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Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________
Risk Description R Adult, age 70, qualifies for retirees discount R No chargeable accidents or convictions in last 10 years R New business application to company
CASE 1
R Licensed 50 years, class G licence R Pleasure use only, annual mileage under 10,000 km R 2000 Ford Focus LX 4DR (VICC Code 9020)
Coverages R Liability and OPCF 44R - $1,000,000 R Basic Accident Benefits, Uninsured Automobile R Direct Compensation - Property Damage - no deductible R Collision - $500 deductible R Comprehensive - $300 deductible
Territory Liability - BI Liability - PD AB UA DC-PD Coll Comp OPCF 44R Total
Toronto (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay - (P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C1 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ___________________________________________________________ CASE 2
Risk Description Coverages Operator #1 Operator #2 R Male, age 40 (hus.), licensed 24 years, class G licence R Female, age 39 (wife), licensed 20 years, class G licence R Liability and OPCF 44R - $1,000,000 R No chargeable accidents or convictions in last 6 years R No chargeable accidents or convictions in last 6 years R Basic Accident Benefits, Uninsured AutomobileR Drive to work, 10 km one way, annual mileage < 16,000 km R Drive to work, 20 km one way, ann. Mileage < 20,000 km R Direct Compensation - Property Damage - no deductible R 2001 Dodge Ram 1500 Club Cab 4WD (VICC Code 2737) R 2002 Dodge Neon 4 door (VICC Code 2261) R Collision - $500 deductible R New business application to company
R New business application to company R Comprehensive - $300 deductible
Territory Liability- BI Liability - PD AB UA DC-PD Coll Comp OPCF 44R Total
Toronto - (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London - (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay - (P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C2 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: __________________________________________________________ CASE 3
Risk Description Coverages R Male, single, age 19 R Liability and OPCF 44R - $500,000 R Licensed 3 years, 1 year with class G licence, Owner and Principal Operator R Basic Accident Benefits, Uninsured Automobile R Commute - 5 km one way, annual mileage under 12,000 km R Direct Compensation - Property Damage - no deductible R 2001 Honda Civic DX 2 door Coupe (VICC Code 0258) R Collision - $500 deductible R New business application to company R Comprehensive - $300 deductible
Territory Liability - BI Liability - PD AB UA DC-PD Coll Comp OPCF 44R Total
Toronto - (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C3 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: __________________________________________________________ CASE 4
Risk Description Coverages R Single Male, age 24 R Commute - 5 km one way, annual mileage under 12,000 km R Liability and OPCF 44R - $200,000 R Licensed 6 years, class G licence R 2003 Ford F150 Supercab 2WD (VICC Code 3630) R Basic Accident Benefits, Uninsured Automobile R No chargeable accidents in last 5 years R New business application to company R Direct Compensation - Property Damage - no deductible R 2 minor convictions in last 3 years R Collision - $500 deductible
R Comprehensive - $300 deductible
Territory Liability - BI Liability -PD AB UA DC-PD Collision Comp OPCF 44R Total
Toronto (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C4 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: __________________________________________________________ CASE 5
Risk Description Coverages R Adult, age 40, principal operator, licensed 20 years, cl. G R Single male, age 18, occasional operator R Liability and OPCF 44R - $500,000 R No chargeable accidents or convictions in last 10 years R Licensed 2 yrs,1 year G1, 1 year G2, newly licensed as G R Basic Accident Benefits; Uninsured Automobile R Drive to work, 8 km one way, annual mileage < 16,000 km R No chargeable accidents or convictions since licensed R Direct Compensation - Property Damage - no R 2002 Toyota Corolla 4 door (VICC Code 0445) deductible R New business application to company R Comprehensive - $300 deductible
Territory Liability - BI Liability - PD AB UA DC-PD Collision Comp OPCF 44R Total
Toronto (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C5 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: __________________________________________________________ CASE 6
Risk Description Coverages Operator #1 RMale, age 45 (husband) RLicensed 25 years, class G licence RNo chargeable accidents or convictions in last 10 years RDrive to work - 50 km. one way, annual mileage < 40,000 km R2003 Mazda Protege ES 5 door (VICC Code 7715) RNew business application to company
Operator #1a RSingle male, age 19 RLicensed 3 years with driver training: 1 year G1, 2 years G2, newly licensed as G R1 minor conviction at G2 level
Operator #2 R Liability and OPCF 44R- $1,000,000 RFemale, age 40 (wife) R Basic Accident Benefit, Uninsured Automobile RLicensed 20 years, class G licence R Direct Compensation - Property Damage - no RNo chargeable accidents or convictions in the last 6 years deductible RPleasure use only, annual mileage < 10,000 km R Collision - $500 deductible R2000 Dodge Caravan SE (VICC Code 2660) R Comprehensive - $300 deductible RNew business application to company
