
Canadian property and casualty insurance regulators plan to meet more regularly with Ombuds agencies to ensure consumer disputes with P&C insurers are handled fairly.
The Canadian Council of Insurance Regulators (CCIR) published last month a revised Insurance OmbudServices Cooperation and Oversight Framework — the first update of the framework since its 2015 introduction.
The framework outlines how the insurance sector OmbudServices and CCIR cooperate to ensure an effective consumer dispute resolution in the Canada’s P&C insurance market.
The General Insurance OmbudService (GIO) is a national, independent not-for-profit organization helping consumers resolve disputes or concerns with their home, auto or business insurers.
“Updates to the framework include more regular meetings between regulators and the OmbudServices’ leadership and boards, as well as enhanced information-sharing to understand market trends and effectively address systemic issues,” CCIR says of the framework updates. “Going forward, CCIR will publish an annual public report that outlines its engagements with the OmbudServices.”
When consumers have a beef with their insurers, their first recourse is to take it up with the insurance companies. If they can’t resolve the dispute there, they can take it to the OmbudServices, which are at arm’s length from the government and independent of the insurance industry.
CCIR, which includes provincial regulators of Canada’s P&C insurance industry, says it updated the OmbudServices framework to “ensure the OmbudServices continue to maintain the confidence of regulators and consumers.”
To that end, the regulators want to meet more frequently with the OmbudServices and their executives.
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The updated framework says CCIR will meet with the executive management of each OmbudService a minimum of two times per year. One of those meetings will be dedicated to discussing one or two of the seven founding principles of the OmbudServices:
- Independence
- Accessibility
- Scope of Services
- Fairness
- Methods and Remedies
- Accountability and Transparency
- Independent Evaluation.
Also, information-sharing between the CCIR and OmbudServices will become more frequent.
Each OmbudService will provide a quarterly report to the CCIR on consumer complaint volumes and the nature of complaints received.
Plus, each OmbudService “shall engage in open and productive dialogue with CCIR [two times] per year regarding identified trends, emerging trends under monitoring, and any reported systemic Issues,” the updated framework states.
Going forward, CCIR’s annual report will include a summary of its engagements with OmbudServices “and may identify areas for improvement arising from the annual dialogues,” the framework states.








