Ontario Optional Accident Benefits
When should we offer to review OAB?
Optional Accident benefits should be offered and explained when issuing a new policy or modifying an existing policy (including but not limited to: adding a driver, adding or substituting a vehicle, etc.)
What is the description of Accident Forgiveness coverage?
With Accident Forgiveness, client's renewal premium will not be impacted in case of the occurrence of an at-fault accident.
After making a policy modification, what payment information are we required to provide to the client to meet compliance guidelines?
Provide the Term (annual) premium, next Monthly Installment amount and date (including taxes and fees, if applicable).
What is the wording of Material Change Statement?
Please inform us of any material changes that happen in the future such as:
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What is the basic coverage for Medical, Rehabilitation and Attendant Care benefits for catastrophic injuries and non-catastrophic injuries?
What are the Accident Forgiveness eligibility rules?
- Principal operator must be licensed and free of at-fault accidents for the preceding 6 years for the vehicle type on which the endorsement is requested
- All other listed operators must be free of at-fault accidents for the preceding 6 years or for time licensed for the vehicle type on which the endorsement is requested
Applies to:
- Private Passenger Vehicles
- Motorhomes
- Motorcycles
What is the best practice to provide clients accurate $ amount after making a transaction?
Due to a system issue, it's best to reconfirm the monthly payment amounts in Billing Center after issuing the transaction.
How often are we required to offer coverage review?
Ask customer if they would like a review of the policy they called about if it has been more than 12 months since the last conversation.
If Yes, follow the PC - Policy Review procedure.
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What should we do when client is making a modification to auto policy and they already purchased some OAB?
Read the OAB disclosure to the customer:
Currently you have increased accident benefits, would you like to review your existing coverage to ensure it still suits your needs?
What At-fault Claim percentage (%) would not impact Accident Forgiveness coverage?
At-fault accidents with a degree of fault shown as 25% or less do not affect the automobile insurance premium, nor Accident Forgiveness coverage.
What is the best practice to ask clients when setting up a one time payment?
Ask client is they prefer us to change yearly payments automatically, or they prefer to call in to make payments. Update Invoice Streams accordingly.
When are we required to read Material Change Statement?
1. Binding, adding or substituting a vehicle (Car, motorcycle, trailer, snowmobile, etc.)
2. Adding a driver
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What needs to be done if client has multiple auto policies and they are adding OAB during vehicle sub?
In cases where the insured has multiple policies, whether the policies are on the same or multiple accounts, the same Optional Accident Benefits must be added to all policies.
What action must be taken when client is calling to add new vehicle to one of the multiple policies and they want to add Accident Forgiveness for the first time?
If the eligible driver is listed as a principal operator on multiple vehicles, the endorsement must be applied on every eligible vehicle whether on the same policy or several policies.
What do we need to do when you know client is paying yearly and you issued transaction with increased premium?
Ask client if they want to make a payment over the phone or make a payment later on-line or by cheque.
Why is it important to offer coverage review?
To avoid E&Os and bad customer service/claims experience.
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Which two (2) coverages are not provided under Standard Auto Insurance Policy Accident Benefits?
1. Dependent Care benefit
OAB provides:
2. Indexation benefit (*Applicable to income replacement benefit, non-earner benefit, caregiver benefit, attendant care benefit or medical and rehabilitation benefit.)
OAB provides:
Annual adjustment according to the Consumer Price Index for Canada.
When should we offer Accident Forgiveness?
Any time we are making changes on auto policy and see that clients are eligible to have Accident Forgiveness.
Why is it important to provide clients with correct payment information?
It is our due diligence to be transparent and provide accurate information to the client, to build trusting and long-lasting relationships and to avoid negative customer experience in case of the payment issues (ex. Payment goes NSF or the policy cancellation for non-payment.)
When client wants to do a coverage review, which Espace do we need to follow?
General Insurance Advice Center - Policy Center > Transaction on Existing Policy > PC - Policy Review
Note: Make sure to follow other Espace Links in Policy Review process(Ex. Usage of the vehicle(s), PC - Optional Accident Benefits and tort deductible (Ontario)).
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