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Showing posts with label IBC insurance. Show all posts
Showing posts with label IBC insurance. Show all posts

Thursday, April 28, 2011

Frequently Asked Questions

Frequently Asked Questions

What is replacement cost?


Answer:

Replacement cost is the total cost that your insurance company would pay to fully reconstruct your home if it were destroyed.

Replacement costs include things that may not be included in the resale value, like the cost and availability of skilled labour, debris removal, extra expense due to more stringent building codes, and more. Upgrades, renovations and other improvements can also make rebuilding a home more expensive than was originally estimated in your insurance policy.

How is it different from resale value?

Answer:

Resale or market value is based on a number of factors that have no direct correlation to your home's replacement cost (the cost of reconstructing your home). These include the amount that would be paid for the house if it was sold, based on details such as location, land value and the amount paid for surrounding homes.

Many policies may require you to consult with your insurance professional to make sure your insurance is up to date. For example, it should reflect any recent changes to your property or renovations to your home. Remember that many policies require that any material renovations must be reported either before or at the time they are made. Even if you haven't renovated, you may have purchased expensive contents. To be sure, always check with your broker or agent.


Why is the replacement cost higher than what I paid for my home?

Answer:

The estimated replacement cost could exceed what you paid for your home for a number of reasons:

  • Upgrades, renovations and other improvements can make rebuilding a home more expensive than the original cost.
  • Construction on your home may need to meet newer, more demanding building codes.
  • The cost of demolition and preparing the land to rebuild is included as part of the replacement cost.
  • The materials used to build your home may have gone up in price or may no longer be available, which means that using materials of like quality to rebuild your home may cost more.
  • A contractor rebuilding just one home won't benefit from the same cost efficiencies as a builder constructing many homes within a development.
  • Following a catastrophic event such as a wildfire, labour and building materials may be scarce, resulting in inflation of the costs of construction.

Will my renovations be covered by my home insurance?

Answer:

If your insurance company doesn't know about the renovation, you may not have enough coverage. The improvements you've made could have an impact on the valuation of your home.

For example, if you expand your kitchen and add new appliances and granite countertops, you have added value to your home. The amount of your insurance should reflect those changes so that you have adequate coverage.

Some policies cover minor remodeling work, but even if you think the changes are small, always check with your insurance representative to be sure.


Is my new high-tech home theatre covered by my home insurance?

Answer:

Because most home insurance policies cover contents up to a certain percentage, it is likely that your new home theatre will be covered. However, the only way to be sure is to talk to your broker or agent as every policy is different.

Wednesday, April 27, 2011

Health Care Levies

Health Care Levies

What does auto insurance have to do with health care?

Most Canadians have never been in a serious car crash, and may not know what auto insurance has to do with health care. In fact, Canada’s non-government home, car and business insurers pay more than $2 billion per year into the country’s health care system, most of it related to auto insurance.

What is a “levy?”

If you are seriously injured in a car crash, most of the treatment you receive is probably covered by auto insurance, but because Canadians have universal health care, any emergency care or visits to your doctor will initially be paid for by your provincial health care plan. You will likely never see the bill, but your auto insurer will – in a manner of speaking. Every year, insurers reimburse provincial health plans for treatment given to crash victims. This is called a “health levy” or “aggregate assessment,” and is an important source of funds for provincial health care systems in Alberta, Ontario, New Brunswick, Nova Scotia, PEI and Newfoundland & Labrador.

What about treatment that is not covered by provincial plans?

In addition to funding health care through levies, auto insurers pay for a number of health services directly. Depending on the type of injury you have suffered in a crash and where you live, your Accident Benefits (AB) coverage may cover visits to a chiropractor, physical therapist, psychologist, speech or occupational therapist (usually for brain injuries), and/or massage therapist, and a number of other health care professionals. In addition, AB often pays for crutches, wheelchairs and other assistive devices, and may even cover improvements to your home or car to help you deal with a permanent disability.

Top 10 Most Stolen Cars

Top 10 Most Stolen Cars

Automobile theft is much more than an insurance problem; it's an expensive social menace. Every year, automobile theft costs Canadians close to $1 billion, including $542 million for insurers to fix or replace stolen cars, $250 million in police, health-care and court-system costs and millions more for correctional services.

Every year, IBC publishes a list called “The Top 10 Most Stolen Cars.” See if your car is a potential target.

How often your make and model of car is stolen is one of the factors insurers use to set your insurance premium. It’s a good idea to check out these lists, as well as the publication .

Thieves generally steal cars for one of four reasons:

1. For sale abroad - Stolen cars are often immediately packed – with their vehicle identification numbers (VINs) still intact – and shipped abroad, where they are sold for many times their original market value.









2. For sale to unsuspecting consumers – Stolen cars may be given a new identity with false VINs, and then sold to unsuspecting consumers. They can also be dismantled and sold for parts.

3. To get somewhere – This is commonly, but inappropriately, referred to as “joyriding.” Auto theft of any kind is still a crime, and innocent people do get hurt or killed as a result.

4. To commit another crime – Stolen cars used to commit other crimes are often recovered – abandoned and badly damaged – within 48 hours of their theft.

