For immediate release
June 9, 2011
Toronto – FSCO has charged Misha Saltanov, the director of York Disability Management Centre, with knowingly making false or misleading statements to an auto insurer to obtain payment for goods and services provided to an insured. The first appearance for this matter is scheduled for July 14, 2011.
Following an investigation, FSCO found that Saltanov had submitted false invoices to get paid for treatment that was never provided.
FSCO investigates allegations of misconduct, unfair practices and non-compliance with legislation or regulations in its regulated sectors. If warranted, FSCO takes enforcement action, such as initiating a prosecution.
FSCO is an agency of the Ministry of Finance established under the Financial Services Commission of Ontario Act, 1997. It regulates insurance, pension plans, loan and trust companies, credit unions and caisses populaires, co-operative corporations and mortgage brokerages and administrators in Ontario.
- "This action clearly demonstrates that FSCO will not tolerate and will continue to prosecute abuses by unscrupulous participants in the Ontario auto insurance system." – Philip Howell, CEO and Superintendent of FSCO
- Insurers have rights and responsibilities under the Statutory Accident Benefits Schedule (SABS) to challenge questionable or abusive claims, including verifying invoices and expenses.
- Ontario is establishing an auto insurance anti-fraud taskforce to determine the scope of auto insurance fraud in Ontario and to make recommendations on detection, investigation, enforcement and consumer education.
- As of February 1, 2011, all Ontario health care facilities or providers were required to transmit auto insurance claim forms to insurers through Health Claims for Auto Insurance (HCAI). This database will help to detect auto insurance abuses.
- Ontario auto insurers will be required to annually attest that their companies have established effective compliance controls to satisfy the rules that protect the rights of policyholders and accident victims.