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What is covered by auto insurance

Accident Benefits

The explanations of insurance coverages in each subsection are in general terms only. In all cases, actual coverages are as stated in the terms and conditions of the policy wording. Nothing stated in this website can be construed to extend, expand or modify the actual policy wording. If you have a specific question of significance to your situation contact your insurance Advisor.


Accident Benefits under 2010 Ontario Auto Reform

Accident Benefits

Benefit

Standard

(BEFORE Sept 2010)

Standard

(AFTER Sept 2010)

Buy-Back

Options

Enhancement

Options

Income Replacement

80% of net earnings

up to $400/week

70% of gross earnings up to $400/week

70 % of gross earnings

Up to $600, $800 or $1,000

Caregiver

$250/week for first dependent + $50/week additional

$0 (castastrophic Impairment only)

$250/week first Dependant

+ $50/week additional

Housekeeping, Home Maint.

Up to $100/week

$0 (castastrophic Impairment only)

Up to $100/week

Dependant Care

$0

$0

$0

$75/week first dependant

+$25/week additional

Medical & Rehabilitation Benefit

Non-Catastrophic: $100,000

Catastrophic: $1,000,000

Minor Injury: $3,500

Non-catastrophic: $50,000

Catastrophic: $1,000,000

Minor Injury: $3,500

Non-catastrophic: $100,000

Catastrophic: $1,000,000

Minor Injury: $3,500

Non-catastrophic: $100,000

Catastrophic: $1,000,000

Attendant Care

Non-Catastrophic: $72,000

Catastrophic: $1,000,000

Minor Injury $0

Non-catastrophic: $36,000

Catastrophic: $1,000,000

Minor Injury $0

Non-catastrophic: $72,000

Catastrophic: $1,000,000

Minor Injury: $3,500

Non-catastrophic: $100,000

Catastrophic: $1,000,000

Death/Funeral

$25,000 Spouse

$10,000 Dependants

$6,000

Funeral

$25,000 Spouse

$10,000 Dependants

$6,000

Funeral

N/A

$50,000 Spouse

$20,000 Dependants

$8,000

Funeral

Indexation

None

None

None

Optional


                   

Definitions of the Accident Benefits available in an Auto Insurance policy
The following is a brief definitions of Accident Benefit terms. Always consult with your auto insurance advisor before making decisions about your auto insurance:

Income Replacement: If you cannot work because of an automobile accident, you may be eligible for basic weekly income replacement benefits up to $400. This benefit begins after one week. You can buy higher limits if required.

Caregiver: I f you are providing full-time care to dependents and can no longer provide that care as a result of an automobile accident, you may be eligible for caregiver benefits to reimburse you for your expenses to hire someone to care for your dependents.

Housekeeping and Home Maintenance expenses : If you are unable to perform your usual duties due to your injuries, this benefit pays reasonable and necessary additional expenses for someone to complete your usual duties.

Dependent Care: This benefit pays for additional expenses incurred to care for your dependents if you are employed and are injured in an auto accident.

Medical & Rehabilitation Benefit: This benefit coves the cost of reasonable and necessary medical and rehabilitation expenses that are not covered by OHIP or your disability insurance plan such as physiotherapy and prescriptions.

Attendant Care: This benefit pays for an aide or attendant to look after you if you have been seriously injured in an auto accident.

Death/Funeral: If you die as a result of an auto accident, the death benefit provides a lump sum payout to your spouse and dependant and the funeral benefit provides a lump sum payout to cover your funeral expenses.

Indexation: This benefit automatically adjusts certain benefits such as income replacement, non-earner, attendant care, medical and rehabilitation according to the Consumer Price Index for Canada in order to compensate for the effect of inflation.

Catastrophic Injury example: loss of a limb


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