Don't Be a Victim: What You Can Do to Avoid Insurance Crime

Don't Be a Victim: What You Can Do to Avoid Insurance Crime

Insurance crime is not victimless. It costs Canadians more than $3 billion a year in insurance premiums and health care, emergency services and court costs. Insurance criminals take money right out of your pocket - when they cheat, you pay.

Insurance companies are committed to putting an end to this type of crime. Individual companies and Insurance Bureau of Canada (IBC) investigate insurance crimes and educate Canadians about their costs and consequences. IBC also lobbies for that will increase the risk and decrease the profit associated with this type of activity.

You can help combat insurance crime. Below are some precautions you can take to avoid being a victim of insurance crime, and some clues to help you identify an insurance crime in action. If you have information about an insurance crime, report it.

Auto accident insurance crime

To avoid a staged collision:

  • Never tailgate; allow ample time to stop if the car ahead of you suddenly jams on its brakes.
  • Look beyond the car in front of you while driving. Apply your brakes if you see traffic slowing.

In the event of a collision:

  • Get the other car's licence plate number. Also, count how many passengers were in the other car when the accident took place. Get their names, phone numbers and driver's licence numbers. Later, you can compare this information to the information on the resulting claims, to make sure that all of the claimants were actually passengers in the car.
  • Note descriptions of the passengers. Try to find some characteristic that distinguishes each passenger.
  • Note how the passengers behave. Do they stand around and joke, but suddenly act injured when the police arrive?
  • Take pictures of the other car, the damage it received and the passengers. Take pictures on your cellphone or keep a disposable camera in your glove compartment for this purpose.
  • Call the police to the scene. Get a police report with the officer's name, even if the damage is minor. If the police report notes just a small dent or scratch, it will be harder for crooks to claim serious injuries or car damage later.
  • Get involved if you're a witness. Watch for the warning signs of a scam, and help the honest victim with details.
  • Call if you suspect an insurance crime. The 24-hour toll-free number is 1-877-IBC-TIPS (422-8477). Give the location of the collision, the licence plate number(s) of the car(s) involved, the names of people involved, the reason you think the collision is suspicious and as many other details as possible.

You can use the to note the details about the accident, the driver(s) and the passengers.

Tow trucks

The Financial Services Commission of Ontario (FSCO) offers excellent advice about what to do when you are approached by a tow truck driver at the scene of an accident. This advice applies in most jurisdictions in Canada:

  • Make sure the tow truck has some kind of licensing number on its side before you use its services.
  • Look to see if the tow truck is affiliated with a reputable company such as an automotive roadside assistance group or automobile association.
  • Ask if the tow truck driver has a police contract.
  • Listen for obvious clues. Does the driver recommend a particular repair facility without being asked? This might be an indication that a referral fee arrangement exists.
  • Carefully read everything the tow truck driver asks you to sign.
  • Ask that your vehicle be taken to a secure location where an adjuster or appraiser from your insurance company can have access to it.
  • Contact your insurance company, if possible, for information on towing and where to take your vehicle to be repaired.
  • Consider having your vehicle towed to a preferred vehicle repair shop. Some insurance companies use preferred repair shops where they have an agreement that guarantees your vehicle will be repaired to the highest possible standards. For more information, contact your insurance company.

After a collision:

  • Contact your insurance company if a stranger tries to steer you to an unknown body shop, doctor, chiropractor or lawyer. Give officials the names, addresses and phone numbers of these service providers.
  • See only medical and legal professionals you know and trust, or that are recommended by people you trust. Never take referrals offered by a stranger.
  • Check out the doctor or lawyer. Contact your provincial medical licensing board to ensure that your doctor is licensed and that no complaints have been lodged against him or her.
  • Know what your medical benefits are – what's covered and what isn't.
  • Keep detailed records of your medical treatments. Include all dates, locations, who provided the treatments, what diagnoses and services you received, and what medicine, supplies or equipment were provided.
  • Compare your records against the statements you receive to make sure the bills aren't padded and that they don't include treatments you didn't receive. Are the treatment dates, doctor name(s), facility locations and medical services the same as you remember? Question your health provider and ask for clarification if you see problems or inconsistencies on your bills.
  • Never sign blank insurance claim forms.
  • Never give strangers your policy number, insurance ID number or any other information, especially if they offer you cash or free gifts, treatments or equipment.

Slips, trips and falls in business settings

Criminals are lazy. They don't want to have to work for their reward so they will target businesses that make their job easier for them. Don't let your operation be an easy target for an insurance criminal looking to cash in big on a little "accident." There are some simple steps you can take to make your business less vulnerable to these criminals. to get some tips on managing the many types of risk that businesses face every day.

Check your VIN

Many insurance crimes are committed using or re-using vehicle identification numbers (VINs).Your best defence against this type of insurance crime is to ensure that your VIN is accurate

Government Action

Government Action

Over the years, IBC and Canada’s home, car and business insurers have helped bring about a number of important legislative changes that have led to safer communities. These include mandatory seatbelt use, anti-drinking-and-driving measures and graduated driver licensing.

IBC continues to work with municipal, provincial and federal governments to promote changes that will lead to decreased insurance crime and, as a result, safer roads and a safer Canada.

IBC seeks changes to penalties for auto theft

IBC continues its efforts to have auto theft recognized as a serious and violent crime.

