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Home » News & Trends

Ontario Drivers Face Different Coverage and Pricing Approaches as Insurers Adjust to Auto Insurance Overhaul

Nate Brewer by Nate Brewer
October 10, 2026
Reading Time: 7 mins read
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Photo Credit: Shutterstock

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Ontario’s auto insurance overhaul was designed to give drivers more control over what they buy. Three months after the July 1, 2026 changes took effect, that choice is producing a less uniform marketplace. Insurers are taking different approaches to optional accident benefits, bundles, prices and the way those choices are presented, according to WTW. For drivers accustomed to comparing quotes mainly by the annual premium, the differences now run deeper. Two policies carrying similar prices can provide meaningfully different protection after a serious collision. Meanwhile, insurers are still trying to determine how customers will use the new options and whether reduced accident-benefit coverage will eventually shift costs toward liability claims and litigation.

One Set of Rules Is Producing Different Insurance Products

Every Ontario insurer operates under the same revised Statutory Accident Benefits Schedule, but the regulation does not require every company to build an identical retail product. WTW told Canadian Underwriter on October 9 that insurers have adopted substantially different approaches to coverage choices, pricing and customer communication since the reforms began. Some companies have even reconsidered their initial strategies as they observe customer behaviour. That is important because the overhaul is still in its early stages; insurers do not yet have years of post-reform claims experience telling them precisely how people will use the optional benefits.

FSRA anticipated some variation. Its implementation guidance allows insurers flexibility in areas such as coverage bundles, limits and the way the new OPCF 47R endorsement is incorporated into their systems, subject to fairness and transparency requirements. Technology also matters. A carrier with a highly configurable online quoting platform may present choices differently from a company working through brokers or older policy-administration systems. The result is a market in which the legislation is common, but the buying experience can vary considerably.

Most Accident Benefits Are No Longer Automatically Included

The central change took effect July 1. Medical, rehabilitation and attendant-care benefits remain mandatory, preserving a core level of support for people injured in automobile accidents. Several other benefits that had been part of Ontario’s standard accident-benefit system became optional to purchase. These include income replacement, non-earner and caregiver benefits, along with lost educational expenses, visitors’ expenses, housekeeping and home-maintenance costs, damaged personal items, death benefits and funeral benefits. Insurers must offer the applicable options, but customers can decide whether to pay for them.

The distinction can be substantial after a serious accident. Income replacement, for example, is designed to help compensate an eligible injured person who cannot work. When purchased at its basic level, the benefit is calculated at 70% of gross income up to a weekly maximum of $400, with higher limits available. Other benefits respond to very different circumstances, such as paying for replacement caregiving or household assistance. Removing a small-looking line from a renewal can therefore mean accepting a specific financial risk rather than simply trimming unnecessary paperwork from a policy.

Existing Customers Do Not Automatically Lose Their Old Coverage

For motorists renewing policies they already held before the overhaul, Ontario built in an important safeguard. Existing coverage and limits are supposed to continue at renewal unless the customer and insurer agree in writing to change or decline the newly optional benefits. FSRA says there is no deadline forcing long-time customers off their pre-July coverage structure. In practical terms, a driver who does nothing may therefore have a very different accident-benefit package from a neighbour buying a brand-new policy after July 1.

That protection also makes the decision to opt out more consequential. FSRA has told insurers that once an existing customer elects to leave the old structure, the person cannot simply demand the former pre-reform package back later. Future choices are made from the insurer’s post-July products, limits and bundles. Someone tempted by a renewal saving therefore has reason to understand exactly what is being surrendered. The reform provides flexibility, but it does not mean every decision is effortlessly reversible. The policy documentation accompanying a renewal has become more important, not less.

Insurers Can Bundle the New Options Differently

One of the clearest reasons quotations can now look different is FSRA’s approach to bundling. The regulator prefers making individual optional coverages available where practical, but it also permits insurers to package related benefits together when doing so meets consumer needs and still provides meaningful choice. FSRA has explicitly said it expects bundles to vary among insurers. A company might therefore combine several low-cost benefits into one selection, while another displays them separately. Insurers may also seek approval for different coverage limits.

Caregiver and housekeeping coverage demonstrates how detailed those differences can become. For new business, insurers must offer the legislated option covering an impairment rather than limiting the standard offer to catastrophic impairment. Some companies may additionally offer a lower-cost catastrophic-impairment-only alternative if that product has been properly filed and approved. FSRA notes that not every insurer will offer that buy-down. A shopper comparing only the label “caregiver coverage” could consequently miss a meaningful difference in when the benefit responds. More choice makes the coverage column of a quotation just as important as the price column.

An 18.9% Benchmark Does Not Mean an 18.9% Premium Cut

One number surrounding the reform can easily create the wrong impression. During its implementation work, FSRA instructed insurers using the benchmark approach to remove the newly optional components from the accident-benefit base product, producing an 18.9% reduction to that accident-benefit base rate as a first step. Insurers then developed prices for the nine optional coverages that customers could purchase back. That 18.9% figure applies to a component of the rating exercise. It is not an 18.9% guaranteed reduction in a household’s complete automobile-insurance bill.

