Government Notices — Other

Ministry of the Attorney General

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 547-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$112,110 in canadian currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $94,884.35 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 547-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G266E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 548-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$21,670.00 in canadian currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $21,807.55 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 548-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G267E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 549-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$175,000 in canadian currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $140,762.67 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 549-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G268E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 550-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$67,950.00 in canadian currency, $1,537.00 in US currency and a 2011 suzuki kizashi sx (vin# js2rf9a74b6110335) (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $45,908.17 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 550-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G269E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 551-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$49,970 in canadian currency and $20,600 in US currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $55,668.65 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 551-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G270E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 552-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$669,045.00 in canadian currency and 28 kilograms of phenacetin (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $606,031.70 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 552-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G271E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 553-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$35,703.74 in canadian currency, $3,450 in U.S. currency, 2004 porsche cayenne (VIN: wp1ac29p14la93217), 8388 pine valley drive, vaughan (PIN: 03295-0084 in LRO #65) and other property (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $319,214.89 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 553-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G272E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 554-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$13,215.00 in canadian currency and $10 US currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $10,231.93 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 554-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G273E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 555-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$29,950.00 in canadian currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $30,207.75 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 555-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G274E)

Civil Remedies for Illicit Activities Office (CRIA)

Statutory Notice 556-17 made under Ontario Regulation 498/06

attorney general of ontario

- and –

$44,425 in canadian currency (in rem)

The above captioned civil forfeiture proceeding commenced under the Civil Remedies Act has resulted in the sum of $47,103.77 being deposited into a special purpose account.

All individuals or other persons who have suffered pecuniary or non-pecuniary losses (money or non money damages) as a result of the unlawful activity that was the subject of the forfeiture proceeding are entitled to make a claim for compensation.

The Crown, a municipal corporation or a public body that is a member of one of the classes of public bodies prescribed in the regulation that suffered pecuniary losses as a result of the unlawful activity that are expenses incurred in remedying the effects of the unlawful activity are also entitled to make a claim for compensation.

All claims must comply with section 6 of Ontario Regulation 498/06 or they will be denied. Regulation 498/06 may be found at: /laws/regulation/060498.

To obtain a claim form or if you have any inquiries regarding your entitlement to compensation, please contact CRIA toll free at Toll-free: 1-888-246-5359 or by e-mail to MAG_CriaVictims@ontario.ca or by Fax to 416-314-3714 or write to:

Civil Remedies for Illicit Activities Office (CRIA)
Ministry of the Attorney General
77 Wellesley Street West, P.O. Box 555
Toronto, ON, canada M7A 1N3

All completed claims must refer to Notice 556-17 and be received by CRIA no later than 5:00:00 pm on October 6, 2017 or they will not be considered. Completed claims may be submitted either in writing to the above address or electronically to the above e-mail account or via fax.

You may not be eligible for compensation if you took part in the unlawful activity giving rise to the forfeiture proceeding. Even if you are eligible for compensation, your claim may be denied if you are unable to provide proof of your claim.

(150-G275E)

Building Code Act, 1992 Rulings of the Minister of Municipal Affairs and Housing

notice is hereby given pursuant to subsection 29(4) of the Building Code Act, 1992 that the following Rulings have been made under Clause 29(1)(a) of The Building Code Act, 1992 authorizing the use of innovative materials, systems or building designs evaluated by the Canadian Construction Materials Centre which is a materials evaluation body designated in the Ontario Building Code:

(150-G276)

Ontario Energy Board

Amendments to the Distribution System Code

1. Section 1.7 of the Distribution System Code is amended by adding the following text at the end of the section:

   The amendment to section 6.7.3 comes into force on July 1, 2017.

2. Section 6.7.3 of the Distribution System Code is amended by deleting the phrase “of section 2(2)” after the phrase “meets the requirements”.
3. Section 9.1 of the Distribution System Code is deleted.

