Insurance · Claims

Canadian coverage, focused on claims, with verified short holdings, original analysis and links to the underlying sources. A publication date isn't the same as a decision date. The dates below identify which is shown.

27 verified publications. Showing the 27 most recent.

Published 2026-10-28 · Open coverage

Alberta issues treatment and daily assistance guidelines for Care First auto claims

Alberta's Superintendent of Insurance issued 2 Care First guidelines effective October 8 covering treatment pathways after initial injury care and evidence for daily living assistance benefits. Insurers and health practitioners preparing for the January 2027 auto insurance transition now have specific directions for documenting and assessing these claims.

Published 2026-10-28 · Open coverage

Insurers estimate $3.7 billion in Canadian summer disaster losses

Insurance Bureau of Canada reported on October 22 that severe weather caused more than $3.7 billion in insured damage during summer 2026, the third highest summer total in Canadian history. The industry estimate signals continuing pressure on property claims, underwriting and disaster planning for households and businesses.

Decision 2026-10-19 · Open coverage

Franks v Viel, 2026 BCSC 1999

The BC Supreme Court distinguished accident-related injuries from the risks posed by a pedestrian’s pre-existing spinal condition and awarded $702,964 following an admitted-liability motor vehicle collision. Its assessment applied thin-skull and crumbling-skull principles to the evidence, without deciding any insurance coverage issue.

Decision 2026-10-19 · Open coverage

Sanchez-McCallum v. ICBC, 2026 BCCRT 1480

A claimant failed to recover $5,000 in alleged lost wages from ICBC after a lengthy vehicle repair. The Tribunal found no proven unreasonable handling of the claim and, independently, no evidence that the delays caused her to lose employment.

Decision 2026-10-20 · Open coverage

Orban v. ICBC, 2026 BCCRT 1489

A driver successfully challenged ICBC's revised finding of complete fault in a three vehicle collision. The Tribunal allocated 75% of responsibility to another driver and ordered ICBC to reimburse $375 of his deductible, but not a $3,000 engineering report.

Decision 2026-10-20 · Open coverage

Olson v. ICBC, 2026 BCCRT 1495

ICBC's finding that a driver was 100% responsible for a winter collision survived a fresh Tribunal assessment. The driver had entered a highway in the face of an immediate hazard and failed to prove the approaching driver contributed to the crash.

Decision 2026-10-20 · Open coverage

Bernath v. ICBC, 2026 BCCRT 1488

The Tribunal upheld ICBC's assignment of 100% responsibility after a scooter was moved into a parked car. Early statements and photographs supported the damage assessment, and an insurer's estimator was treated as a business witness rather than an independent expert.

Decision 2026-03-27 · Open coverage

RBC Life Insurance Company v. Masitch, 2026 ONSC 2277

A named beneficiary kept the proceeds of 2 segregated fund policies after the court rejected his brother’s alleged sharing promise and resulting trust claim. The judge preferred the statutory beneficiary designation framework and ordered the money released from court.

Decision 2026-10-21 · Member analysis

Newey v. ICBC, 2026 BCCRT 1503

A driver blamed an unsafe lane change for a 3 vehicle collision, but BC's Civil Resolution Tribunal found he had time to rebuild a safe following distance. ICBC's finding that he was 100% responsible stood, even though the other driver technically broke a lane change rule.

Decision 2026-02-27 · Open coverage

Certas Home and Auto Insurance Company v. Okenge, 2026 ONSC 1189

Ontario's Divisional Court upheld accident benefits eligibility for a university basketball player who lived away from home but depended principally on his sister for care. The Tribunal assessed practical, emotional and social support, and the insurer showed neither legal error nor unreasonableness. The appeal and judicial review were dismissed.

Decision 2026-09-17 · Open coverage

Jakupovic v. Intact Insurance Company, 2026 ONCA 651

Reporting a collision and vehicle damage didn't notify Intact that the insured intended to claim statutory accident benefits. Ontario's Court of Appeal restored the tribunal's rejection of a claim made much later, while confirming that a reasonable explanation can excuse late notice under the regulations.

Decision 2026-05-07 · Open coverage

Prestidge v Definity Insurance Company, 2026 NBCA 49

The Court of Appeal upheld Definity's $0.30 per kilometre reimbursement for medical travel because the evidence did not establish a higher rate was required. It expressly refused to set a universal rate.

Decision 2026-09-18 · Member analysis

Fishman v. BMO Life Assurance Company, 2026 MBKB 128

Manitoba's life insurance proof requirements don't prevent a reasonable civil fraud inquiry. A policy authorization let BMO require answers, but the court found no fraud or final entitlement to $300,000.

Decision 2026-09-09 · Open coverage

September 2026: Canadian insurance is becoming an operational details business

September’s Canadian insurance developments didn’t point to one national legal rule. They pointed to something more useful: outcomes are increasingly turning on the exact operational detail, from notice requirements and disclosure duties to endorsements, approved forms and capital treatment.

Published 2026-10-06 · Open coverage

The adjuster isn’t the claim

A claims relationship can become unnecessarily adversarial when every request from an adjuster is treated as the insurer’s final position.

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