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What are “Accident Benefits”?

Following is a summary of the most commonly-accessed accident benefits. It is not a complete list of all available benefits.

  • Income replacement. You are entitled to 80% of your net income to a maximum of $400 per week if you are substantially unable to perform the essential tasks of your occupation or employment during the first 104 weeks. Thereafter, you can continue to receive these benefits as long as you are continuously disabled from any occupation for which you are reasonably suited by education, training and experience for up to $400 a week or 80% of your net income.
  • You may receive non-earner benefits of up to $185 a week if you are not employed. If you suffer a complete inability to carry on a normal life as a result of the injuries from the accident. No benefits are payable under this category for the first six months after the accident.
  • Caregiver costs of up to $250 a week, if you were the primary caregiver of a person in need (with whom you were residing), plus $50 for each additional person in need of care
  • Medical and rehabilitation costs (above OHIP) to a maximum of $100,000 for up to 10 years for a non-catastrophic injury, and up to $1,000,000 for the rest of the victim's life in the case of a catastrophic injury.
  • Special Attendant Care of up to $3,000 a month for two years for a non-catastrophic injury, and up to $6,000 a month for the victim's lifetime for a catastrophic injury.
  • Housekeeping and Home Maintenance of up to $100 per week.
  • Death Benefits of $25,000 for the spouse of the victim; $10,000 for each of the victim's dependents; $10,000 to the person who cared for the victim; up to $6,000 for funeral expenses.
  • Travel Expenses for family members or those living with the accident victim for their visiting costs during treatment or recovery.
  • Lost Education benefits for students to a maximum of $15,000.

The above benefits are subject to specific policy Terms and Conditions.

You should know that you can elect, as part of your own automobile insurance policy, to purchase optional increased coverage amounts for income replacement benefits at additional cost.

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