IBC was integral in the introduction of Bill C-343, a private member's bill that was not passed because the session of Parliament was prorogued. The bill had passed a number of readings and had been placed before the Standing Committee on Justice and Human Rights.

Bill C-343 would have made auto theft, which is now a simple property crime, a separate offence in the Criminal Code and subject to harsher sentencing. Under the bill, the minimum sentence for third-time offenders would have been two years in jail and a tougher financial penalty. Bill C-343 would have recognized auto theft as a violent offence that endangers public safety.

IBC will continue to advocate for legislation, such as Bill C-343, that will result in the adequate punishment of auto thieves, putting more of these criminals where they belong - behind bars.

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Tightening the borders: Working more closely with Canada Border Services Agency (CBSA)

The CBSA (formerly Canada Customs) has worked with the insurance industry to tighten the borders against those who would export stolen cars. The “Ports Project” of 2004 was a three-month, cooperative effort involving Canada Border Services Agency (CBSA), law enforcement and IBC. It was very successful; a total of 61 vehicles, worth over $2 million, were recovered.

IBC is working with law enforcement, the Royal Canadian Mounted Police and the Canadian Association of Chiefs of Police to establish a permanent presence at major Canadian ports.

IBC has submitted a proposal to CBSA that has the following objectives:

  1. To improve sharing of information among CBSA, law enforcement and IBC, especially when it pertains to vehicles that have been or are being exported from Canada;
  2. To have CBSA participate in a national program designed to intercept stolen cars before they leave Canada and to return those that are successfully shipped overseas; and
  3. To have CBSA assist with the identification and prosecution of those involved in the export of stolen cars.

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Dedicated insurance crime prosecutors

Organized insurance crime is an attractive avenue for criminals because it is a low-risk crime with high potential for profit. Insurance crime cases are very complex and difficult to prosecute, so the criminals very seldom suffer any serious consequences for their crimes.

Currently, IBC investigators prepare insurance crime case files and present them to the Crown attorneys who are responsible for prosecuting the offenders. However, because courts are consistently backlogged, the Crown attorneys often prefer to prosecute other crimes that are higher-profile and perhaps more likely to lead to a conviction. Therefore, prosecutors frequently choose either to plea bargain (often resulting in a slap on the wrist) in insurance crimes cases, or to drop the cases outright.

A number of jurisdictions in Canada and the US have assigned dedicated insurance crime prosecutors, who become experts in the field and are able to devote more time and resources to it than would otherwise be possible. This approach has met with considerable success.

Advantages of a dedicated insurance crime prosecutor:

  1. The prosecutor works closely with the investigators on each case to ensure an effective investigation, supported by appropriate documentation. This increases the chances of a successful prosecution.
  2. The prosecutor becomes an expert in presenting organized insurance crime cases and gathering evidence. Both the prosecutor and any witnesses are well prepared for a trial.
  3. The prosecutor ensures charges are laid when there is sufficient evidence.
  4. More cases proceed to court, and more convictions are won.
  5. Penalties are greater. Larger fines, restitution orders, even jail time become more common.
  6. Stronger penalties act as a deterrent to others who may be considering insurance crime as a career.
  7. With organized insurance criminals in jail, financing terrorism becomes more difficult.
  8. The judiciary becomes more educated about insurance crime and becomes more willing to impose appropriate sentences, along with fines and restitution orders.
  9. Front-line claims adjusters develop an increased awareness of signs of possible insurance crime. They continue to be educated about proper documentation and developing trends.

Everyone Can Help Fight Auto Theft

Everyone Can Help Fight Auto Theft

A Few Simple Precautions is All it Takes

A professional thief can steal your car in about 30 seconds – without a key. It’s really that easy. But there are few simple precautions that you can take to help make the thief’s target a little harder to reach:

  1. Always roll up your car windows, lock the doors and pocket the key.
  2. Keep your vehicle registration certificate and proof of insurance on you at all times – not in the glove box.
  3. Never leave valuable objects or packages in full view. Put them in the trunk.
  4. Don't leave the keys in the ignition, even while getting gas. Approximately 20% of stolen cars have keys in them.
  5. Always park in a well lit and busy area.
  6. Protect your car with an IBC-approved that meets the strict Canadian Standards. However, please be aware that it has been proven that the installation of aftermarket remote starting systems (including those installed at new car dealers) can seriously compromise the effectiveness of immobilization systems. You may be trading the complete protection of your car for a convenience. Make sure to ask if they are compatible.
  7. Have the parts of your car marked. Parts marking will render your car less attractive to thieves who like to chop up old cars and sell the parts (“chop shops”).
  8. Prevent thieves from towing your car; park with your wheels turned sharply and apply the emergency brake.
  9. Give only your ignition key to a parking lot attendant. Keep your other keys with you.
  10. If you have a garage, use it and lock the door as well as your car.

Lock It or Lose It!

IBC has teamed up with the Ontario Provincial Police (OPP) to remind drivers to take these precautions. As part of the Lock It or Lose It! program, volunteers and OPP officers visit community parking lots across the province. They're on the lookout for drivers who leave valuables in plain view, leave the engine running unattended or leave doors unlocked. In each case the Lock It or Lose It! team leaves a notice under the car's windshield wiper to remind the driver to better secure the vehicle in the future.

