The Financial Services Regulatory Authority of Ontario (FSRA) issued a supervisory reminder after receiving inquiries from service providers about an increase in denials of travel time expense claims. A review of Health Claims for Auto Insurance (HCAI) data confirmed that insurers across the industry have been denying a greater number of travel time expenses. FSRA reminded insurers of their statutory obligations under sections 15 and 16 of the Statutory Accident Benefits Schedule (SABS) to pay for reasonable and necessary medical and rehabilitation expenses, which may include provider travel time expenses. FSRA said it will continue monitoring the issue and expects full compliance with regulatory requirements, and directed stakeholders to its guidance on listed expenses for service providers in Ontario.
Financial Services Regulatory Authority of Ontario 2025-07-29
Financial Services Regulatory Authority of Ontario reminds insurers of Statutory Accident Benefits Schedule obligations amid rising denials of provider travel time expense claims
The Financial Services Regulatory Authority of Ontario reminded insurers about increased denials of travel time expense claims, confirmed by Health Claims for Auto Insurance data. Insurers must cover reasonable medical and rehabilitation expenses, including provider travel time, under the Statutory Accident Benefits Schedule. FSRA will monitor compliance and directed stakeholders to its guidance on listed expenses.