Effective
September 1st, 2010 major changes have been made to all automobile
insurance policies issued in the province of Ontario. These changes
primarily affect the Accident Benefits Schedule of your policy.
Accident Benefits are the component of your automobile insurance policy
that provides medical care and/or compensation to you or someone
insured by your policy, should they be injured in an automobile
accident.
There are 8 components to this coverage
- Income Replacement
- Medical, Rehabilitation and Attendant Care: for Non-Catastrophic Injuries
- Medical, Rehabilitation and Attendant Care: for Catastrophic Injuries
- Housekeeping and Home Maintenance Expenses
- Caregiver Benefits
- Dependant Care
- Death and Funeral Benefits
- Indexation
We have included an article which outlines the various options
available to you. We feel it is important that you review these
changes, choosing the options that are right for you and your family.
We would be pleased to help clarify the available options, and how they
best suit your individual needs. Should you have any questions please
contact our office so that you can discuss any questions with your
broker directly.
Auto Reform
Firstly, it is important that you understand that the coverage you (and those insured by your policy) are eligible for depends on the classification of your injuries.
Please familiarize yourself with the following terms:
Catastrophic Injury
– These are injuries resulting in long term or permanent disabilities;
Examples would include paralysis, amputation, loss of vision, brain or
spinal injuries. It is important to note, currently only 1% of
Automobile Accident injuries qualify as “Catastrophic”
Minor Injury – Accident injuries such as strains, sprains, whiplash, minor cuts and bruises. All “Minor Injury” claims are capped at $3,500 inclusive of assessment fees.
Non Catastrophic Injury – Those injuries falling between Catastrophic and those considered as Minor Injuries.
1. Income Replacement
If you’re unable to return to work and earn a living after a car
accident, the income replacement portion of your Accident Benefits
provides 70% of your gross income up to a maximum of $400 per week.
- Your choices: You can opt to increase your weekly maximum to $600, $800 or $1,000 per week.
2. Medical, Rehabilitation and Attendant Care: for Non-Catastrophic Injuries
For Medical and Rehabilitation Expenses (like physiotherapy, chiropractic treatment and dental expenses)
the new standard coverage will be $50,000. Keep in mind, if your injury
is considered minor, no matter what level of coverage your choose, your
medical and rehabilitation accident benefits will be limited to $3,500.
- Your choices: You can increase this limit to $100,000 or $1,100,000.
For Attendant Care (say you needed to hire someone to help you in the home as a result of injuries from an accident) coverage will be $36,000.
- Your choices: You can increase this limit to $72,000 or $1,072,000.
3. Medical, Rehabilitation and Attendant Care: for Catastrophic Injuries
For Medical and Rehabilitation Expenses, the new standard coverage for medical and rehabilitation expenses will be $1,000,000.
- Your choices: You can opt to increase the limit by $1,000,000.
For Attendant Care, coverage will be $1,000,000.
- Your choices: You can opt to increase the limit by $1,000,000.
4. Housekeeping and Home Maintenance
If, as a result of a car accident, you need to hire someone to
help you clean and otherwise upkeep your home, the housekeeping and
home maintenance benefits portion of your policy provides up to $100
per week. This is available to only those with Catastrophic injuries.
- Your choices: You can opt to extend this coverage so that it applies to all injuries, not just those deemed Catastrophic.
5. Caregiver Benefit
If you provide full-time care to dependants, and are disabled as the
result of a car accident, the caregiver benefits portion of your policy
provides $250 per week for one dependant, plus $50 per week for each
additional dependant. This is available to only those with Catastrophic injuries.
- Your choices: You can opt to extend this coverage so that it applies to all injuries, not just those deemed Catastrophic.
6. Dependant Care
This is an optional benefit that, if taken, will help to offset the
cost of child care expenses in the event you are in an accident. Coverage is not included in the standard policy.
- Your
choices: You can opt to include this into your Accident Benefits
package. The benefit offers up to $75 per week for the first dependant
and $25 per week for each additional dependant. There is a $150 weekly
maximum.
7. Death and Funeral
No one likes to think of the worst, but if you die as a
result of an automobile accident, the standard amount which will be
paid is $25,000 to your eligible spouse, $10,000 for each dependant,
and a maximum of $6,000 for funeral expenses.
- Your
choices: You can opt to increase the amount going to your spouse to
$50,000; $20,000 to each dependant child, and $8,000 towards funeral
expenses.
8. Indexation
This is an optional benefit that, if taken, will
annually adjust the amounts available when eligible to receive income
replacement, non-earner, caregiver, attendant care and medical and
rehabilitation benefits.
- Your
choices: You can opt to include this into your Accident Benefits
package. The benefit annually adjusts the amounts available according
to the Canadian Consumer Price Index.
Non-Accident Benefits related changes
There are other important changes in the Ontario auto insurance
reforms. Some of these changes may affect the next policy you purchase,
but others may change, improve or enhance your experience when getting
quotes, submitting claims or getting treatment.
Some notable examples include:
Third Party Liability deductible options
Third-party liability offers coverage to policyholders
who are sued and held legally liable for injuring or killing someone or
damaging his or her property. If you are sued, there is a deductible; a
person can now opt for a $20,000 deductible ($10,000 for claims from family members).
- Your choices: You can choose a deductible of $20,000 ($10,000 for claims from family members) or $30,000 ($15,000 for claims from family members.)
Disclaimer:
The information presented herein represents a brief outline of the
terms, conditions and options provided for by this legislation. Please
consult the Financial Service Commission of Ontario for complete
information www.fsco.gov.on.ca