Tuesday, April 26, 2011

Crime-fighting Partners

Crime-fighting Partners

Insurance crime costs Canadians more than $1 billion per year. It transcends our borders and often involves international organized crime rings. No one organization, group or association has the power, influence or resources to effect significant change on insurance crime, but if resources are pooled, ideas are shared and groups work together, the possibility for change is limitless.

With formal agreements in place, IBC works with many individuals, groups, professional associations and law enforcement agencies, both here in Canada and abroad, to reduce or eliminate insurance crime. Below is a partial list.

IBC could not have had the success it has in reducing insurance crime for honest policyholders without the generous assistance of these crime-fighting partners.

The Recovery of Cars Stolen for Sale Abroad

The Recovery of Cars Stolen for Sale Abroad

Cars are often stolen for resale in another country. Once a stolen car leaves Canada, it is usually very difficult to find and/or return to its owner. IBC operates a service to recover cars stolen for export.




Recovering the stolen cars before they leave Canada

Early detection and timely exchange of information are the keys to recovering stolen cars before they leave the country. To this end, IBC facilitates the flow of information among police forces (local, provincial and federal), federal government agencies and export companies. Stopping a car before it leaves Canada minimizes losses for insurance companies (who avoid the cost of international shipping) and prevents the need for legal and administrative wrangling with other jurisdictions.

Getting the cars back to Canada

If a car cannot be prevented from leaving the country, all is not lost. IBC has agreements and procedures in place with governments in many countries that:

  • facilitate the exchange of information necessary for police in the country where the car ends up to detect, catch and prosecute international thieves; and
  • allow IBC to return the car(s) to Canada in a minimum amount of time and at a minimum expense.

Who pays and how much?

The insurance company that pays the claim for the stolen car (and, therefore, owns the car) is responsible for all costs incurred in the process of recovering it. Insurance Bureau of Canada charges a service fee for recovery that differs depending on whether or not the insurance company is a member of IBC.

For more information

If you would like more information about this program to recover cars stolen for export,

Putting a Dent in Car Theft with AutoFind

Putting a Dent in Car Theft with AutoFind

AutoFindRecovering stolen cars is an important part of reducing the cost of auto theft. IBC has joined forces with a number of police services across Canada to implement the AutoFind program, which uses licence-plate scanning technology to compare the plates of cars parked on the street against a list of stolen cars. If a match is registered, the car's status as stolen is confirmed and the police begin the process of returning it to its owner.

The AutoFind program is currently operating in Laval, Toronto, Edmonton and Hamilton.

Between January 2003 and June 2009, the AutoFind program helped to recover over 8,200 vehicles with an actual cash value of $41 million. Almost 70% of the stolen vehicles recovered by AutoFind have been found within 14 days of them being reported stolen.

Monday, April 25, 2011

Confirming a Car’s True Identity

Confirming a Car’s True Identity

IBC helps police verify vehicle identification numbers (VINs) to ensure that recovered stolen cars get returned to their rightful owners more quickly, and that consumers can be confident about a car’s history before they buy.

Vehicle identification numbers (VINs)

All cars built for sale in North America since 1981 have a vehicle identification number (VIN) that consists of 17 letters and numbers. This is like the car’s fingerprint. A car’s VIN:

  • is engraved on a metal plate on the driver’s side of the dashboard and in other places on the car;
  • provides basic information about the car, including the make and model and where and when it was built;
  • stays the same no matter how many times the car changes owners and license plate numbers;
  • can be used to track the history of the car – e.g., whether it has been in any serious crashes or been stolen, and how many owners it has had;
  • is used by insurance companies to set accurate premiums; and
  • can help police find the rightful owner if the car is stolen.

VINs of stolen cars

Car thieves often try to hide the fact that a car is stolen by:

  • removing the VIN plate;
  • scratching out the VIN number;
  • altering the VIN (e.g., turning a 3 into an 8);
  • replacing the real VIN with a made-up one; or
  • replacing the real VIN with a copy of another car’s VIN (sometimes called “cloning”).

IBC’s VIN programs

In Alberta and Ontario, IBC assists police in determining the real VINs of stolen cars that are recovered with missing or altered VINs. If IBC cannot determine the real VIN and identify the car, the Ministry of Transportation will assign the car a new VIN.

Once the real VIN has been identified or a new VIN assigned, IBC removes all false or old VINs from the car before installing a brass plate with the correct VIN on the driver-side door frame and placing a sticker with the correct VIN on the dashboard where the original VIN plate would be.

IBC can also:

  • reproduce the original VIN on a car whose VIN has been lost or damaged for some other reason (e.g., the dashboard was replaced);
  • create a new VIN for cars that are built from scratch or from kits, or assembled from parts of other cars; and
  • create VINs for trailers (since April 2004, all trailers in Alberta require a standard VIN).

Branding Protects Everyone

Branding Protects Everyone

Any car registered in a Canadian province or territory has a permanent record that is linked to its . When a car is stolen or severely structurally damaged (sometimes called a “write-off”) authorities can add a note, or a brand, to that record.

Four different brands can be assigned. The names vary depending on the province, but the categories are essentially the same:

  • Irreparable – a badly damaged vehicle that can only be used for parts or scrap metal. A car with this brand cannot be driven.
  • Salvage – a vehicle that can be repaired, but cannot be driven until an inspector has deemed it safe.
  • Rebuilt – a vehicle that was branded “salvage,” but has since been rebuilt and passed a safety inspection.
  • Stolen – a vehicle that has been reported stolen. This brand can be assigned or cancelled only by police, and is cancelled only when the vehicle is recovered.