Amendments to the Unit Sub-Metering Code

1. Section 5.1 of the Unit Sub-Metering Code is deleted and replaced with the following:
   5. 1. Eligibility for OESP Rate Assistance; Rate Assistance Amounts
         1. The classes of unit sub-meter provider customers eligible for OESP rate assistance, and the amounts of rate assistance for which they qualify, are the same as those set out in Ontario Regulation 314/15 (Ontario Electricity Support Program) under the Act, except that the definition of “account-holder” in the regulation shall be read as “a consumer who has an account with a unit sub-meter provider for electricity service at a residential dwelling, and who lives at the dwelling for at least six months in a year.”
2. Section 5.2 of the Unit Sub-Metering Code is deleted.

(150-G277)

Mining Act

Government Notice–under the Mining Act lands and/or Mining Rights to Be Forfeited for Mining Land Tax

pursuant to the provisions of the Mining Act R.S.O. 1990, Chapter M.14, Section 197, the following list of lands and mining rights in respect of which mining land tax and costs to May 31, 2017, imposed by the said Act, are two years or more in default, notice is hereby given that unless the amount due as shown is paid on or before December 31, 2017 some or all rights and any interest may be forfeited to and vested in the Crown but shall not be open for prospecting, staking out, sale or lease until published in one issue of the ontario gazette. (This is not a tax sale. The lands cannot be purchased by paying the taxes.)

Christine Kaszycki
Assistant Deputy Minister
Mines and Minerals Division
Ministry of Northern Development and Mines
Communications regarding this matter should be directed to:
Mining Lands Revenue Clerk
3^rd Floor, 933 Ramsey Lake Road
Sudbury, Ontario P3E 6B5
Telephone: 705-670-5850 or 1-888-415-9845 ext. 5850

district of algoma

township of lefroy

township of mcmurray

township of rabazo

township of spragge

township of striker

district of cochrane

township of deloro

township of munro

township of robb

township of whitesides

township of whitney

district of kenora

bigstone bay area

township of drayton

township of haycock

township of kirkup

township of melgund

district of nipissing

township of strathy

district of parry sound

township of humphrey

township of nipissing

district of rainy river

township of hutchinson

county of kingston (frontenac)

township of barrie

township of blithfield

township of cardiff

township of faraday

township of grimsthorpe

township of hungerford

township of madoc

township of palmerston

township of wollaston

district of sudbury

township of curtin

township of hanmer

township of tilton

district of thunder bay

township of blackwell

township of conacher

fluor island area

township of horne

township of lybster

township of macgregor

township of o connor

township of pic

township of walsh

district of timiskaming

township of boston

township of bryce

township of cairo

township of coleman

township of eby

township of firstbrook

township of grenfell

township of james

township of lebel

township of lee

township of maisonville

township of mcelroy

township of pacaud

township of skead

township of teck

(150-G278)

August 2017
Health Claims for Auto Insurance Guideline
Superintendent’s Guideline No. 01/17

Health Claims for Auto Insurance August 2017 Guideline

Introduction

This Guideline replaces the Health Claims for Auto Insurance May 2015 Guideline – Superintendent’s Guideline No. 01/15 issued in May 2015, and is issued pursuant to s. 268.3 (1) of the Insurance Act for the purposes of ss. 49 (1), 64 (7) and 66 of the Statutory Accident Benefits Schedule – Effective September 1, 2010 (SABS).

This Guideline applies to documents specified in this Guideline that are delivered on or after August 1, 2017, regardless of the date of the accident to which they relate.

A document to which this Guideline applies and that previously would have been sent directly to an insurer to whom this Guideline applies, is instead to be sent to a Central Processing Agency (CPA) established by the insurance industry to receive such documents on behalf of insurers.

This Guideline describes:

• which insurers, health care facilities and health care professionals are subject to the Guideline and in what circumstances;
• what documents are to be delivered to the CPA and in what circumstances;
• how such documents may be delivered to the CPA;
• how insurers are to provide information to the CPA; and
• billing procedures.

