Difference between revisions of "Optional ICBC Insurance (12:XI)"

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== A. Introduction to OICs ==
== A. Introduction to OICs ==


Optional Insurance Contracts (“OICs”) are additional optional coverage that any person can purchase at his or her discretion. The following are '''some''' of the '''types''' of coverage, over and above the Basic Compulsory Coverage, that may be purchased at the owner’s option from a private insurance company. The term OIC includes, but is not limited to policies providing coverage for excess third-party liability, excess own vehicle damage, excess UMP coverage, and excess no-fault income replacement.  
Optional Insurance Contracts (“OICs”) are additional optional coverage that any person can purchase at their discretion. The following are '''some''' of the '''types''' of coverage, over and above the Basic Compulsory Coverage, that may be purchased at the owner’s option from a private insurance company. The term OIC includes, but is not limited to policies providing coverage for excess third-party liability, excess own vehicle damage, excess UMP coverage, and excess no-fault income replacement.  


'''NOTE''': Formerly, Part 9 of the ''IMVA Regulations'' (Extension Insurance) covered material under this part. Under the current legislation, it  has been replaced by Part 4 of the ''IVA'' (Optional Insurance Contracts) and Part 13 of the ''IVR'' (Optional Insurance Contracts).   
'''NOTE''': Formerly, Part 9 of the ''IMVA Regulations'' (Extension Insurance) covered material under this part. Under the current legislation, it  has been replaced by Part 4 of the ''IVA'' (Optional Insurance Contracts) and Part 13 of the ''IVR'' (Optional Insurance Contracts).   
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*by providing different limits of coverage for different persons or risks or classes of persons or risks.  
*by providing different limits of coverage for different persons or risks or classes of persons or risks.  


'''NOTE''': The above prohibition, exclusion, and limit are not binding on the insured unless the policy has printed on it in a prominent place and in conspicuous lettering the words “This policy contains prohibitions relating to persons or classes or persons, exclusions or risks or limits of coverage that are not in the insurance it extends” (''IVA'', s 61(2)).  
'''NOTE''': The above prohibition, exclusion, and limit are not binding on the insured unless the policy has printed on it in a prominent place and in conspicuous lettering the words “This policy contains prohibitions relating to persons or classes of persons, exclusions or risks or limits of coverage that are not in the insurance it extends” (''IVA'', s 61(2)).  


In an OIC, an insurer may provide for further exclusions and limits to coverage for losses in respect of:  
In an OIC, an insurer may provide for further exclusions and limits to coverage for losses in respect of:  
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==== b) Limit on Liability ====
==== b) Limit on Liability ====


The limit on the amount of indemnity payable is determined, by whichever of the following is lesser (''IVR'', s 169 & Schedule 10 s 5):
The limit on the amount of indemnity payable is determined, by whichever of the following is lesser (''IVR'', s 169 and Schedule 10 s 5):
<blockquote>a) the cost of repair of the vehicle and its equipment;  
<blockquote>a) the cost of repair of the vehicle and its equipment;  
b) the actual cash value of the vehicle and its equipment; or  
b) the actual cash value of the vehicle and its equipment; or  
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Other situations to which coverage does '''not''' apply are:  
Other situations to which coverage does '''not''' apply are:  
*embezzlement;  
*embezzlement;  
*conversion;  
*conversion (i.e., when a seller does not own the vehicle sold);  
*voluntary parting of ownership, whether or not induced to do so by fraud; and towing of an uninsured vehicle that is required to be insured  
*voluntary parting of ownership, whether or not induced to do so by fraud; and towing of an uninsured vehicle that is required to be insured  


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f) permitting others to breach a condition (s 55);  
f) permitting others to breach a condition (s 55);  


g) using a vehicle in a manner contrary to the insured person’s statement in his or her application for coverage, the result being a form of breach of condition. This happens most commonly in cases where coverage of a vehicle for “pleasure purposes” is applied for, and the vehicle is damaged when in fact being used to take the insured person to or from work (s 55 sets out the specifics);  
g) using a vehicle in a manner contrary to the insured person’s statement in their application for coverage, the result being a form of breach of condition. This happens most commonly in cases where coverage of a vehicle for “pleasure purposes” is applied for, and the vehicle is damaged when in fact being used to take the insured person to or from work (s 55 sets out the specifics);  