The broader actuarial modelling illustrates why. Oliver Wyman’s analysis for FSRA estimated that the reform itself could change the industry’s average required premium by only about 0.24% to 0.35% under several assumed optional-benefit take-up rates. “Required premium” in that study was an actuarial estimate of revenue needed for claims, expenses and profit, not the invoice every Ontario driver would receive. The modelling anticipated that some savings from dropping benefits could be offset elsewhere, including by higher bodily-injury costs. Individual customers can still save by declining coverage, but the reform was never a simple across-the-board premium-cut formula.

Auto Insurers Now Pay First for Many Treatment Costs

At the same time Ontario made more benefits optional, it changed who pays first for many medical and rehabilitation expenses after a collision. For accidents in Ontario occurring on or after July 1, the auto insurer generally becomes the first payer for covered medical and rehabilitation expenses even when the injured person has a supplementary workplace or private health plan. Medication expenses are an exception to that new rule. Previously, supplementary health benefits could have to respond before the automobile insurer for expenses available under those plans.

That shift helps explain why making some benefits optional does not necessarily translate into an equally large reduction in overall insurance costs. Oliver Wyman estimated that the first-payer change would add loss costs equal to roughly 2.3% of the current loss costs in the medical-and-rehabilitation categories it analysed. The government’s policy rationale was partly to prevent automobile injuries from consuming a worker’s supplementary health benefits that might be needed for other purposes. For insurers, however, being first in line means taking on expenses that could previously have been paid elsewhere, adding another variable to post-reform pricing.

Insurers Are Watching for a Shift Toward Liability Claims

A larger unknown may emerge only after serious accidents begin working their way through the claims and court systems. WTW says insurers are monitoring whether people who reduce their first-party accident benefits eventually pursue more compensation from motorists and organizations considered legally responsible for their injuries. In that scenario, a saving on one part of the insurance system could be accompanied by higher pressure on bodily-injury liability coverage. Higher settlements or more litigation are possibilities being monitored, not outcomes that have yet been established.

That caveat matters because Ontario has had only a few months of experience with the new structure. WTW says it is too early to make firm conclusions about the long-term claims effect. Oliver Wyman’s earlier actuarial analysis nevertheless anticipated that some loss costs removed from optional accident benefits would migrate toward bodily-injury coverage. Ontario still requires at least $200,000 of third-party liability insurance, and many motorists purchase higher limits. As the reform matures, one of the industry’s biggest questions will be whether customers’ decisions to save relatively small amounts on accident benefits produce larger liability costs elsewhere in the system.

The Definition of Who Receives Optional Benefits Has Narrowed

Another major change can matter even when a policyholder buys every optional benefit offered. Those optional benefits now apply to a defined group: the named insured, the named insured’s spouse, their dependants and drivers specifically listed on the policy. A casual passenger, pedestrian or cyclist does not automatically receive the policyholder’s optional income-replacement or housekeeping benefits simply because that policy contains them, unless that person qualifies through one of the permitted categories or has applicable coverage elsewhere.

The mandatory protections operate differently. The Insurance Bureau of Canada explains that passengers, uninsured pedestrians and cyclists continue to have access to mandatory accident benefits such as medical, rehabilitation and attendant care under the applicable claims rules. What changes is access to the optional layer. Consider an injured passenger who cannot work for several months: whether income-replacement protection exists can now depend on that person’s own insurance circumstances rather than simply on the vehicle owner’s selections. That difference is one reason insurers and brokers are paying closer attention to listed drivers and liability exposure under the redesigned system.

Current Rate Approvals Show Why Shopping Can Produce Very Different Results

The overhaul arrived in an already expensive insurance market. FSRA’s latest posted regional averages show an Ontario annual private-passenger premium of $2,218 as of June 2026. The Greater Toronto Area averaged $2,868, compared with $2,131 in other urban areas and $1,791 in rural Ontario. Those figures largely represent the market immediately before the July reform and should not be treated as a measurement of the reform’s effect. They do, however, show why even modest differences between insurers can matter to household budgets.

FSRA’s approval database also demonstrates that companies are not moving rates in one direction. Recent approvals include no overall change for some insurers, reductions for others and increases elsewhere. For example, the database lists an average 0% change for Wawanesa, a 2.91% increase for Commonwell and a 5% increase for Portage for their respective effective dates, while several insurers received approval for decreases. These figures cannot be attributed solely to the accident-benefit overhaul: claims costs, inflation, vehicles, locations and each company’s experience also affect pricing. They do reinforce the value of obtaining comparable quotes rather than assuming every insurer is responding identically.

Comparing Renewals Now Requires More Than Comparing the Bottom Line

Ontario’s regulator and industry groups are encouraging drivers to approach renewal more deliberately. The starting point is understanding the existing policy, including which accident benefits are currently carried. Workplace disability coverage, private health benefits and other insurance can then be reviewed for potential overlap, while household circumstances such as employment, dependants and caregiving responsibilities can reveal areas where optional automobile benefits may still matter. FSRA specifically directs consumers to discuss optional coverages with their insurer, agent or broker rather than judging the decision on premium alone.

Price comparison remains useful, particularly because FSRA says quotes can vary widely among insurers. But an apples-to-apples comparison now requires matching coverage as closely as possible: optional accident benefits, benefit limits, who qualifies for them, deductibles and third-party liability limits all matter. A cheaper quotation may genuinely offer better value, or it may simply contain less protection. Customers can change optional benefits after July 1 as circumstances evolve, but the coverage in force when an accident occurs is what matters. The reform has created more choice; it has also made understanding that choice a larger part of buying auto insurance.

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