Insurers and Participating Facilities That Are Subject To This Guideline

This Guideline applies only to transactions between Participating Facilities and a Participating Insurer, as defined below, in respect to any claim for SABS benefits under a motor vehicle liability policy issued in Ontario.

Specific sections of this Guideline apply where indicated to Service Providers issued a licence under s. 288.5(3) of the Insurance Act. Such entities are referred to in this Guideline as “Service Providers”. In accordance with s. 288.2(1) of the Insurance Act, an insurer is prohibited from making payments directly for listed expenses to a person or entity who does not hold a service provider’s licence at the applicable time.

Participating Insurers

This Guideline applies to all insurers licensed in Ontario in respect of all claims for SABS benefits under any motor vehicle liability policy issued in Ontario. Each such insurer is a Participating Insurer for the purposes of this Guideline. In addition, for the purposes of this Guideline the Motor Vehicle Accident Claims Fund is a Participating Insurer.

This Guideline does not apply to any reinsurer in respect of claims under a contract of reinsurance.

Service Providers

A Service Provider holds a valid licence issued by the Superintendent of Financial Services under the Insurance Act.

Participating Facilities

For the purposes of this Guideline, the main office and each specified branch office of a health care facility registered with HCAI is a Participating Facility. Each rostered health professional operating on behalf of the main office or a specified branch office is a Participating Facility.

A Service Provider may be a Participating Facility. A Service Provider may also own one or more Participating Facilities. A given Participating Facility may be owned by and licensed as a given Service Provider, or may not be so owned and therefore not part of a Service Provider licence. For greater certainty, a Participating Facility may or may not be a Service Provider.

Rostered Health Professionals

Health professionals on the roster of one or more Participating Facilities are Rostered Health Professionals for the purposes of this Guideline.

Designation of Central Processing Agency – SABS s. 64 (7)

Health Claims for Auto Insurance Processing is the CPA for the purposes of this Guideline and s. 64 (7) of the SABS. Health Claims for Auto Insurance Processing is a not-for-profit Ontario corporation established and funded by the insurance industry and operated by a board of directors that includes representatives of the insurance industry and health care communities.

The primary role of the CPA is to act as the agent of insurers to receive specified documents on their behalf; to confirm that the documents are duly completed and contain all of the information required to be included in them; and to then make the documents available for access by the insurers to whom they are addressed. The CPA also acts as an intermediary for the purpose of enabling insurers to communicate information such as claims approval and payment decisions electronically to those Rostered Health Professionals and Participating Facilities who wish to receive such communications electronically through the CPA.

The CPA is also expected to be a primary source of the information that automobile insurers will be required (under s. 101.1 of the Insurance Act) to provide to the Superintendent of Financial Services, concerning claims for goods and services for which automobile insurers are liable under contracts of automobile insurance.

Public Registry

FSCO will maintain a public registry of current and former Service Providers. The registry can be found on the FSCO website at www.fsco.gov.on.ca. The public registry will include the effective dates of all licences and will indicate whether any conditions apply to the licence, and whether a licence has been suspended/revoked, or surrendered and the applicable dates.

Invoices for Goods and Services That Are Subject to This Guideline – SABS s. 49

Any invoice for goods or services specified in Appendix 2 of this Guideline for the purposes of s. 49 of the SABS must be in the form (the Auto Insurance Standard Invoice) approved by the Superintendent of Financial Services in accordance with s. 66 of the SABS and is required to be submitted through HCAI by a Participating Facility.

