TORONTO, June 9, 2011 /CNW/ - FSCO has charged Misha Saltanov, the
director of York Disability Management Centre, with knowingly making
false or misleading statements to an auto insurer to obtain payment for
goods and services provided to an insured. The first appearance for
this matter is scheduled for July 14, 2011.
Following an investigation, FSCO found that Saltanov had submitted false
invoices to get paid for treatment that was never provided.
FSCO investigates allegations of misconduct, unfair practices and
non-compliance with legislation or regulations in its regulated
sectors. If warranted, FSCO takes enforcement action, such as
initiating a prosecution.
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.
"This action clearly demonstrates that FSCO will not tolerate and will
continue to prosecute abuses by unscrupulous participants in the
Ontario auto insurance system." - Philip Howell, CEO and Superintendent
Insurers have rights and responsibilities under the Statutory Accident
Benefits Schedule (SABS) to challenge questionable or abusive claims,
including verifying invoices and expenses.
Ontario is establishing an auto insurance anti-fraud taskforce to
determine the scope of auto insurance fraud in Ontario and to make
recommendations on detection, investigation, enforcement and consumer
As of February 1, 2011, all Ontario health care facilities or providers
were required to transmit auto insurance claim forms to insurers
through Health Claims for Auto Insurance (HCAI). This database will
help to detect auto insurance abuses.
Ontario auto insurers will be required to annually attest that their
companies have established effective compliance controls to satisfy the
rules that protect the rights of policyholders and accident victims.
SOURCE Financial Services Commission of Ontario
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