Code of Consumer Rights
and Responsibilities
Insurance companies, along with the brokers and agents who sell
home, auto and business insurance, are committed to safeguarding
your rights when you shop for insurance and when you submit a claim
following a loss. Your rights include the right to be informed fully,
to be treated fairly, to timely complaint resolution, and to privacy.
These rights are grounded in the contract between you and your insurer
and the insurance laws of your province. With rights, however, come
responsibilities including, for example, the expectation that you
will provide complete and accurate information to your insurer.
Your policy outlines other important responsibilities. Insurers
and their distribution networks, and governments also have important
roles to play in ensuring that your rights are protected.
Right to Be Informed
You can expect to access clear information about your policy, your coverage, and the claims
settlement process. You have the right to an easy-to-understand explanation of how insurance
works and how it will meet your needs. You also have a right to know how insurers calculate
price based on relevant facts.
You have the right to
ask who is providing compensation to your broker or agent for the
sale of your insurance. Your broker or agent will provide information
detailing for you how he or she is paid, by whom, and in what ways.
Insurance companies
will disclose their compensation arrangements with their distribution
networks. Brokers and agents are committed to providing information
relating to ownership, financing, and other relevant facts.
Responsibility
to Ask Questions and Share information
To safeguard your right
to purchase appropriate coverage at a competitive price, you should
ask questions about your policy so that you understand what it covers
and what your obligations are under it. You can access information
through brochures and websites, as well as through one-on-one meetings
with your broker, agent, or company representative. You have the
option to shop the marketplace for the combination of coverages
and service levels that best suits your insurance needs. To maintain
your protection against loss, you must promptly inform your insurance
company or broker or agent of any change in your circumstances.
Right to Complaint Resolution
Insurance companies,
their brokers and agents are committed to high standards of customer
service. If you have a complaint about the service you have received,
you have a right to access your company’s complaint resolution
process. Your insurer, agent or broker can provide you with information
about how you can ensure that your complaint is heard and promptly
handled. Disputes involving claims settlement matters may be handled
by the FSCO Ombudsman where your complaint may be referred to an
independent mediator.
Responsibility to Resolve Disputes
You should always enter
into the dispute resolution process in good faith, provide required
information in a timely manner, and remain open to recommendations
made by independent observers as part of that process.
Right to Professional Service
You have the right to
deal with insurance professionals who exhibit a high ethical standard,
which includes acting with honesty, integrity, fairness and skill.
Brokers and agents must exhibit extensive knowledge of the product,
its coverages and its limitations in order to best serve you. These
standards are outlined in A Consumer’s Guide to Property and
Casualty Insurance Transactions, supported by members of the Insurance
Brokers Association of Canada.
Right to Privacy
Because it is important
for you to disclose any and all information required by an insurer
to provide the insurance coverage that best suits you, you have
the right to know that your information will be used for the purpose
set out in the privacy statement made available to you by your broker,
agent or insurance representative. This information will not be
disclosed to anyone except as permitted by law. You should know
that insurers are subject to Canada ’s privacy laws.