Branding fights crime and protects consumers

Branding makes it more difficult for criminals to pass off stolen or unsafe vehicles to the unsuspecting public. In this way, it protects consumers and makes roads safer.

Because every vehicle has a VIN that is linked to the vehicle’s record, crooks need to work very hard to make stolen cars look legitimate. Often, this involves removing the VIN from a car in the junkyard and putting it on a stolen car to mask its identity.

By disguising its true identity, a criminal can sell you a car that is stolen or that has serious hidden damage. Many unsuspecting consumers have purchased stolen vehicles and later had them seized by the police with little hope of recovering the money they paid. Others have bought seemingly fit vehicles, only to discover that structural damage makes the car undriveable.

If junk vehicles are branded irreparable or salvage, their VINs are of little use to criminals. Branding makes it very difficult for crooks to disguise the identities of stolen and damaged vehicles.

Branding:

  • enhances road safety by ensuring proper repair of “salvage” vehicles;
  • protects consumers by making stolen cars and car parts more difficult to resell; and
  • helps police identify stolen vehicles.

Insurance Bureau of Canada's Theft Deterrent Program

Insurance Bureau of Canada's Theft Deterrent Program

Your best defense against auto theft: Immobilizers meeting the National Standard of Canada (CAN/ULC-S338-98)

How do immobilizers work?

  • An immobilizer is an electronic device that arms automatically when your vehicle is switched off and prevents unauthorized starting of the vehicle.
  • An immobilizer meeting the National Standard of Canada (CAN/ULC-S338-98) cuts three vital circuits: the starter, the ignition and the fuel. This makes it impossible for thieves to start your vehicle without the key.

Having your car stolen is not only emotionally upsetting, but also very time-consuming and expensive. Unfortunately, car theft is all too common and costs Canadians $1 billion per year.

There are human costs, too. Innocent Canadians are put at risk when a thief steals a vehicle. Each year, 40 people lose their lives and 65 more are injured as a direct result of car theft.

More information about immobilizers

  • Immobilizers are integrated into the vehicle’s circuitry and engine-management system. They automatically interrupt the power to multiple electronic circuits, usually the starter motor, ignition and fuel pump circuits, when the specially coded key is removed from the ignition switch, or the vehicle is shut off.
  • Only if the correctly coded key (or other coded element) is used and recognized by the system will the circuits be enabled, allowing the car to start. Immobilizer keys typically have a transponder or resistor embedded in the head to communicate the code to the engine-management system.
  • If the correct code is not recognized, or someone attempts to start the vehicle by some other means – such as hotwiring or breaking the ignition lock cylinder – the system will remain armed and prevent the car from starting.
  • An engine immobilizer should always be at the core of any car theft deterrent system. It is the most effective means of preventing drive-away theft.

Other security devices, such as steering wheel locks, alarms, tracking systems and parts marking, can be combined with an immobilizer to provide additional layers of protection.

Who’s Involved?

Who’s Involved?

Paralegals/Lawyers

A legal representative can be an important resource for you as you pursue your insurance claim. Most lawyers and paralegals are honest, working in the best interest of their clients.

Regulators have issued Cease and Desist orders against specific paralegals for unfair business practices. One lawyer suspected of being involved in staged collisions left the country before there was an opportunity to have charges laid.

One scam involved a paralegal making off with their client’s insurance settlement. In this scenario, the legal representative negotiated a settlement with the insurance company for injuries suffered by their client, pockets the cheque and tells the client, a legitimate accident victim, that they got no compensation.

In response to inquiries from government about insurers’ experiences with paralegals, IBC recommended that there be rules in place dictating acceptable practices for paralegals, including a requirement for paralegals to have liability insurance to protect clients they treat unfairly.

Medical and rehabilitative care providers

The vast majority of medical providers are committed to helping their patients get better and only look to be fairly compensated for their work. However, there are those that, instead of healing the sick and protecting the innocent, abuse the public trust by "doctoring" insurance bills. They inflate bills or give unnecessary treatment in an attempt to collect as much money as possible. Participants may include chiropractors, physicians, physiotherapists, pharmacists and their office managers.

In many cases, the patient, satisfied that he or she is receiving quality treatment and service, is unaware of the fraud.

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Tow truck operators

An accident, no matter how minor, can be very stressful and confusing. And there are some people looking to take advantage of this time of uncertainty. Tow truck drivers may be paid a fee to refer accident victims to a particular paralegal. This is illegal.

A tow truck driver may also be paid a referral fee by a vehicle repair or body shop to have damaged vehicles towed there. This kind of tow truck driver is known in the industry as a “chaser.” Many “chasers” are owned or controlled by vehicle repair shops.