This requirement applies only if:

• payment of the invoice is claimed against a Participating Insurer with respect to a transaction with a Participating Facility
• all of the goods or services referred to in the invoice are provided in Ontario by the Participating Facility
• the invoice is submitted by a Participating Facility

Where this requirement applies, s. 49 (1) of the SABS prohibits a Participating Insurer from paying any invoice that is not in the approved form, does not include all of the information required by the approved form, or is not sent to the CPA as required by this Guideline. This prohibition applies to invoices for services provided by both Service Providers and unlicensed service providers.

Section 49.1 of the SABS sets out additional requirements on when the goods or services are provided by an unlicensed service provider. After submitting the invoice to the CPA, the Participating Facility must print off a copy of the invoice, obtain the appropriate signature, and give it to the insured person. The insured person must in turn send this copy of the invoice to his or her insurer.

Documents That Must Be Delivered to the CPA

Applicable Forms

The following documents are specified for the purpose of s. 64 (7) of the SABS. Each of these documents must be delivered to the CPA (and not directly to the insurer) unless otherwise specified in this Guideline, when delivered by a Participating Facility to a Participating Insurer.

Treatment & Assessment Plan (OCF-18) – SABS s. 38

The requirement to deliver this document to the CPA applies regardless of whether or not the Participating Facility is a Service Provider.

The OCF-18 is not approved for use with any Minor Injury Guideline (MIG) codes or Pre-approved Framework (PAF) codes.

Treatment Confirmation Form (OCF-23) – SABS s. 40

This requirement applies regardless of whether or not the Participating Facility is a Service Provider.

Auto Insurance Standard Invoice (OCF 21) – SABS s. 49

The OCF 21 must be submitted to the CPA by all Participating Facilities, including both Service Providers and unlicensed service providers, under the circumstances specified in this Guideline, and if this Guideline requires the use of this form for the particular goods or services being billed.

Please note that with one exception (see ^{*footnote *[*]} below), a document that this Guideline does not require to be delivered to the CPA must be delivered directly to the insurer using one of the delivery methods provided for in s. 64(2) of the SABS.

Disability Certificate (OCF-3)

In addition, regardless of whether or not the Participating Facility is a Service Provider, if the Participating Facility is properly enrolled in HCAI it can continue to submit the OCF-3 in the usual manner (not through the CPA).

Requirements for Submission of the OCF-21

The purpose of this section is to set out rules for submission of the OCF-21 that must be followed by all Participating Facilities. This includes describing the information that must be provided on the OCF-21 in order for it to be considered to be duly completed and contain all information required to be included in it within the meaning of s. 67 of the SABS.

An OCF-21 that does not include all required information as identified in the form or required by this Guideline will be deemed to be incomplete and deemed not to include all the information required by the SABS.

Submission of OCF-21 by unlicensed service providers

Unlicensed service providers must complete an OCF-21 for all goods and services and submit it to the CPA, even though they will seek direct payment from the claimant. As noted above section 49.1 of the SABS requires the unlicensed service provider to provide the claimant with a printed copy of the OCF-21 that was submitted to the CPA. The claimant will seek reimbursement from a Participating Insurer by sending the copy of the OCF-21 to the Participating Insurer, as required by s. 49.1 of the SABS. Once the Participating Insurer has reconciled the printed copy of the OCF-21 with the OCF-21 provided to the CPA, the Participating Insurer will pay the claimant directly.

OCF-21 submissions from an unlicensed service provider are not deemed to have been received by the insurer under subsections 64(8) and (9) of the SABS until the insurer receives a paper copy of the OCF-21 from the claimant. Section 49.1 requires the claimant to send a copy of the OCF-21 to the insurer. Once the insurer receives the copy of the invoice, the receipt date will be entered into the CPA and the CPA will at that point determine that the document has been duly completed.

Billing Procedures

1. Frequency of invoicing

   This provision only applies to Service Providers.

   An OCF-21 submitted in respect of a Treatment and Assessment Plan (OCF-18) shall not be submitted until no further approved goods or services referred to in the OCF-18 will be rendered. However, where the delivery of the goods or services referred to in an OCF-18 extends over 30 calendar days, the Service Provider may choose to submit an OCF-21 in respect of that OCF-18 not more than once per calendar month.

