ontario regulation 58/25

made under the

Insurance Act

Made: May 1, 2025
Filed: May 14, 2025
Published on e-Laws: May 14, 2025
Published in The Ontario Gazette: May 31, 2025

Amending O. Reg. 34/10

(STATUTORY ACCIDENT BENEFITS SCHEDULE – EFFECTIVE SEPTEMBER 1, 2010)

1. (1) Section 47 of Ontario Regulation 34/10 is amended by adding the following subsection:

(2.1) Despite subsection (2), payment of a medical or rehabilitation benefit, other than for medication expenses, for an accident that occurs in Ontario on or after July 1, 2026 is required for that portion of an expense for which payment is reasonably available to the insured person under a supplementary health insurance plan.

(2) Subsection 47 (3) of the Regulation is amended by adding the following definition:

“supplementary health insurance plan” means,

(a) a group plan, including a plan sponsored by an employer or a union as part of an employee benefits program, or purchased through a professional association or group, for medical and rehabilitation coverage, or

(b) an individual plan, including a plan purchased by an individual from an insurance agent, broker or company, for medical and rehabilitation coverage; (“régime d’assurance maladie complémentaire”)

2. Clause 64 (2) (c.1) of the Regulation is amended by striking out “sent” at the end and substituting “delivered”.

Commencement

3. (1) Except as otherwise provided in this section, this Regulation comes into force on the day it is filed.

(2) Section 2 comes into force on the later of July 1, 2025 and the day this Regulation is filed.

(3) Section 1 comes into force on the later of July 1, 2026 and the day this Regulation is filed.