Car Insurance Claim After A Car Accident In Ontario

Following a car accident, you need to know what happens next with your car insurance claim. You'll find the basics of what you need to know about Ontario auto insurance claim settlement process after a car accident here. This article does not cover the steps to be done at the scene of a car accident, that information can be found in my article Car Accident? 10 Essential Things To Do Right After. Also, the information provided on automobile insurance is not legal advice; just useful information for your own knowledge, so that the whole car insurance claim process becomes not so confusing. As well, you may want to consider keeping a driver's emergency car kit in your car at all times, because you never know when a car accident may happen, and you may need one.

NOTE: It's important that you speak with your car insurance agent after your car accident to deal with and answer questions specific of your car accident situation.


Making a Car Insurance Claim

In Canada, after buying a car, you must insure it with at least the minimum insurance coverage. It is illegal to drive a car in Ontario without having auto insurance. After any car accident involving vehicle damage over $1000, or injury to any person, you can request accident benefits from your car insurance company. You must call your car insurance company within seven (7) days of the car accident to report the accident, and make a car insurance claim.


Making a claim means contacting your car insurance company to inform them of the accident, providing the details surrounding that car accident and requesting compensation for your losses and any personal injuries (including lost wages, damages to your car, etc.) based on your policy coverage.

If you do not call your car insurance company within seven days, or as soon as possible (up to 90 days after the car accident if there are reasonable circumstances for the delay), your car insurance company may not need to accept your claim.


Speaking With Your Car Insurance Company

When you call your car insurance company and inform them of your car accident, they will most likely ask you many questions about the accident including:

  • when the car accident happened (date, time and location)
  • your version of what happened to cause the accident
  • the other driver's name and licence number
  • the other driver’s insurance company name
  • the car insurance policy number of the other driver
  • the other driver’s car information (car model, year, licence plate, etc)
  • the damage to your car if any; and
  • the name and badge number of the investigating police officer


Remember when speaking with your insurance agent that he or she works for the car insurance company. It is their claim adjuster's job to investigate the details of the car accident and determine fault, settlement, and adherence to the policy terms. So, only proffer the information that is requested of you, don't claim fault and don't say more than asked or needed.


Once you answer all your auto insurance agent's questions, complete any forms required and provide them with any additional information that they may request, you have reported your car accident and begun the auto insurance claim settlement process.

Understanding No-fault Car Insurance

Ontario and most of the Canadian provinces have a "no-fault" car insurance system. This term is often misunderstood to mean that no-one is at fault. This of course is incorrect. Someone is always at fault; meaning someone is always responsible for the accident in a car accident.


No-fault car insurance simply means that each driver, despite who caused the car accident, can negotiate with their own auto insurance company for their car accident claim and compensation, rather than having to pursue each other for the money.

Auto Insurance Companies' Assessment of Fault

The claim process begun, it is now up to your auto insurance company to investigate the accident and determine how much fault, if any, to apportion to you and the other driver based on the Fault Determination Rules found in the Insurance Act.


The Fault Determination Rules is the tool all insurance companies must use to help them determine fault. These rules are a list of many different types of car collision situations against which the auto insurance companies must compare your claim to assign fault (responsibility) percentages.


Fault is allocated to each driver based on which accident scenario most closely matches the Fault Determination Rules. If the car accident does not fall into any of the scenarios, then the rules of negligence laws takes precedence. Usually, a 50-50 determination is concluded if your version of the car accident differs vastly from the other driver's, and there isn't any witness evidence.


You can be found to be anywhere between 0 percent and 100 per cent at fault. . If no agreement on fault can be reached, then a decision will have to be made by taking the claim to court. If you are found at fault for any amount (more than zero percent) of the auto accident, an “at-fault” mark will be attached to your automobile insurance record, and most likely your insurance premiums will go up on your renewal.

Accident Benefits - How Much and Who Pays?

Once fault percentage is determined, the claim adjuster assigned to your case will contact you and inform you of their decision concerning fault, and what benefits (also called no-fault or statutory accident benefits) are covered based on your car insurance policy. The extent that you are at fault is also what will be used to decide your future policy coverage and car insurance rates.


If you are deemed 100% NOT at fault, and you intend to sue the other driver for accepted losses such as severe injury, income loss, or passenger death, you should contact them and their insurance company to inform them of your decision to sue.


How much benefits you will be paid is based on your car insurance policy coverage conditions and options. In Ontario, only Direct Compensation - Property Damage, Third-Party Liability, Statutory Accident Benefits, and Uninsured Automobile coverages must be purchased by law. All other coverage offerings are optional and supplementary, based on what you want to pay for and how much coverage you desire in case of a car accident.


Benefits Coverage

Statutory Accident Benefits
This coverage is one of the minimum car insurance coverages you must take under the laws of Ontario. Statutory accident benefits cover basic benefits including medical care, hospitalization, medicine, income replacement, funeral and death, and other benefits if you are injured in a car accident.


