Motor Vehicle Insurance in BC

  1. Liability Insurance
    Protects responsible party from personally having to pay the losses they caused up to policy limit and indirectly compensate the innocent injured
  2. Injury Insurance
    Directly protect the injured by covering the losses up to policy limit regardless of who was responsible
  3. Is Injury Insurance truly "no fault"?
    • No
    • Fault as basis for setting premium
    • Criminal sanction still in place
    • Compensation reduced for responsible party who committed invidious fault and caused their own injury (e.g. driving intoxicated)
  4. Is Liability Insurance truly 'Fault'?
    • Responsible party protected from having to pay the very losses they caused
    • But not entitled to compensation for own injury (however still covered by social safety net, e.g. health insurance)
    • Not much distinction by degree of willfulness
  5. Liability Insurance Philosophy
    People should compensate anyone they've wronged by paying a sum of money equiv to the losses caused, to restore the injured as nearly as possible to pre-injury condition
  6. Liab Compensation in Practice - Advantages
    Highly individualized
  7. Liability Compensation in Practice - Disadvantages
    Process is adversarial and uncertain
    1. Delay in compensation
    2. Sig process or 'transac' costs (lawyers, med experts, lawyer fees)
    3. Overcompensate less severe injuries (non-eco losses) and undercompensate more severe injuries
  8. Injury Insurance Philosophy
    People (both AF and innocent) should be assisted and their losses compensated without regard to cause
  9. Injury Compensation in Practice - Advantages
    • Less adversarial and certain:
    • Fault is not a factor so more straightforward
    • Compensation (eco losses) paid out quickly
    • Lower costs (no lawyer involvement)
    • Compensates those with minor errors
  10. Injury Compensation in Practice - Disadvantages
    • Overcompensate less severe and undercompensate more severe
    • Compensation not individualized
    • Violate the principle of retribution
  11. 3 types of combined systems
    1. Choice plans: choose between liability-based and injured-based plans
    2. Systems based on liability but with add-on injury benefits
    3. Threshold systems: not AF defendants whose injuries exceed a certain definition are allowed to sue
  12. Choice Plan
    Choose between primarily liab or injury plan. difficulties:
    • default for p.h. who do not make a choice (?)
    • How to compensate injured (pedestrians) who never made a choice
    • How to handle claims involving both 'tort' and 'no-fault'
  13. Threshold System
    Compensate most cases on injury basis regardless of fault, but allow those not AF injured whose losses exceed a specified threshold to sue
  14. Threshold System - Advantages
    1. compromise: intro of injury insurance more palatable by retaining liability access
    2. vs. injury system:
      • more fair and individualized;
      • proper compensation for severely injured
    3. vs. liab system:
      • quicker settlement for minor injuries
      • transac costs reduced (less lawyer involvement) to make overall system more affordable
    4. cost savings make it possible to improve compensation for more severe cases
  15. How to Define Threshold
    • Descriptive basis: in words what types of injuries exceed threshold
    • Monetary basis: permit liab claims when eco loss portion exceed $ threshold
    • Combination of both
  16. Preferred Threshold
    Descriptive or combination of both
    • monetary tends to encourage inflation in awards over time so that liab action can be pursued
    • Permits fast settlement for minor claims and limits cases that go to court
    • More easily interpreted by courts
  17. Types of Benefits and Losses
    • Eco losses:
      1. income support (wage, fatality)
      2. care costs
      3. expenses (replacement services, med service plan
    • Non-eco losses ("general damages" in tort):
      1. pain and suffering
      2. lost opportunity (trilogy)
  18. Key Factors that Affect the Nature of Benefits
    • Payer priority and collateral benefits
    • Net vs. gross wage losses
    • Structured settlements
  19. Payer Priority and Collateral Benefits
    • Tort liab law: can double dip (compensation for the same losses from insurance and 'collateral' sources (EI, LTD))
    • Injury ins:
      • Try to prevent double dip
      • Insurer as 1st or 2nd payer
      • As 2nd payer, compensate only if no or not enough collateral coverage
  20. Issues with Being the 2nd Payer
    • Claimants may still feel entitled regardless of other sources
    • May limit insurer's ability to manage med care, rehab and promote recovery until 1st payer resources exhausted
    • Difficult to ontain complete data for studying med costs
  21. Net vs. Gross Wage Losses
    • Should receive only AT take-home pay
    • 10%-20% for expenses of holding a job -> should be 80%-90% of net loss
  22. Structured Settlements
    Advantage: prevent squandering of large awards for future needs
  23. Design Req'ts for 'Social Req'ts'
    • Equitable / fair benefits
    • Affordable and sustainable coverage
    • Personal responsibility
    • Promotion of wellness
Author
youngt
ID
338884
Card Set
Motor Vehicle Insurance in BC
Description
Motor Vehicle Insurance in BC - At the crossroads: Options and Choices
Updated