Regulatory Resources

HCAI Guideline

This FSRA* guideline describes:

• Which Insurers, Facilities, and health care professionals are subject to the Guideline and in what circumstances

• What documents are to be delivered to HCAI, by what method, and in which circumstances

• How Insurers are to provide information to the Central Processing Agency (CPA)

• Billing procedures

Statutory Accident Benefits Schedule (SABS)

This Ontario regulation outlines the rules, regulations and procedures related to accident benefits.

Cost of Goods Guideline

This FSRA Guideline establishes the maximum expenses payable by auto Insurers for goods delivered under sections 15 and 16 of the SABS.

Professional Services Guideline

This FSRA Guideline establishes the maximum expenses payable by automobile Insurers for certain health care professions or providers.

Minor Injury Guideline

This FSRA Guideline sets out the goods and services that will be paid for by the Insurer without Insurer approval if provided to an insured person who has sustained a minor injury.

Attendant Care Hourly Rate Guideline

This FSRA Guideline, useful for filling out the Form 1, establishes the maximum expense that automobile Insurers are liable to pay under the SABS related to attendant care services. This Guideline applies to accidents that occur on or after April 14, 2018.

FSRA’s Service Provider Licensing Registry

Access FSRA’s public registry of licensed and formerly licensed service providers.

FSRA Service Provider Licensing Information
Learn more about FSRA’s Service Provider Licensing, including how to apply for a Licence.

Insurance Act

Outlines the regulations administered by the Financial Services Regulatory Authority of Ontario (FSRA).
LAT Decisions

The Licence Appeal Tribunal (LAT) is an adjudicative tribunal that is part of Safety, Licensing Appeals and Standards Tribunal (SLASTO). This link provides details on recent appeal decisions.

*Effective June 8, 2019, the Financial Services Regulatory Authority of Ontario (FSRA) assumed the regulatory functions of the Financial Services Commission of Ontario (FSCO). 

Professional Associations and Colleges

HCAI support staff do not have medical training and are unable to offer guidance on any topic other than the use of the HCAI application. If the web-based materials do not answer your questions, please contact your professional association or regulatory college for more information on the following topics:

• How to start, operate or manage your health business in the auto insurance sector

• Injury coding

• Intervention coding

• How to complete OCF forms