Collision
If you purchased optional collision coverage, your deductible will be based on your percentage of fault and the deductible amount you selected when you boughtyour car insurance policy. Collision covers damages to your vehicle in the event you hit (or are hit by) another vehicle or object.


Collision - Car Damaged Irreparable
If your car can't be repaired safely, or if repairing your car properly would cost more than its market (book) value at the time of the car accident, then your automobile insurance company will "write it off," and negotiate a cash payment minus the deductible with you, based on your car's condition before the accident and any haggling, convincing, proof of upgrade, etc. you provide. Market value is the price your car "could have reasonably sold for the day before your car insurance claim." The damaged car (called salvage) is now the property of the auto insurance company.


Collision - Car Damaged Repairable
If your car is repairable, your car insurance company will repair the vehicle based on the conditions agreed upon in your policy. The insurance company may let you choose the automobile repair shop, or select one themselves. Regardless of who chooses the repair shop, you are responsible for the repairs being done properly by the shop, ensuring the cost of the repairs is no more than the agreed upon repair price with the insurance company, and if improvements are made (called betterment), that solely you will pay for the price for those improvements. Your car insurance policy rights allows you to have "similar kind and quality" repairs done, which means that your car is repaired and returned to you in near same or in better condition as before the car accident.

Comprehensive
If you opted for comprehensive coverage in your car insurance policy, your deductible will be based on your percentage of fault and your selected deductible amount. Comprehensive coverages covers damage to your car by non-vehicular accidents including, fire, theft, hail, flood, etc.


Deductibles
If your automobile accident was in Ontario with a car insured in Ontario, and you were found not to be at fault for the car accident, then there is no deductible to pay, unless you took out a deductible to reduce your car insurance premiums. Once you opt for a deductible in your policy, you must pay the full deductible even if you are not at fault. A deductible is the dollar amount you opted to pay in the event of an accident claim when you bought your insurance policy in order to lower the cost of the policy.


Direct Compensation - Property Damage
This coverage is one of the minimum car insurance coverages you must take under the laws. Direct Compensation - Property Damage coverage allows you to receive benefits through your insurance company from the other drivers insurance company if you were not at fault. If you were found at fault and did not buy collision coverage, all repairs to or replacement of your automobile would be your responsibility.


Third-Party Liability
Despite having a no-fault car insurance system, there still exists a limited right to sue for additional costs and damages not covered by the regulated insurance benefits. Third-Party Liability coverage deals with the legal costs of being sued by the other driver, if you were fully at fault for the car accident.

Premiums
Premiums are the amounts you agreed to pay yearly for car insurance coverage. At fault marks in your insurance record from any car accidents you were in could increase yearly car insurance rates.


Property In Car
Any personal property destroyed in or stolen from your car is not covered under car insurance policies. Therefore, no benefits apply. Tenant, Homeowners and Condominium Insurance are what covers any personal items like clothes, shoes, small electronics, fishing gear, and etc. lost in a car accident.


Uninsured Automobile
If you are injured or your car damaged by an uninsured driver or in a hit and run accident, Uninsured automobile coverage pays for the costs of repairs or assistance.

Payment
Once you receive the agreed upon payment amount from your insurance adjuster, your claim is considered settled, and then it is up to you to buy a replacement car and start driving again.

If you are reading this before you have been in a car accident, great! Now is a best time to really read over your automobile insurance policy to be sure you understand the coverages and deductions, and to make any changes to benefit you in the future. Forearmed is forewarned!

___________________________________
callmefoxxy.com, my pen is a mighty sword!


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Comments 22 comments

Chris Eddy111 profile image

Chris Eddy111 6 years ago from Ontario, Canada

Can you put this on Youtube? Then I wouldn't have to worry about finding it if needed. Ok, I'm serious so stop laughing.


Micky Dee profile image

Micky Dee 6 years ago

Yo Callmefoxxy! Where can I rent some witnesses?


callmefoxxy profile image

callmefoxxy 6 years ago Author

Micky Dee, lol. Um... well you can ask Chris Eddy111... lmao!


sham-sham 6 years ago

A claim was filed against me, and I was charged at fault without being contacted. The only reason I found out is because I am trying to change provider to see if I can find a lower rate provider, only to find out I have an accident on my insurance record.Now my insurance premiums went up. According to this a can a person really collect a claim under no-fault without 2nd party contact?


cancer insurance 5 years ago

Nicely done, I loved the hub.. I am bookmarking it..


metaxeirismena aytokinhta 5 years ago

this the reason why i want my metaxeirismena aytokinhta to be insured .There are my accident happening and i can't take any risk anymore.


4 years ago

hey

my friend got hit by a tractor trailer(truck) from rear. unfortunately he doesn't have insurance. and his car is damaged...so he is freaking out. and i have no idea what to do. so the question is can he still claim to other guy's insurance company? and what is the chances to get approved for claim (coz he doesn't have insurance)?