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Vehicle repair facilities

Vehicle repair facilities can be involved in a variety of insurance scams. Here are some of the more common ones:

  • Burying the deductible - The car owner and collision repair shop conspire to make the insurance company pay the entire cost of the repair. One way to do this is for the body shop to install cheaper aftermarket, repaired or junk parts, but bill the insurer for original manufacturer parts. This may seem harmless, but repair with inferior parts could make a car unsafe. Also, proper use of deductibles keeps premiums affordable for all drivers.
  • Chop shops - Collision repair shops sometimes serve as a front for an illegal operation where stolen cars are disassembled and sold piece-by-piece to other repair shops.
  • Inflated damage estimates -Some dishonest shops will estimate charges for work that they don’t intend to complete. Shops may also inflate the estimate by purposely doing further damage to the vehicle.
  • Kickbacks - Unscrupulous collision repair shop owners have been known to bribe insurance adjusters to send claimants their way.
  • Airbag fraud - With airbags now coming standard in most new cars, airbag fraud is an emerging trend. Airbags are quite costly to replace and re-install, so if someone brings a car in for minor repairs after a minor fender-bender, a dishonest body shop can easily inflate the price of the repair by making it seem like the airbag deployed.

    A crooked repair shop can bill the insurance company $2,000 or more for a new airbag. If you’re lucky, they pocket the money and leave your airbag alone. A more greedy outfit might take your perfectly good airbag, sell it on the black market, and fill your airbag space with old rags, cardboard or beer cans. More likely, they will leave you with a stolen, previously deployed or salvaged airbag. You won’t know the difference until you are in an accident, but your family will be put at risk.

Types of Personal Injury Fraud

Types of Personal Injury Fraud

Premeditated personal injury fraud – auto insurance

The common auto insurance scams described below are carried out by seasoned criminals, who attempt to claim debilitating injuries in order to get income replacement and other financial benefits from insurance companies. These sophisticated criminals often plan accidents, hire witnesses to back up their stories, and provide all kinds of false documentation to support their claims.

Swoop and squat

In this scenario, a “swoop” car suddenly speeds up and cuts off the “squat” car (sometimes an innocent person in the wrong place at the wrong time and sometimes an accomplice). Unable to stop in time, the “squat” car rear-ends the “swoop” car. Usually, everyone who is in on the scam claims some sort of injury, and makes an auto insurance claim.

This sounds harmless enough – what’s a little fender bender? But in the past this scam has been known to go horribly wrong, with innocent victims being seriously injured and even killed.

Juan and Maria Lopez and their two-year-old daughter Joanna were burned alive when two men tried to stage a car collision on a California freeway in 1997. The criminals chose to cut-off a tractor-trailer (the “squat” vehicle), forcing it to stop suddenly. The Lopez’s, behind the tractor trailer, also stopped suddenly and were rammed from behind by a gravel truck, killing the young family.

Fortunately, such a tragic result is not the norm, but you never know what will happen when cars collide at high speed. Real accidents are dangerous enough. Criminals can try to stage a “safe” accident, but they have no control over road conditions and the reactions of other drivers. This happens every day on Canadian streets and highways, putting everyone at risk.

Drive down

The criminal appears to yield and waves to the innocent victim to proceed with a merge or lane change. As the victim merges, the criminal drives into the innocent driver, and later denies that he or she had waved the victim on.

Sideswipe

The criminal targets an innocent driver and purposely collides with the side of the target vehicle. This usually occurs in busy intersections with dual left turn lanes. If the victim in the inner lane drifts even a little into the outer lane, the criminal intentionally causes a collision.

Imaginary accidents

In some auto insurance fraud schemes, no accident ever really happens. The criminal reports an accident and subsequent injury, and makes a claim, but the accident only exists on paper. In some cases, police are called to the scene of an alleged “hit and run,” where only one car is present, and damage has been fabricated.

Seat sales

This is a common feature of staged accidents. The principal perpetrator of the accident will “sell” passenger spaces in the car for a set price or a percentage of the passenger’s insurance claim. In some cases, the passengers do not even ride in the car when the accident occurs.

Premeditated personal injury fraud – liability insurance

This type of fraud is most commonly referred to as a “slip/trip and fall.” And it is as simple as it sounds. The criminal pretends to have been seriously injured on your property – at your place of business or your home. The amounts awarded for these claims are covered by your liability insurance, commercial insurance or under occupiers’ liability.

Types of Personal Injury Fraud

Types of Personal Injury Fraud

Premeditated personal injury fraud – auto insurance

The common auto insurance scams described below are carried out by seasoned criminals, who attempt to claim debilitating injuries in order to get income replacement and other financial benefits from insurance companies. These sophisticated criminals often plan accidents, hire witnesses to back up their stories, and provide all kinds of false documentation to support their claims.

Swoop and squat

In this scenario, a “swoop” car suddenly speeds up and cuts off the “squat” car (sometimes an innocent person in the wrong place at the wrong time and sometimes an accomplice). Unable to stop in time, the “squat” car rear-ends the “swoop” car. Usually, everyone who is in on the scam claims some sort of injury, and makes an auto insurance claim.

This sounds harmless enough – what’s a little fender bender? But in the past this scam has been known to go horribly wrong, with innocent victims being seriously injured and even killed.

Juan and Maria Lopez and their two-year-old daughter Joanna were burned alive when two men tried to stage a car collision on a California freeway in 1997. The criminals chose to cut-off a tractor-trailer (the “squat” vehicle), forcing it to stop suddenly. The Lopez’s, behind the tractor trailer, also stopped suddenly and were rammed from behind by a gravel truck, killing the young family.