Operator #2a RFemale, age 22 RLicensed 2 years without driver training: 1 year G1, 1 year G2, newly licensed as G RNo chargeable accidents or convictions since licensed
Territory Liability - BI Liability - PD AB UA DC-PD Collision Comp OPCF 44R Total
Toronto - (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C6 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ______________________________________________________________ CASE 7
Risk Description Coverages Operator #1 Operator #2 R Male, age 38 (husband), licensed 20 years, class G licence R Female, age 35 (wife), licensed 15 yrs, class G licence R Liability and OPCF 44R - $1,000,000 R No chargeable accidents or convictions in last 6 years R No chargeable accidents or convictions in last 6 years R Basic Accident Benefits, Uninsured AutomobileR Drive to work, 10km one way, annual mileage < 16,000 km R Direct Compensation -Property Damage - no deductible R New business application to company R Collision - $500 deductible R 2002 Ford Taurus LX 4 door (VICC Code 3427) R Comprehensive - $300 deductible
Territory Liability - BI Liability – PD AB UA DC-PD Collision Comp OPCF 44R Total
Toronto - (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London - (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C7 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ______________________________________________________________ CASE 8
Risk Description Coverages R Adult, age 40 R Drive to work - 8 km one way R Liability and OPCF 44R - $1,000,000 R Licensed 20 years, class G licence R Annual mileage < 16,000 km R Basic Accident Benefits, Uninsured Automobile R 1 chargeable accident in last 5 years R New business application to company R Direct Compensation - Property Damage - no deductible (Accident last year - 1 year accident free) R Collision - $500 deductible R 1 major conviction in last 3 years R Comprehensive - $300 deductible R 2001 Hyundai Tiburon 2 door (VICC Code 0535)
Territory Liability - BI Liability - PD AB UA DC-PD Coll Comp OPCF 44R Total
Toronto - (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C8 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ______________________________________________________________ CASE 9
Risk Description Coverages R Female, age 23, licensed 6 years R Drive to work - 8 km one way, annual mileage < 16,000 km R Liability and OPCF 44R - $500,000 R Class G licence (without driver training) R 2003 Chevrolet Cavalier 4 door (VICC Code 5570) R Basic Accident Benefits, Uninsured Automobile R 1 chargeable accident in last year (0 years accident free) R New business application to company R Direct Compensation - Property Damage - no deductible R 1 minor conviction in last 3 years . R Collision - $500 deductible
R Comprehensive - $300 deductible
Territory Liability - BI Liability - PD AB UA DC-PD Coll Comp OPCF 44R Total
Toronto (M4Y) Current
Proposed
% +/- to Current Rates
Hamilton - (L8V) Current
Proposed
% +/- to Current Rates
Ottawa - (K1Y) Current
Proposed
% +/- to Current Rates
London - (N6A) Current
Proposed
% +/- to Current Rates
Windsor - (N8W) Current
Proposed
% +/- to Current Rates
Brockville - (K6V) Current
Proposed
% +/- to Current Rates
Sudbury - (P3E) Current
Proposed
% +/- to Current Rates
Thunder Bay-(P7K) Current
Proposed
% +/- to Current Rates
Financial Services Commission of Ontario Bill 5 July 2004 C9 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles
Company Name: ________________________________________________________________
Risk Description Operator #1 RMale, age 45 (husband) RLicensed 25 years, class G licence RNo chargeable accidents or convictions in last 10 years RDrive to work - 50 km one way, annual mileage < 40,000 km R2003 Mazda Protege ES 5 door (VICC Code 7715) RNew business application to company
Operator #1a RSingle male, age 19 RLicensed 3 years with driver training: 1 year G1, 2 years G2, newly licensed as G R1 minor conviction at G2 level
CASE 10
Operator #2 RFemale, age 40 (wife) RLicensed 20 years, class G licence RNo chargeable accidents or convictions in the last 6 years RPleasure use only, annual mileage < 10,000 km R2000 Dodge Caravan SE (VICC Code 2660) RNew business application to company
Operator #2a RFemale, age 22 RLicensed 2 years without driver training: 1 year G1, 1 year G2, newly licensed as G RNo chargeable accidents or convictions since licensed
Appendix C
Coverages R Income replacement at $600, $800 and $1,000 R Medical, Rehab and Attendant Care R Caregiver and Dependant Care R Funeral and Death R Indexation
Territory Income Replacement Medical, Caregiver Funeral Indexation Total (IR) Rehab &
Att. Care and
Dependant Care
and Death
$600 $800 $1,000 $600 - IR $800 - IR $1,000 - IR $600 $800 $1,000 & Other & Other & Other Benefits Benefits Benefits
(1a)+(2)+ (1b)+(2)+ (1c)+(2)+ (1a) (1b) (1c) (2) (3) (4) (5a) (5b) (5c) (3)+(4)+(5a) (3)+(4)+(5b) (3)+(4)+(5c)
Toronto Current
(M4Y) Proposed
% +/- to Current Rates
Notes: In (1a), (1b), and (1c), record only the cost of income replacement, non-indexed.In (5a) record the cost of indexation of income replacement at $600, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care.In (5b) record the cost of indexation of income replacement at $800, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care.In (5c) record the cost of indexation of income replacement at $1,000, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care.