h) failing, without reasonable cause and to the prejudice of ICBC,
h) failing, without reasonable cause and to the prejudice of ICBC,
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If a client is dissatisfied with an adjuster’s decision, there are two available courses of action:  
If a client is dissatisfied with an adjuster’s decision, there are two available courses of action:  
<blockquote>a) the client can go through ICBC’s internal appeal procedure by asking the  adjuster to review his or her decision and, if there is no change, by asking the claims manager to review it. If the client is still not satisfied, the third step is to present the client’s case to an  appeal panel; or </blockquote>
<blockquote>a) the client can go through ICBC’s internal appeal procedure by asking the  adjuster to review their decision and, if there is no change, by asking the claims manager to review it. If the client is still not satisfied, the third step is to present the client’s case to an  appeal panel; or </blockquote>
<blockquote> b) the client can sue. This is commonly the most satisfactory course, particularly where the amount in issue is relatively small, as where the damage is about the same amount as the “deductible”. Such an action is not brought against ICBC under the policy, but against the driver (and owner, ''MVA'', s 86) whose negligence is said to have caused the accident. In such a case, that ICBC was not liable to pay the “deductible” to  its own insured does not relieve the negligent party from liability, assuming always that negligence can be established. </blockquote>
<blockquote> b) the client can sue. This is commonly the most satisfactory course, particularly where the amount in issue is relatively small, as where the damage is about the same amount as the “deductible”. Such an action is not brought against ICBC under the policy, but against the driver (and owner, ''MVA'', s 86) whose negligence is said to have caused the accident. In such a case, that ICBC was not liable to pay the “deductible” to  its own insured does not relieve the negligent party from liability, assuming always that negligence can be established. </blockquote>


There are two ways in which to frame the action. The plaintiff can either claim the total amount of damage resulting from the negligence, even though ICBC has already paid a portion of it, or the plaintiff can claim merely the amount that ICBC has not paid. Remember, however, that a plaintiff cannot collect twice, and if he or she sues for more than the deductible, he or she may be held to be acting as a trustee for the Corporation and therefore liable to account for anything in excess of the deductible. In either case, the plaintiff bears the onus of proving  the negligence alleged against the defendant.  
There are two ways in which to frame the action. The plaintiff can either claim the total amount of damage resulting from the negligence, even though ICBC has already paid a portion of it, or the plaintiff can claim merely the amount that ICBC has not paid. Remember, however, that a plaintiff cannot collect twice, and if they sue for more than the deductible, they may be held to be acting as a trustee for the Corporation and therefore liable to account for anything in excess of the deductible. In either case, the plaintiff bears the onus of proving  the negligence alleged against the defendant.  


'''NOTE''': If ICBC denied liability to indemnify a person insured by it and that person is sued, ICBC is entitled to apply to the court to be joined as a third party (''IVA'', s 77(3)). Upon being made a third party, ICBC can then defend the action fully, despite its previous denial of  liability to indemnify the defendant (''IVA'', s 77(4)). In ''West v Cotton'' (1994), 98 BCL R (2d) 50 (SC), the third party, ICBC, conducted the defence of a defendant to whom it denied coverage and who did not participate in the  proceedings. Having succeeded in proving his claims, the plaintiff was not entitled to recover his or her costs, with one exception: that being against the third party. In this case, ICBC would have  suffered significant prejudice if it had been precluded from presenting its defences as third-party since the defendant did not demonstrate  any interest in maintaining the action.
'''NOTE''': If ICBC denied liability to indemnify a person insured by it and that person is sued, ICBC is entitled to apply to the court to be joined as a third party (''IVA'', s 77(3)). Upon being made a third party, ICBC can then defend the action fully, despite its previous denial of  liability to indemnify the defendant (''IVA'', s 77(4)). In ''West v Cotton'' (1994), 98 BCL R (2d) 50 (SC), the third party, ICBC, conducted the defence of a defendant to whom it denied coverage and who did not participate in the  proceedings. Having succeeded in proving his claims, the plaintiff was not entitled to recover their costs, with one exception: that being against the third party. In this case, ICBC would have  suffered significant prejudice if it had been precluded from presenting its defences as third-party since the defendant did not demonstrate  any interest in maintaining the action.


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