   In order to enable insurers to properly reconcile invoices, a Service Provider shall not submit an OCF-21 that applies to more than one OCF-18 or to more than one OCF-23, or to an OCF-18 as well as an OCF-23.

   If treatment is being provided under the Minor Injury Guideline (MIG), a Service Provider shall not submit an OCF-21 in respect of a treatment Block as referred to in the MIG until completion of the Block. (In the event an insured person changes providers while treatment services are being delivered, the previous provider may submit an OCF-21 for the services delivered prior to the change. However, the amount billed must comply with paragraph 6 (“Changing health practitioners within this Guideline”) of the MIG.)

2. Duplicate invoices

   Re-submission of an OCF-21 that refers in whole or in part to goods or services referred to in an OCF-21 already received by the insurer according to s. 64 (9) of the SABS is not permitted through the HCAI system. Where a Participating Facility wishes to remind the insurer of an outstanding amount, the Participating Facility must contact the insurer directly.

   A Participating Facility who repeatedly and/or deliberately submits duplicate OCF-21 forms through the HCAI system may be found by the CPA to be in contravention of the CPA’s user terms & conditions (see HCAI Enrolment below). Such contravention may result in suspension, cancellation or revocation of the Participating Facility’s access to the HCAI system.

   In addition, a Service Provider is required by section 7 of Ontario Regulation 90/14, Service Providers – Standards for Business Systems and Practices (Reg. 90/14) to take reasonable steps to ensure that it does not submit duplicate versions of OCF 18s, OCF 23s and OCF21s or any other document that is required by this Guideline to be delivered through the HCAI system. It is a condition of every Service Provider licence that Service Providers are required to comply with Reg. 90/14.

3. Approved Goods and Services

   Participating Facilities are to invoice Participating Insurers for goods or services specified in Appendix 2 separately from goods or services not specified in Appendix 2. Similarly, Participating Facilities are to invoice Participating Insurers for goods or services provided in Ontario separately from goods and services not provided in Ontario.

4. Non-approved goods and services

   A Participating Facility shall not submit an OCF-21 for goods or services (which includes assessments and examinations) that have not been:

   1. approved by the insurer,
   2. deemed by the SABS to be payable by the insurer, or
   3. determined to be payable by the insurer on resolution of a dispute in accordance with ss. 279 to 283 of the Insurance Act.

   A Participating Facility who repeatedly and/or deliberately submits OCF-21 forms through the HCAI system contrary to this requirement may be found by the CPA to be in contravention of the CPA’s user terms & conditions (see HCAI Enrolment below). Such contravention may result in suspension, cancellation or revocation of the Service Provider’s access to the HCAI system.

   In addition, a Service Provider is prohibited by section 10 of Ontario Reg. 90/14 from submitting an OCF-21 through the HCAI system for any listed expenses that have not been approved by the insurer, where approval is required in accordance with the SABS and within the applicable time limit set out in the SABS. It is a condition of every Service Provider licence that the Service Provider is required to comply with Reg. 90/14.

5. Use of Appropriate Versions of the OCF-21

   The OCF-21A and OCF-21B are not approved for the purpose of billing any amounts under the MIG or a PAF.

   Only the OCF-21C is approved for the purpose of billing any amounts under the MIG or a PAF.

   When submitting an OCF-21C, the following additional information must be included:

   1. The date that the treatment Block commenced.
   2. The profession(s) of the Rostered Health Professional(s) who provided the treatment.

Recordkeeping

For every OCF-21 submitted to a Participating Insurer, the Participating Facility must keep on file:

• an original paper version of the OCF-21 as submitted that includes the original authorized signature of the regulated health professional providing treatment, or
• an electronic true copy of the OCF-21 as submitted, provided that it is in pdf format and includes a true copy of the original authorized signature on behalf of the regulated health professional,

and must be prepared to give the insurer access to inspect and copy the OCF-21 in accordance with s. 46.2 of the SABS where requested by the insurer.

