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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.
If you are a first-time customer, your broker or agent will provide
written information detailing for you how he or she is paid,
by whom, how much, and in what ways.
Insurance companies publicize their compensation
arrangements with their distribution networks, and brokers and
agents are committed to informing you of any perceived or real
conflict of interest.
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 though 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 independent General Insurance OmbudService www.gio-scad.org
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. Home and
car insurance 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.
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