
PIPEDA Report of Findings #2016-006: An insurance company’s internal ombudsman office is not a “formal dispute resolution process” under PIPEDA
A complainant alleged that an insurance company refused to provide her with access to her personal information related to an insurance claim and a subsequent complaint to the company's internal ombudsman. The company initially refused access to a recorded conversation, citing the need for her spouse's consent, and later withheld documents from the ombudsman process, arguing it was a "formal dispute resolution process" exempt under PIPEDA s.9(3)(d) and not a "commercial activity." The OPC found that the company contravened Principles 4.9 and 4.9.1 by initially refusing access to the recorded conversation without severing third-party information. The OPC also determined that the internal ombudsman process was not a "formal dispute resolution process" and that its activities were part of a "commercial activity," thus falling under PIPEDA's scope. The company ultimately agreed to provide the complainant with access to the withheld information.
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