The revised guidelines have been approved by the Superintendent for use in connection with the Statutory Accident Benefits Schedule – Effective September 1, 2010 (SABS). The revised guidelines replace the previously issued guidelines.
Revised Attendant Care Hourly Rate Guideline
The revised Attendant Care Hourly Rate Guideline increases the maximum hourly rates for the three levels of Attendant Care Costs.
The following table outlines the revised rates:
|Part 1: Hourly Rate A |
Level 1 Attendant Care is for routine personal care.
Part 2: Hourly Rate B
Level 2 Attendant Care is for basic supervisory functions.
Part 3: Hourly Rate C
Level 3 Attendant Care is for complex health/care and hygiene functions.
The Level 1 and Level 3 rates are increased to be consistent with the equivalent rates determined by the Workplace Safety & Insurance Board (WSIB). The Level 2 rate is increased to $11.40 per hour to reflect Ontario’s general minimum wage increases effective October 1, 2016.
Revised Transportation Expense Guideline
Under the Transportation Expense Guideline, the insurer is liable to pay mileage when an insured person and his/her aide or attendant, travel to and from treatment sessions, counselling sessions, training sessions, assessments and examinations, using the insured person’s automobile, excluding the first 50 kilometres of each round-trip.
The revised guideline increases the rate paid for travel using the insured person’s automobile on or after October 1, 2016, from $0.38/km to $0.40/km.
The revised guidelines are issued by FSCO under section 268.3 of the Insurance Act for the purposes of the SABS and are incorporated by reference in the SABS.
Please inform your claims staff, and any other staff who may be affected, about these changes. Also ensure that you make any operational changes needed to implement these changes by the effective date.
Implementing the Changes
Copies of the Guidelines
The revised guidelines are available on the FSCO website:
Chief Executive Officer and
Superintendent of Financial Services
September 23, 2016