Additional Information Required on an OCF-21 Submitted to the CPA

1. If it is alleged that the insurer is required to pay for goods or services in accordance with s. 38 (11) of the SABS (i.e., by reason of the insurer’s failure to respond to an OCF-18 within 10 business days of receipt) this must be clearly identified in the “Other Information” section of the OCF-21.
2. The “Plan Number” of the OCF-18 or OCF-23 to which the OCF-21 refers must be provided where indicated in Part 3 of the OCF-21. The “Plan Number” is the unique Document Number generated by the CPA when the OCF-18 or OCF-23 to which the OCF-21 refers was submitted. However, if there is no Plan Number for a reason permitted by the SABS or this Guideline, for example because the insurer has waived the requirement for an OCF-18 or OCF-23 under s. 39 or s. 41 of the SABS as applicable, the word “exempt” must be inserted in the Plan Number field and details of the circumstances must be provided in the “Other Information” section of the OCF-21.
3. If the OCF-21 is for goods or services that are alleged not to require an OCF-18 because of s. 38 (2) or s. 38 (4) of the SABS, the word “exempt” must be inserted in the Plan Number field in Part 3 of the OCF-21 and details of the basis on which an OCF-18 is said not to be required must be provided in the “Other Information” section of the OCF-21.
4. Complete and accurate information regarding other available insurance and health care coverage must be provided in the “Other Insurance” section of the OCF-21.

Completion of Documents

A document to which this Guideline applies will be deemed not to have been completed and not to contain all the information required by the SABS to be included in it, unless all fields (other than those that are optional in the circumstances indicated on the form as approved by the Superintendent of Financial Services) are completed as required by this Guideline.

The information in any completed field must comply with the validation rules set out in Appendix 3 of this Guideline.

Where the form specifies the format in which certain information (e.g., a date) is to be provided, the information must be provided in that format.

All attachments must be legible.

AttachmentsTo Documents That Are Subject To This Guideline

For the purposes of this Guideline, “attachments” means any material (e.g., additional pages, reports, test results) submitted in support of a document to which this Guideline applies.

If a Participating Facility determines that it is necessary to send one or more attachments rather than including in the document itself all information that the sender determines to be desirable or necessary to accomplish its purpose, the following special rules apply:

1. The sender must specify, in the field provided in the document for that purpose, that attachments are being sent and the number of attachments being delivered must be entered in the additional comments field.
2. The document itself (but not the attachments) must still be delivered to the CPA in electronic format as described above.
3. The attachments are not to be delivered to the CPA, but instead must be delivered directly to the insurer by one of the delivery methods described in s. 64 (2) of the SABS. Although it is preferable that all attachments be delivered to the insurer at the same time, it is not mandatory to do so.

   Please note that any attachment delivered to the CPA will be deemed not to have been received by the insurer, and will not be returned, but will be destroyed.

4. The attachments are not to be sent to the insurer before the document to which this Guideline applies is sent to the CPA.
5. Each attachment must be identified with the claimant’s name, either the claim number or policy number, the HCAI document number, the date of the accident, and the document type (i.e., OCF-18, OCF-21 or OCF-23) to which the attachment relates, to enable the insurer to identify the document for which the attachment is intended.

Rules Governing Delivery of Applicable Documents and Date of Receipt

Delivery of Documents

Section 64 (7) of the SABS provides that a document to which this Guideline applies is deemed not to have been delivered to an insurer unless it is delivered to the CPA as required by this Guideline.

Please note that a document that this Guideline does not require to be delivered to the CPA, must be delivered directly to the insurer using one of the delivery methods provided for in s. 64 (2) of the SABS.

