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{{REVIEWED LSLAP | date= August | {{REVIEWED LSLAP | date= August 1, 2023}} | ||
{{LSLAP Manual TOC|expanded = ICBC}} | {{LSLAP Manual TOC|expanded = ICBC}} | ||
{{LSLAP 12 Old System Notice}} | {{LSLAP 12 Old System Notice}} | ||
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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. | 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 Under the current legislation, it has been replaced by Part 4 of the ''IVA'' (Optional Insurance Contracts) and Part 13 of the ''IVR'' (Optional Insurance Contracts).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 Under the current legislation, it has been replaced by Part 4 of the ''IVA'' (Optional Insurance Contracts) and Part 13 of the ''IVR'' (Optional Insurance Contracts). | ||
=== 1. Limiting and Excluding Coverage Under an OIC === | === 1. Limiting and Excluding Coverage Under an OIC === | ||
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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 of 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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*the loss of use of the vehicle. | *the loss of use of the vehicle. | ||
Section 61(1.2) of the ''IVR'' provides that an OIC may '''not''', in respect of third party liability insurance coverage: | Section 61(1.2) of the ''IVR'' provides that an OIC may '''not''', in respect of third-party liability insurance coverage: | ||
*prohibit a person who is living with and as a member of the family of the owner of the vehicle from using or operating the vehicle; or | *prohibit a person who is living with and as a member of the family of the owner of the vehicle from using or operating the vehicle; or | ||
*exclude or provide different limits of coverage for that person. | *exclude or provide different limits of coverage for that person. | ||
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== B. Types of OICs == | == B. Types of OICs == | ||
=== 1. Extended Third Party Legal Liability === | === 1. Extended Third-Party Legal Liability === | ||
Third Party Legal Liability insurance may be increased from the basic compulsory $200,000 (taxis and limousines require $300,000; buses $500,000) to a greater amount. The exclusions and conditions that apply to the basic Third Party Legal Liability coverage (Part 6) also apply to this extended coverage. See [[ICBC and Compulsory Coverage (12:X)#10. Forfeiture of Claims and Relief from Forfeiture | Section X.B.10: Forfeiture of Claims and Relief from Forfeiture]] and [[ICBC and Compulsory Coverage (12:X)#11. Breach of Conditions and Consequences | Section X.B.11: Breach of Conditions and Consequences]]. | Third Party Legal Liability insurance may be increased from the basic compulsory $200,000 (taxis and limousines require $300,000; buses $500,000) to a greater amount. The exclusions and conditions that apply to the basic Third-Party Legal Liability coverage (Part 6) also apply to this extended coverage. See [[ICBC and Compulsory Coverage (12:X)#10. Forfeiture of Claims and Relief from Forfeiture | Section X.B.10: Forfeiture of Claims and Relief from Forfeiture]] and [[ICBC and Compulsory Coverage (12:X)#11. Breach of Conditions and Consequences | Section X.B.11: Breach of Conditions and Consequences]]. | ||
=== 2. Own Damage Coverage === | === 2. Own Damage Coverage === | ||
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===== (3) Specified Perils ===== | ===== (3) Specified Perils ===== | ||
This insurance is more limited than Comprehensive. It covers only loss or damage caused by fire, lightning, theft or attempted theft, windstorm, earthquake, hail, explosion, riot or civil commotion, falling or forced landing of an aircraft or part of an aircraft, rising water or the stranding, sinking, burning, derailment or collision of a conveyance in or on which a vehicle is being transported on land or water (''IVR'', s 150). | This insurance is more limited than Comprehensive. It covers only loss or damage caused by fire, lightning, theft or attempted theft, windstorm, earthquake, hail, explosion, riot, or civil commotion, falling or forced landing of an aircraft or part of an aircraft, rising water or the stranding, sinking, burning, derailment or collision of a conveyance in or on which a vehicle is being transported on land or water (''IVR'', s 150). | ||
==== 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 and 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): | ||
:(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 | ||
c) the declared value of the vehicle and its equipment. | :(c) the declared value of the vehicle and its equipment. | ||
==== c) Exclusion of Liability ==== | ==== c) Exclusion of Liability ==== | ||
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The principal examples of failure to comply with, or breach of, regulations are: | The principal examples of failure to comply with, or breach of, regulations are: | ||
:(a) being under the influence of liquor or drugs so as to be incapable of proper control of the vehicle; | |||
b) being convicted for an offence under ss 249, 252, 253, 254, or 255 of the ''Criminal Code''; | :(b) being convicted for an offence under ss 249, 252, 253, 254, or 255 of the ''Criminal Code''; | ||
:(c) operating a vehicle when not authorized and qualified (''IVR'', s 55); | |||
c) operating a vehicle when not authorized and qualified (''IVR'', s 55); | :(d) using the vehicle in illicit trade, or to avoid arrest, or other police action (s 55); | ||
:(e) towing an unregistered, unlicensed trailer (s 55); | |||
d) using the vehicle in illicit trade, or to avoid arrest, or other police action (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 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); | |||
e) towing an unregistered, unlicensed trailer (s 55); | :(h) failing, without reasonable cause and to the prejudice of ICBC, | ||
::(i) to make a police report within 48 hours after the discovery of theft, loss, or damage; | |||
f) permitting others to breach a condition (s 55); | ::(ii) to obtain a police case file number; and | ||
::(iii) to advise ICBC within seven days of making the report to the police of the circumstances of that loss or damage as well as the police case file number (s 136 (a)); and | |||
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); | :(i) failing, without reasonable cause and to the prejudice of ICBC, to comply with ss 67 or 68 of the ''MVA'', or similar provisions in the law of another Canadian or American jurisdiction, relating to the duties of a driver directly or indirectly involved in an accident (''IVR'', s 136(b)). </blockquote> | ||
h) failing, without reasonable cause and to the prejudice of ICBC, | |||
(ii) to obtain a police case file number; and | |||
(iii) to advise ICBC within seven days of making the report to the police of the circumstances of that loss or damage as well as the police case file number (s 136 (a)); and | |||
i) failing, without reasonable cause and to the prejudice of ICBC, to comply with ss 67 or 68 of the ''MVA'', or similar provisions in the law of another Canadian or American jurisdiction, relating to the duties of a driver directly or indirectly involved in an accident (''IVR'', s 136(b)). </blockquote> | |||
==== f) Exceptions to Forfeiture ==== | ==== f) Exceptions to Forfeiture ==== | ||
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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: | ||
:(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 | |||
:(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. | |||
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. | 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 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. | :'''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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