FSCO to be fixed by March?
December 20, 2011
FSCO, an agency of the finance ministry, is adding resources so cases can be mediated in the legislated 60 days by the end of March providing insurance companies and their clients have lawyers ready, said a spokesman for Duncan.
Both insurers and the rehabilitation industry are watching closely, recognizing that the new $3,500 cap on minor injury assessments and claims — the bulk of accidents — depends on how those cases are decided.
“The longer it takes to get these cases through the system, the longer there’s uncertainty and the more difficult it is for insurance companies to budget and price their products appropriately,” says Ralph Palumbo of the Insurance Bureau of Canada.
Read the full article by Rob Feguson in the Toronto Star.
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In my humble opinion, the language of the SABS regarding what constitutes a minor injury must change.
Not only is it widely known that you cannot predict the level of disability, effect upon ADL and QOL from a fixed subset of injury categories deemed to be minor….but the method of clinical proof to determine a major injury is deeply flawed!!!
Why did i go to school for 8-9 years and become a Dr. of chiro to have my DDX completely ignored by an insurance rep./adjuster with a CIP??
Many of my collegues have had patients present with injuries which they feel are outside the MIG and when they submit the OCF-3 and 18….are rejected without an IME!!!
I can reasonably assure you that if the medical profession were the gate-keepers of the MVA industry and this was going on with their OCF-18′s…the OMA would be up in arms!!!
This is a problem involving policy and politics.