Date of Receipt

Section 64 of the SABS sets out the rules that determine when a document delivered to the CPA as required by this Guideline, is deemed to be received by the insurer to whom it is addressed. Briefly summarized, those rules provide:

1. Document with no attachments – is deemed to be received by the insurer to whom it is addressed when the document has been delivered to the CPA in a manner specified in this Guideline, and the CPA has determined that the document is duly completed and contains all information required by the SABS to be included in it.
2. Document with attachments – is deemed to be received by the insurer to whom it is addressed when:
   1. the document (exclusive of attachments) has been delivered to the CPA in a manner specified in this Guideline, and the CPA has determined that the document is duly completed and contains all information required by the SABS to be included in it; and
   2. all of the attachments have been received by the insurer.

OCF-21 submissions from an unlicensed service provider are not deemed to have been received in accordance with subsection 64(8) or (9) of the SABS until the insurer receives a paper copy from the claimant as required by s. 49.1.

The SABS provides (s. 64 (20)) that a document delivered to the CPA by electronic submission later than 5:00 p.m. Eastern Time is deemed to have been delivered to the CPA on the following business day.

The SABS also provides (s. 64 (10)) that the CPA will be deemed to have determined, on the day a document was delivered to it in a manner specified in this Guideline, that the document is duly completed and contains all information required by the SABS to be included in it, unless the CPA notifies the sender to the contrary, in a manner specified in this Guideline.

For the purposes of s. 64 (10), the manner in which the CPA is to notify the sender is by one of the delivery methods provided for in s. 64 (2) of the SABS. The CPA may also deliver the notification verbally (e.g., by a telephone call or message), provided written confirmation is given as soon as practicable afterwards by one of the delivery methods provided for in s. 64 (2) of the SABS.

As previously noted, the SABS further provides (s. 64 (7)) that a document to which this Guideline applies is deemed not to have been delivered to an insurer unless it is delivered as required by this Guideline. Any document delivered to the CPA by a health care facility that has not completed the enrolment process, is not delivered as required by this Guideline and therefore shall be deemed not to have been delivered to an insurer. Any OCF-21 delivered to the CPA by an unlicensed service provider is not delivered as required by the Guideline unless a copy of the OCF-21 is given to the claimant and this copy is sent to the insurer.

Codes to Be Used in Submitting Information

The following information shall be provided utilizing the codes specified below:

• To describe injuries and sequelae, codes listed in the International Statistical Classification of Diseases and Related Health Problems, 10^th Revision, Canadian Enhancement (ICD-10-CA) which is maintained by the Canadian Institute for Health Information and available through www.cihi.ca. An abridgment of the ICD-10-CA list of codes, developed to assist stakeholders in the Ontario automobile insurance system, is available at www.HCAIinfo.ca.
• To describe health interventions, codes listed in the Canadian Classification of Health Interventions (CCI) which is maintained by the Canadian Institute for Health Information and available through www.cihi.ca. An abridgment of the CCI list of codes, developed to assist stakeholders in the Ontario automobile insurance system, is available at www.HCAIinfo.ca.
• To describe provider types, the list of Provider Type Codes is available at www.HCAIinfo.ca.
• To describe payment categories under a Pre-approved Framework, the list of Pre-approved Framework Reimbursement Codes is available at www.HCAIinfo.ca.
• To describe payment categories under the Minor Injury Guideline, the list of Minor Injury Reimbursement Codes is available at www.HCAIinfo.ca.
• To describe items billed to automobile insurers by providers that are not covered by the CCI, the list of Goods, Administration, and Other Codes is available at www.HCAIinfo.ca.
• To describe unit measures and for converting minutes to hours, the list of Unit Measure Codes and the Minutes to Hour Conversion Table is available at www.HCAIinfo.ca.

The information at www.HCAIinfo.ca is maintained by Insurance Bureau of Canada in cooperation with the professional associations referred to at www.HCAIinfo.ca/links.asp.