Financial Services Commission of Ontario Bill 5July 2004 C10 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________________ CASE 11
Risk Description Coverages Operator #1 Operator #2 R Male, age 38 (husband), licensed 20 years, class G R Female, age 35 (wife), licensed 15 years, class G R Income replacement at $600, $800,and $1,000 licence licence R Medical, Rehab,and Attendant Care R No chargeable accidents or convictions in last 6 years R No chargeable accidents or convictions in the last 6 R Caregiver and Dependant Care R Drive to work, 10 km one way, annual mileage < 16,000 years R Funeral and Death km R Indexation R New business application to company R 2002 Ford Taurus LX 4 door (VICC Code 3427)
Territory Income Replacement Medical, Caregiver Funeral Indexation Total (IR) Rehab &
Att. Care and
Dependant and
Death Care
$600 $800 $1,000 $600 - IR $800 - IR $1,000 - IR $600 $800 $1,000 & Other & Other & Other Benefits Benefits Benefits
(1a)+(2)+ (1b)+(2)+ (1c)+(2)+ (1a) (1b) (1c) (2) (3) (4) (5a) (5b) (5c) (3)+(4)+(5a) (3)+(4)+(5b) (3)+(4)+(5c)
Toronto Current
(M4Y) Proposed
% +/- to Current Rates
Notes: In (1a), (1b), and (1c), record only the cost of income replacement, non-indexed. In (5a) record the cost of indexation of income replacement at $600, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care. In (5b) record the cost of indexation of income replacement at $800, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care. In (5c) record the cost of indexation of income replacement at $1,000, Medical, Rehabilitation and Attendant Care, and Caregiver and Dependant Care.
Financial Services Commission of Ontario Bill 5July 2004 C11 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________________ Risk Profiles Rating Criteria
Vehicle Rate GroupRating Territory
Rate Class
Driving Record
AB DC-D & Coll Comp/SP Discount/ Surcharge
Case Territory Operator
curr prop curr prop curr prop curr prop curr prop curr prop
1 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y)
London (N6A) Operator
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
2 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y) Operator #1
London (N6A)
Windsor (N8W)
Brockville (K6V) Operator #2
Sudbury (P3E)
Thunder Bay (P7K)
3 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y)
London (N6A) Operator
Financial Services Commission of Ontario Bill 5July 2004 C12 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________________
Rating Rate Driving Vehicle Rate Group
Case Territory
Territory
Operator
Class Record AB DC-D & Coll Comp/SP
Discount/ Surcharge
curr prop curr prop curr prop curr prop curr prop curr prop
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
4 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y)
London (N6A) Operator
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
5 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y) Operator #1
London (N6A)
Windsor (N8W)
Brockville (K6V) Operator #1a
Sudbury (P3E)
Thunder Bay (P7K)
6 Toronto (M4Y)
Hamilton (L8V) Operator #1
Financial Services Commission of Ontario Bill 5July 2004 C13 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________________
Rating Rate Driving Vehicle Rate Group
Case Territory
Territory
Operator
Class Record AB DC-D & Coll Comp/SP
Discount/ Surcharge
curr prop curr prop curr prop curr prop curr prop curr prop
Ottawa (K1Y) Operator #1a
London (N6A)
Windsor (N8W) Operator #2
Brockville (K6V) Operator #2a
Sudbury (P3E)
Thunder Bay (P7K)
7 Toronto (M4Y)
Hamilton (L8V) Operator #1
Ottawa (K1Y) Operator #2
London (N6A)
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
8 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y)
London (N6A) Operator
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
Financial Services Commission of Ontario Bill 5July 2004 C14 Filing Guidelines
Category of Automobile Insurance: Personal Vehicles - Private Passenger Automobiles Appendix C
Company Name: ________________________________________________________________
Vehicle Rate GroupRating Territory
Rate Class
Driving Record
AB DC-D & Coll Comp/SP Discount/ Surcharge
Case Territory Operator
curr prop curr prop curr prop curr prop curr prop curr prop
9 Toronto (M4Y)
Hamilton (L8V)
Ottawa (K1Y)
London (N6A) Operator
Windsor (N8W)
Brockville (K6V)
Sudbury (P3E)
Thunder Bay (P7K)
Financial Services Commission of Ontario Bill 5July 2004 C15 Filing Guidelines