1 Table of Death Benefits for 2015 Please note: Though estate is the more common term, succession is used in this table, as it is the term used in Québec legislation. For accidents and deaths occurring between January 1 and December 31, 2015 Lump-sum death benefit For an accident victim without a spouse or dependants In the case of an accident victim who leaves no spouse or dependant, $53,973 is paid, in equal shares, to the mother and father if the victim was a minor at the time of death, or to the succession if the victim was of full age. Paid to the surviving spouse The lump-sum death benefit paid to the accident victim s surviving spouse is established on the basis of the victim s gross income multiplied by a factor varying between 1 and 5, according to age. The maximum qualifying gross income is $69,500. In no case shall the benefit be less than $67,340 or higher than $347,500. For example: The surviving spouse of an accident victim who dies at the age of 35 and whose gross annual income was $30,000 will be paid a lump-sum death benefit of $90,000 ($30,000 x 3.0).
2 Lump-sum death benefit 25 or younger 1,0 39 3,8 53 3,4 26 1,2 40 4,0 54 3,2 27 1,4 41 4,2 55 3,0 28 1,6 42 4,4 56 2,8 29 1,8 43 4,6 57 2,6 30 2,0 44 4,8 58 2,4 31 2,2 45 5,0 59 2,2 32 2,4 46 4,8 60 2,0 33 2,6 47 4,6 61 1,8 34 2,8 48 4,4 62 1,6 35 3,0 49 4,2 63 1,4 36 3,2 50 4,0 64 1,2 37 3,4 51 3,8 65 or older 1,0 38 3,6 52 3,6 Paid to a disabled surviving spouse The lump sum paid to the surviving spouse who is disabled is established according to the accident victim s age at the time of death, as follows: 45 or younger 5,0 52 3,6 59 2,2 46 4,8 53 3,4 60 2,0 47 4,6 54 3,2 61 1,8 48 4,4 55 3,0 62 1,6 49 4,2 56 2,8 63 1,4 50 4,0 57 2,6 64 1,2 51 3,8 58 2,4 65 or older 1,0 Paid to dependants Each of an accident victim s dependants, other than the spouse, is paid a lump-sum death benefit, the amount of which is established according to that person s age at the time of death of the victim, as follows: Dependant s Amount Dependant s Amount of benefit of benefit Less than 1 year $58,924 9 $43,777 1 $57, $42,089 2 $55, $40,407 3 $53, $38,721 4 $52, $37,040 5 $50, $35,356 6 $48, $33,673 7 $47, or older $31,985 8 $45,456
3 If a dependant other than the spouse is disabled at the time of the accident victim s death, he or she is entitled to an additional lump-sum benefit of $27,777. Children of an accident victim who had no spouse will also receive, in addition to their own indemnity, the lump-sum benefit that would have been paid to the spouse, divided into equal shares among them. Indemnity to cover funeral expenses $5,046 is paid to the accident victim s succession. Availability allowance If the accident victim was hospitalized and survived the accident for some time, members of the immediate family are entitled to an availability allowance when the presence of a relative was required for medical reasons. $35 maximum for availability of 4 hours or less $70 maximum for availability of more than 4 hours The SAAQ indexes the amount of most compensation benefits on a yearly basis. To receive your copy of the updated Compensation Table, available at the beginning of each year, please write to: Direction des communications Société de l assurance automobile du Québec C. P , boulevard Jean-Lesage Québec (Québec) G1K 8J6 Note: This folder is not a text of law. For questions of a legal nature, please refer to the Automobile Insurance Act and attendant regulations.
