sought from insurers on an ongoing basis.


Outreach Committee Update


The London area continues to be a priority for caseload management with a pilot program in effect. Mediators and arbitrators will attend in London for 2-3 days in April, 2009 to complete mediations, pre-hearing and settlement discussions. The law society is liaising with members of FSCO’s Outreach Committee to decide on the content of future paralegal training courses related to FSCO.


Discussion – recent decisions affecting DRS by Asfaw Seife


Asfaw Seife provided a synopsis memo of three FSCO appeal cases: 


# P04-00033, May 25, 2006: ‘DaRosa and Allstate Insurance’ leave to appeal from the Divisional Court decision denied

# P06-00027, September 24, 2007: ‘Watson and TTC Insurance’ judicial review application dismissed

# P08-00012, October 10, 2008: ‘Jetty and ING Insurance’ judicial review received end November 2008


DRS Statistics and Staffing 


Mediation by John Lobo: Five additional mediators have been added in recognition of an increasing caseload.

Arbitration by J. Macey: increased mediation applications have resulted in a higher arbitration caseload. The age of decisions has increased beyond the 85-day benchmark, which is a concern.


Appeals by A. Seife: the yearly average remains stable at 40 some cases. 


Loss Transfer 


When private arbitrations take place each insurer is subject to funding the cost of the proceeding. At issue are which benefits and expenses should be paid, what is compensable, what is not, interest ramifications, and PIPEDA matters. The Dispute Resolution Group Companies Forum has forwarded a letter to the Insurance Bureau of Canada requesting a review for the purpose of standardization and implementation of a protocol for all insurers.    


Mediation Backlog by John Lobo


A total of 1,353 applications were received in November, with total pending open files at 6,878. This represents an increase over September of 399 mediation files and on an annual basis an increase of 2,192 files. 


There has been no increase in pre-mediation settlements.  


Other Business  


Mark Cekuta proposed that the F.S.C.O. ensure that the website based arbitration records also provide the corresponding insurer claim numbers. A resort to an alpha search to identify the applicable claimant is an inefficient and time-consuming process. The issue continues to be unresolved.   

   

Minutes by Wayne Clay, Wawanesa Mutual