Fortunately, such a tragic result is not the norm, but you never know what will happen when cars collide at high speed. Real accidents are dangerous enough. Criminals can try to stage a “safe” accident, but they have no control over road conditions and the reactions of other drivers. This happens every day on Canadian streets and highways, putting everyone at risk.

Drive down

The criminal appears to yield and waves to the innocent victim to proceed with a merge or lane change. As the victim merges, the criminal drives into the innocent driver, and later denies that he or she had waved the victim on.

Sideswipe

The criminal targets an innocent driver and purposely collides with the side of the target vehicle. This usually occurs in busy intersections with dual left turn lanes. If the victim in the inner lane drifts even a little into the outer lane, the criminal intentionally causes a collision.

Imaginary accidents

In some auto insurance fraud schemes, no accident ever really happens. The criminal reports an accident and subsequent injury, and makes a claim, but the accident only exists on paper. In some cases, police are called to the scene of an alleged “hit and run,” where only one car is present, and damage has been fabricated.

Seat sales

This is a common feature of staged accidents. The principal perpetrator of the accident will “sell” passenger spaces in the car for a set price or a percentage of the passenger’s insurance claim. In some cases, the passengers do not even ride in the car when the accident occurs.

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Premeditated personal injury fraud – liability insurance

This type of fraud is most commonly referred to as a “slip/trip and fall.” And it is as simple as it sounds. The criminal pretends to have been seriously injured on your property – at your place of business or your home. The amounts awarded for these claims are covered by your liability insurance, commercial insurance or under occupiers’ liability.

Sunday, April 24, 2011

The Cost of Personal Injury Fraud

The Cost of Personal Injury Fraud

In 2001, IBC studied the cost of personal injury fraud across Canada (except BC, the only province that chose not to participate). Fourteen companies, both public and private, of varying sizes and representing 60% of the insurance marketplace, participated in the study. Personnel reviewed files randomly selected from their records, looking for evidence of personal injury insurance fraud. A total of 4,066 closed claims files with payment were examined, providing IBC with a 3% margin of error.

Key findings:

  1. More than 26% of all personal injury claims contain elements of fraud.
  2. Opportunistic fraud is the single largest contributor to claims costs.
  3. An estimated $500 million is paid out by home, car and business insurers for claims containing elements of fraud.
  4. Insurance policyholders are more likely to commit personal injury fraud than are health care providers or other professionals.
  5. Premeditated and opportunistic fraud are more prevalent in major cities and metropolitan areas than in small towns and rural communities.
  6. Fraud indicators used by the industry are important to the successful detection and control of premeditated and opportunistic fraud.

These findings suggest that health-related costs to insurers could be reduced substantially by minimizing the opportunities for personal injury fraud. They also suggest that, regardless of who pays (private insurers or provincial health plans), our limited health care resources are often being misused.

Many people think of health services as “free,” so they may not consider misuse a big deal. But in the end, we all pay for it, either through our taxes or through our insurance premiums.

Personal Injury Fraud

Personal Injury Fraud

Personal injury fraud – as it pertains to home, car or business insurance claims – is any act or omission intended to result in a financial insurance benefit for an injury that is nonexistent, exaggerated or unrelated to any accident that would be covered by the policy. No matter what the circumstances, personal injury insurance fraud is a crime.

Personal injury insurance fraud can be “opportunistic” or “premeditated”:

Opportunistic personal injury insurance fraud – most commonly an inflated claim. Examples:

  • A health care professional exaggerates the severity of a patient’s legitimate injury in order to increase the claim amount.
  • A person who is actually injured exaggerates the extent of his or her injury or required recuperation time. Often such injuries are classified as “malingering.” Assuming that insurance is paying for lost income, the individual may be seeking a “paid vacation” courtesy of the insurer.

Such cases usually necessitate extra medical visits and medical examinations, thus adding to the societal cost of this crime.

Premeditated personal injury insurance fraud – when someone devises a way to make an insurance claim. Premeditated fraud often involves some extreme action. Example:

  • A person intentionally causes a car collision or falls down a neighbour’s stairs, and then collect benefits from his or her insurance company for a nonexistent injury.

This kind of fraud also has related financial and human costs, as unsuspecting victims of staged car collisions often suffer very real injuries.

What Happens to Stolen Cars, the Victims and the Thieves

What Happens to Stolen Cars, the Victims and the Thieves

What Happens to Stolen Cars?

Stolen cars usually end up in one of the following places:

  1. In chop shops
  2. In shipping containers at ports in Canada or overseas
  3. At other crime scenes
  4. Abandoned in random locations
  5. In the hands of unsuspecting consumers

Chop shops

About 50% of stolen vehicles end up in "chop shops,” where stolen cars are dismantled into parts to be sold off separately, often to legitimate businesses unaware the parts are stolen. This is a big business that accounts for millions of dollars a year in profits for criminals.

Shipping containers

Each year, tens of thousands of cars are stolen for export to other countries where they can be sold for many times their original market value. In some cases, these cars are recovered at Canadian ports before they reach their intended destinations. IBC is actively working on having CBSA take a more active role in preventing these vehicles from leaving Canada.


Where are all the stolen vehicles going?

Crime scenes

Many stolen cars are taken to commit another crime. Thieves take advantage of owner negligence, grabbing the first vehicle they can find. Why would criminals risk using their own cars when they can very easily use a car that’s been left running in a driveway?

