OSOT Identifies Concerns re Insurer Funding of Attendant Care Benefit

Occupational therapists have observed a disturbing trend in auto insurer practices and interpretation of payment requirements for the attendant care benefit. Some insurers are denying payment of the full sum of the Form 1, stating that they are only obliged to pay according to the line items and the hourly rates for those line items. 

The result of this positioning is that claimants receive insufficient funds to access the required attendant care they have been assessed to require as reflected on the Forum 1.

OSOT asserts that this recent insurer interpretation conflicts with the FSCO Bulletin A-03/18 prepared by Brian Mills, Chief Executive Officer and Superintendent of the Financial Services Commission of Ontario (FSCO) which was effective April 14, 2018 and has communicated in this regard to the Financial Services Regulatory Authority (FSRA).

View OSOT letter to Ann MacKenzie, Senior Manager, Policy Interpretation, FSRA