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi D, thanks for your comment. In Ontario, Canada there are mandatory, minimum, liability insurance coverages that are required by law. Curious that your friend was able to get on the road without it... hmmm. Anyway, insurance coverage is usually paid for by one`s own insurance company, so... If he contacts the other person`s insurance company, he will undoubtedly become an identified, uninsured driver. If he is found to be such, he may be subject to: a $5-$50,000 fine, his car being impound, his licence suspended, very high future premiums, or even a conviction. Knowing this, I`d say his chances aren`t very good...


camera2000 4 years ago

Hi Callmefoxxy:

I had an accident while driving the truck of my employer and the claim was paid by the work insurance. will this affect my insurance rates (Toronto)or is there any way to avoid an increase in the personal insurance?

I appreciate your response, I could not find this anywhere and it looks like your site is very informative and you are knowledgeable

thanks


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi camera2000. Thanks for your comment.

Sorry to hear about your accident. Hope you're doing well. First, is the truck a registered commercial vehicle (50ft hauler, dump truck, etc.) or a private passenger vehicle (regular truck, van, car)?

Frankly I had to inform myself, but from what I understand, you most likely will be unable to avoid an increase to your personal insurance if the truck you were driving for your employer is not a commercial vehicle and you were at fault by any percent.

You see, from what I understand, an accident in a private passenger vehicle (PPV) follows the driver and not the vehicle. Your injuries and the truck's repairs would be covered by the employer's automobile insurance, which would require them filing a claim for that accident.

The fact that your employer filed a claim on the accident, would then show up on your insurance report which would impact on your insurance rate. So that when your policy comes up for renewal, or if you change insurance company, you will have to report any accidents that you've had in the last 10 years for which you were at fault (even if you don't report it, the most likely already have that info on file). That is when your insurance premiums would increase, and there really isn't any way to avoid that increase, unless the truck your drove is a commercial vehicle and/or you were 100% NOT at fault.


minicker 4 years ago

i scratch a cain a parking lot ,i gave the security my phone number and plate number ...after 4mnths i receive a letter from collision detective officer what shoul i do the letter state that to contact them to clear my names ..do we have law in ontario for how many months should file on collision after the accident coz i can recall the car and incedet but its a minor scratches...

please give me a advice i dont want to reaped by insurance company and take advantage for this situation


Yoshi 4 years ago

Hi,

My car was rear-ended by another car, straight from behind. The other car admitted fault and signed a statement. So let's assume that it makes me at 0% fault. Will this accident (even at 0 fault) increase my premium?


Reba 4 years ago

Hi, Does anyone know how long I have to file a claim. I was in an accident that did not involve any other vehicles. I would like to go out and get quotes to see how much repairs will cost before going to the insurance company and filing a claim.


Shane 4 years ago

If someone had an accident where the car skid due to poor weather conditions (rain and wet road) and hit the median on a highway; and there was no other vehicle or driver involved in the accident; and the car was just insured for fire, theft etc (practically means that should not be driven on a road but just parked in the drive-way); Can the person still claim damage to the car from his insurance company?


Ruth 4 years ago

I was in an accident and it was not my fault. The car is a year old with 13,000 kilometers and was financed through a bank. Is it true we will only get market value? Will we be stuck paying our taxes and interest and what the market value doesn't cover. We only had the car for under 2 months.


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi Minicker, thanks for leaving a message. I'm not sure what you were asking, so I won't attempt an answer. I'm sure it's resolved by now anyway...


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi Yoshi, thanks for your comment. Hypothetically, if this was the only accident that you had in the last 7-8 years, and you were 0% at fault in this one, more than likely it would not increase your premiums. Of course each insurance company has their own criteria for increases, so best to just ask them.


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi Reba, thanks for leaving a comment. You have 7 days, or a little more time under extenuating circumstances (like a bad injury) to file your insurance claim.


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi Shane, thanks for leaving a comment. Frankly, if the car was not supposed to be driven (fire-theft coverage), yet it was, and was in an accident without any collision coverage, then most likely the person would end up paying for the damages themselves, unless the person claimed theft of course. Weather conditions do not relieve the person from the responsibilities of taking care while driving.


callmefoxxy profile image

callmefoxxy 4 years ago Author

Hi Ruth, thanks for leaving a comment. Unfortunately, it's true that once a car leaves the car lot, it loses value. So yes, if your car was totaled, the adjuster will likely offer only market value or below. However, stick your guns about what you want, and don't sign anything until you get it, or something close. Good luck...


Ina 4 years ago

My dad got in a car accident during bad weather and his car got mashed up. The tow truck towed his car to some mechanic and now he is taking his sweet time fixing the car. He said it should be ready in two weeks but it's been more than 2 months and he is still not done. He's always making up new stories. eg. we are waiting for a part or we need to paint it. He keeps telling him one more week and then the same story again.. The insurance company already sent the mechanic a cheque long time ago but my dad does not have a car! What can my dad do in this situation? Something does not seem right???


htodd profile image

htodd 4 years ago from United States

Wow ..Awesome information ..Thanks a lot

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