TORONTO, Jan. 17, 2013 /CNW/ - The Financial Services Commission of Ontario (FSCO) has laid 84 charges
under Ontario's Insurance Act against two rehabilitation clinics and
four individuals affiliated with these clinics. These clinics and
individuals are alleged to have submitted false invoices to auto
The following clinics were each charged with 7 counts of knowingly
making false or misleading statements to an auto insurer to obtain
payment for goods and services provided to an insured and 7 counts of
engaging in an unfair or deceptive act or practice:
Fairview Assessment Centre (200 Finch Ave W., Suite 314, Toronto,
Ontario, M2R 3W4)
Pacific Assessment Centre (1120 Finch Ave. W., Suite 607, Toronto,
Ontario, M3J 3H7)
Charges were also laid against the following four individuals affiliated
with these clinics:
FSCO investigates allegations of misconduct, unfair practices and
non-compliance with legislation or regulations in its regulated
sectors. When warranted, FSCO takes enforcement action.
FSCO is an agency of the Ministry of Finance established under the
Financial Services Commission of Ontario Act, 1997. It regulates
insurance, pension plans, loan and trust companies, credit unions and
caisses populaires, co-operative corporations and mortgage brokerages
and administrators in Ontario.
When fraudsters falsify accident treatment bills, Ontario drivers take
the hit through higher premiums. This, despite the fact that the vast
majority of drivers go for years - even decades - without being in an
accident or making a claim. FSCO will continue to crack down on those
who cheat Ontario drivers by abusing the auto insurance system. - Philip Howell, CEO and Superintendent of FSCO
In its Final Report, Ontario's Auto Insurance Anti-Fraud Task Force
concluded that fraud in the auto insurance system is substantial and
has a significant impact on premiums.
The Task Force's Final Report contains 38 targeted recommendations on
four key areas: fraud prevention, detection, investigation and
enforcement and regulatory roles and responsibilities.
Insurers have rights and responsibilities under the Statutory Accident
Benefits Schedule (SABS) to challenge questionable or abusive claims,
including verifying invoices and expenses.
SOURCE: Financial Services Commission of Ontario
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