Abandoned

Sometimes, thieves take cars just because they can or because they want them for transportation. It used to be called “joyriding,” but that term takes away from the seriousness of the crime. Auto thieves have no regard for people or property and often vandalize then abandon the cars that they steal.

Unsuspecting consumers

Every year, hundreds of unassuming consumers buy stolen cars and face having their new cars seized by police. Stolen cars are often sold for a quick profit – sometimes to fund other criminal activity like drug smuggling and even terrorism. Thieves mask the true identity of a stolen vehicle by changing its vehicle identification number (VIN).

A consumer who unknowingly purchases a stolen car has no recourse, and no way to get his or her money back.

What Happens to the Victims of Auto Theft?

Everyone is a victim of auto theft, whether they have had a car stolen or not. On average, $35 per auto insurance policy goes to pay for the cost auto theft.

  1. Owners are upset and inconvenienced when their cars are stolen.
  2. Unsuspecting buyers of stolen cars suffer financial loss.
  3. Those who steal because they can often damage the vehicles they steal and other property that may be inside it.
  4. There are significant time and expenses involved in reporting, processing and settling vehicle insurance claims. This impacts many stakeholders, including policyholders, insurance companies and investigators, taxpayers, police and society.
  5. Stolen vehicles are frequently used while committing other crimes (e.g., break-and-enter robberies of homes) and in police chases when, owing to the thieves' reckless driving, they may be involved in the injuries or deaths of innocent people.
  6. Every year approximately 40 people die and 65 are injured as a direct result of auto theft. A stolen car is just like a loaded gun when it’s in the hands of a thief. Car thieves have absolutely no regard for public safety and the rules of the road.

And What Happens to the Thieves?

Regrettably the courts still look at auto theft with more compassionate eyes. Of course, some of their hands are tied by the restrictions within the Youth Criminal Justice Act.

IBC has been working to make the courts aware of the impact of auto theft – that it is not a victimless crime. IBC has made a victim impact statement available for all Crown Prosecutors. Additionally, IBC has also been actively advocating for changes to the criminal code to have auto theft treated as a violent and indictable offense.

Auto Theft

Auto Theft

Auto TheftInsurance Bureau of Canada has been helping Canadians fight auto theft for more than 80 years.

Regrettably, some people still have a very misguided notion as to what auto theft is and isn’t. Let’s set the record straight.


Auto theft is not:

  • just an insurance or a policing problem
  • just a victimless crime
  • just a property crime

Auto theft is:

  • a global problem
  • profitable for criminals
  • expensive for law-abiding citizens
  • dangerous and a threat to our safety

Auto theft defies all boundaries - jurisdictional, political, geographical and administrative. And it is a big and lucrative business; on average, a car is stolen every three and a half minutes in Canada - that's approximately 420 per day. Because of the changing trends and complexity of the issue, the fight against auto theft requires the cooperation and involvement of many partners. It starts with automobile owners and includes the law enforcement community, automobile manufacturers, dealers of new and used cars, salvage operators, car repairers, automobile insurers, theft deterrent system manufacturers and installers, licensing and customs authorities, and the judicial system.

Auto theft is not a victimless crime – or just a property crime. First, on average, it costs each policyholder an additional $35 on his or her insurance premium. On top of that, auto theft costs all Canadians at least $1 billion per year, if one also considers health care, court, policing, legal and out-of-pocket costs, such as deductibles.

Second, and more serious, auto theft costs people their lives. Car thieves have absolutely no regard for public safety and the rules of the road. Every year approximately 40 people die and 65 are injured as a direct result of auto theft. When it’s in the hands of a thief, a stolen car is like a loaded gun.

Saturday, April 23, 2011

Protecting Canadians Against Natural Disasters

Protecting Canadians Against Natural Disasters

Canada’s home, car and business insurers are committed to better preparing communities for natural disasters. As part of this commitment, the industry recently donated $500,000 to support groundbreaking research into making houses more resistant to extreme weather.

The research is being conducted by The Faculty of Engineering from the University of Western Ontario at a one-of-a-kind research facility called The Insurance Research Lab for Better Homes. It allows for the study of damage to houses from wind, snow, rain and mould by simulating extreme weather, including winds of up to 320 km/h – the equivalent of a Category Five hurricane.

The project permits researchers to assess the structural integrity of houses, and develop cost-effective ways to retrofit existing houses and build stronger ones in the future.

The insurance industry is a leader in natural disaster mitigation. In 1998, insurers partnered with Western to create the – a research institute committed to reducing the loss of life and property damage caused by severe weather and earthquakes.

Evidence suggests that the severity and frequency of extreme weather will continue to rise. A financially strong insurance industry will be there to help rebuild Canadian communities when disaster strikes. And, through initiatives like The Insurance Research Lab for Better Homes, it can help make Canadian communities stronger and better equipped to deal with extreme weather.


The Insurance Research Lab for Better Homes uses a typical 1,900 square foot, two-storey house. Studies will be conducted in a controlled environment inside a hangar. Extreme winds (up to 320 km/h) are simulated using specially-designed “pressure boxes” that apply both air pressure and suction to the house. Researchers will also study the effect of snow, rain and mould.