Accident Benefits Coverage - Understand your Options

You have the option to Increase Accident Benefits Coverage

Certain benefits are available to anyone injured in a car accident, regardless of who is at fault.  They are regulated under the Ontario Insurance Act.   Standard Accident Benefits are mandatory with the option to increase the coverages.   Please continue reading for a description of Accident Benefits Coverage.

Income Replacement Benefit

The standard level of income replacement provided in the policy ($400 per week maximum) may be increased by purchasing optional coverage so that the weekly limit is up to $600, $800 or $1,000.  All income replacement benefits are based on 70% of your gross weekly income. 

You can choose to increase the weekly limit to $600, $800 or $1,000 per week for as little as $20/year per vehicle.   Ask your broker for an accurate quote.

What should you be considering?

If you are off work for a period of time, will the base coverage on your car insurance be an effective supplement to your current income to pay for monthly expenses? DO YOU EARN OVER $30,000 PER YEAR?

Caregiver, Housekeeping & Home Maintenance Benefit

The standard caregiver, housekeeping and home maintenance expenses benefit is available only for a person who is catastrophically impaired.  You may purchase an optional benefit to provide this coverage for all impairments. 

What should you be considering?

  • Do you have children or elderly parents that are dependent on you for care?
  • Who would care for them if you were injured in a car accident?
  • Are you a single parent?
  • Do you live in a house or condo or an apartment?
  • Who normally does the housekeeping and maintenance in your household?
  • Are there people in your life who could help you care for your home if you were injured in an accident?

How will you make sure that your expenses are not drained to subsidize care for these individuals in the case of an unexpected car accident?

If you had to hire someone to help you care for your home, how would you cover the expenses?

You can choose to increase this coverage for as little as $60/year per vehicle.   Ask your broker for an accurate quote. 

Medical, Rehabilitation & Attendant Care: For Non-Catastrophic Injuries

The standard benefit pays up to $65,000 for medical, rehabilitation and attendant care expenses with a 5 year time limit in most cases.  If catastrophically impaired, the standard benefit pays up to $1,000,000 for medical, rehabilitation and attendant care expenses.  You may purchase an optional medical, rehabilitation and attendant care benefit of $130,000 or $1,000,000. 

You can choose to increase this coverage for as little as $30/year per vehicle.  Ask your broker for an accurate quote. 

Medical, Rehabilitation & Attendant Care: For Catastrophic* Injuries

You may purchase an optional catastrophic impairment benefit of an additional $1,000,000 added to the standard medical, rehabilitation and attendant care benefit or the optional increased medical, rehabilitation and attendant care benefit.  

You can choose an additional $1,000,000 for a total of $2,000,000 for catastrophic injuries for as little as $20/year per vehicle.  Ask your broker for an accurate quote. 

Medical, Rehabilitation & Attendant Care, all injuries

You can choose to increase the combined non-catastrophic benefit to $1,000,000 and the combined catastrophic benefit to $2,000,000

What should you be considering?

Are you aware that OHIP won't cover all of your expenses, such as:

  • physiotherapy;
  • mobility devices, such as crutches or wheelchairs;
  • doctor's fees for completing paperwork related to an injury;
  • medical assessments;
  • prescription drugs

Does your employer provide a Group Insurance Plan?

Know what you are covered for.  Most employer benefit packages have an annual limit for each year and each visit per practitioner.

*Examples of catastrophic injuries include paraplegia, quadriplegia, permanent loss (of loss of use) of an arm or leg, and total vision loss in both eyes.

Death & Funeral

The standard level of death benefits paid to the surviving spouse and dependant of a person who is killed ($25,000 to surviving spouse; $10,000 to surviving dependant) may be doubled by purchasing this optional coverage.  This coverage also increases the standard funeral expense benefit from $6,000 to $8,000.

You can choose to increase this coverage for as little as $5/year per vehicle.  Ask your broker for an accurate quote.

What should you be considering?

  • Do you have life insurance or prepaid "final expenses" arrangements?
  • Do you know how much your other coverage would pay?

Dependent Care Benefits

There is no standard dependant care benefit for persons who are employed and care for dependants.  You may purchase an optional benefit to receive weekly dependant care expenses of $75 for the first dependant, and $25 for each additional dependant, up to $150 per week. 

You can choose to purchase this coverage for as little as $7/year per vehicle.   Ask your broker for an accurate quote.

What should you be considering?

  • Do you have children or elderly parents that are dependent on you for care?
  • If you were working with an injury (example, broken leg?, would you need extra support to care for your dependents?
  • Who would care for them if you were injured in a car accident?
  • Are you a single parent?

Indexation 

This optional coverage will ensure that certain weekly benefit payments and monetary limits will be adjusted on an annual basis to reflect changes in the cost of living. 

You can choose to purchase this coverage for as little as $41/year per vehicle.  Ask your broker for an accurate quote. 

What should you be considering?

If you were receiving benefits for an extended period of time would you want the amount you receive to keep up with inflation?


Tort Deductible

This endorsement will provide a buy down on the deductible currently imposed by the Insurance Act on any settlements you should be awarded for pain and suffering following an automobile accident.

You can choose to purchase this coverage for as little as $18/year per vehicle.   Ask your broker for an accurate quote.

Types of Injury

There are three categories of injury: minor, serious and catastrophic. Categories determine the level of benefits the injured party receives.

Minor Injury - Examples: sprains, whiplash. When injuries are deemed minor, medical and rehabilitation benefits are limited to $3,500 regardless of the level of coverage. Claimant's doctor can present "compelling evidence" if higher limits needed.

Serious Injury- Examples: broken bones, severe strains. Serious injuries typically disrupt quality of life for a prolonged period of time.

Catastrophic Injury-Examples: loss of a limb, paraplegia. Catastrophic injuries result in increased benefits.