Requirements for Insurers

As of December 1, 2014, insurers can only pay Service Providers directly for listed expenses invoiced on an OCF-21.

Prior to releasing payment, insurers are reminded to verify if the Participating Facility is operating as a Service Provider listed on FSCO’s public registry and that the Participating Facility was licensed on the applicable dates.

Where the SABS requires a Participating Insurer to provide information to the CPA, such information shall be delivered to the CPA in electronic form in a manner that results in it being capable of being retrieved and accessed by the CPA.

The information referred to in s. 49 (3) of the SABS concerning the processing of an invoice must be provided to the CPA within five business days after the invoice has been processed by the Participating Insurer.

The information referred to in s. 64 (13) of the SABS concerning any other document to which this Guideline applies must be provided to the CPA within five business days after the document has been processed by the Participating Insurer.

The information referred to in s. 64 (14) of the SABS concerning receipt of attachments must be provided to the CPA within five business days after the last attachment has been received by the Participating Insurer.

The deadlines referred to above are independent of, and not to be confused with, the deadlines within which an insurer is to process and respond to a document as set out in the SABS.

A Participating Insurer that has completed the enrolment process as an Insurer (see HCAI Enrolment below), is authorized to deliver information to the CPA electronically and to access from the CPA information that has been delivered to the CPA by a Participating Facility.

HCAI Enrolment

Before submitting information to, or receiving information from the CPA, a Service Provider, health care facility or insurer that is a Participating Facility or Participating Insurer shall enrol with the CPA and agree to its user terms and conditions. The user terms and conditions may include commercially reasonable provisions to address responsibilities including confidentiality, security, liability, access, and data integrity.

All Participating Facilities are required to:

• remain in regular contact with the rostered health professionals active on the Rostered Health Professionals List (even if they are not regular full‐time employees);
• ensure these individuals know they are, and consent to be, associated with the Participating Facility;
• remove Rostered Health Professionals from the Participating Facility’s Rostered Health Professionals List, as requested;
• retain a signed Dependent Provider Form or Affiliated Provider Form for each rostered health professional included in your Participating Facility’s Rostered Health Professionals List;
• Within ten days of an employee leaving the Participating Facility, or upon receiving a request from a Rostered Health Professional to be removed from the Participating Facility’s Rostered Health Professionals List in HCAI, the Participating Facility must update the Rostered Health Professionals List by adding an end date to the Rostered Health Professional’s record.

Temporary Suspensions of This Guideline

In the event that the CPA becomes unable (e.g., by reason of temporary technical issues) to properly carry out its obligations to Participating Facilities or Participating Insurers, the Superintendent of Financial Services may temporarily suspend the operation of this Guideline.

The Financial Services Commission of Ontario will post notice of any suspension and subsequent resumption of operation of this Guideline on its website (www.fsco.gov.on.ca).

During the period of any such suspension, the requirements of this Guideline do not apply and documents are instead to be delivered directly to insurers using one of the standard delivery methods provided for in s. 64 (2) of the SABS.

How to Deliver Documents to the Central Processing Agency

As required by this Guideline, an OCF-18, 21 and 23 to be delivered to the CPA must be delivered in electronic format.

Electronic Submission

The document may be delivered to the CPA in electronic form in a manner that results in it being capable of being retrieved and accessed by the CPA.

Participating Facilities are authorized to deliver documents to the CPA electronically and to access information electronically from the CPA, once they have completed the appropriate enrolment process (see HCAI Enrolment above).

As noted above under Rules Governing Delivery of Applicable Documents and Date of Receipt, any document delivered to the CPA by a Participating Facility that has not completed this enrolment process will be deemed not to have been received by the insurer, and will not be processed.

Appendix 1 Facility Registry and Service Provider Licensing Rules

Appendix 2 Invoices For Goods And Services That Are Subject To This Guideline – SABS s. 49

Appendix 3 Validation Rules

(150-G279E)