4 Compensation Table for 2015 For claims filed or expenses incurred between January 1 and December 31, 2015 Compensation benefits Income replacement indemnity 1 Care allowance Lump-sum indemnity for students 2 Lump-sum indemnity for a diminished quality of life Amounts 90% of the net income computed on the basis of a gross annual income not exceeding $69,500 Weekly amount: $421 for 1 person $472 for 2 people $522 for 3 people $574 for 4 or more people $5,046 per school year lost at the elementary level $9,260 per school year lost at the secondary level $9,260 per term lost at the postsecondary level, up to $18,519 per year $236,131 maximum 3 1 When an accident victim who already receives an income replacement indemnity reaches age 65, the indemnity is reduced by 25% on that day, by 50% on the 66 th birthday, by 75% on the 67 th birthday and ceases being paid altogether on the 68 th birthday. 2 Starting on the scheduled date for the end of studies, students may be entitled to receive an indemnity based on $42,251, which corresponds to the average earnings of Québec workers for the year in progress. 3 The maximum amount is paid, for example, in the case of a vegetative coma. C-6070-A (15-03)
5 Type of expenses Travel expenses Meals Care expenses Home care expenses Availability allowance Clothing Prescribed contact lenses Prescribed eyeglasses Amounts To receive care or undergo treatment: private vehicle: $0.145/km public transit: amount paid taxi: expenses incurred when public transit does not serve the route to be taken or when the victim s medical condition does not allow it to be used $8.75 maximum for breakfast $12 maximum for lunch $18.05 maximum for supper Weekly maximum: $127 for 1 person $168 for 2 people $214 for 3 people $253 for 4 or more people $843 maximum per week for an accident victim whose state of health requires continuous care $35 maximum for availability of 4 hours or less $70 maximum for availability of more than 4 hours $400 maximum for dry-cleaning, repair or replacement of clothing $1,000 maximum for leather clothing or a helmet worn in a motorcycle accident $110 maximum 1 $100 maximum for frames Actual cost of lenses 1 Possibility of receiving a maximum reimbursement of $300, under certain conditions.
6 Type of expenses Medical reports Professional fees Substitute labour costs in a family business Medication Prostheses, orthoses, etc. Amounts $25 maximum for an Initial Medical Report $70 maximum for a Medical Assessment Report $70 maximum for a Medical Progress Report $65 maximum for a Medical Aftereffects Report $36 maximum per prescribed physiotherapy and occupational therapy treatment $31 maximum per prescribed treatment for chiropractic care $26 maximum per prescribed acupuncture treatment $86.60 maximum per prescribed psychotherapy treatment For fees of other professionals, call our information line Weekly maximum of $841 with supporting documents the first 180 days Automated reimbursement at the pharmacy; or Determined on presentation of bills or receipts to the SAAQ To be determined on presentation of bills or receipts, according to regulation The SAAQ indexes the amount of most compensation benefits on a yearly basis. To receive your copy of the updated Compensation Table, available at the beginning of each year, please write to: Original text in French. Direction des communications Société de l assurance automobile du Québec C. P , boulevard Jean-Lesage Québec (Québec) G1K 8J6
1 The Personal Injury Benefits Regulations being Chapter A-35 Reg 3 (effective January 1, 1995) as amended by Saskatchewan Regulations 70/2002, 121/2002, 48/2004, 73/2007, 79/2007, 127/2010, 43/2014 and
Personal Injury Protection Plan Your Guide Section 1 Medical and Personal Expenses Your Reference Page Date of Accident Injury Claim Number Personal Injury Case Manager Telephone number Best time to call
ACCIDENT BENEFITS COVERAGE IN ONTARIO CAR INSURANCE VISIT IBC.CA Accident Benefits Coverage in Ontario Contents If You Are in a Motor Vehicle Collision...2 Specified Benefits...4 Death and Funeral Payments...8
Group Life Insurance Program MAINE PUBLIC EMPLOYEES RETIREMENT SYSTEM Certificate of Coverage for Accidental Death and Personal Loss Insurance BENEFIT PROGRAM Prepared Exclusively for Maine Public Employees
1230 Section 1. Definitions TOWNSHIP OF WASHINGTON FRANKLIN COUNTY, PENNSYLVANIA RESOLUTION NO. 594 OF THE BOARD OF SUPERVISORS OF THIS TOWNSHIP ESTABLISHING THE EMPLOYEE BENEFIT POLICY FOR THE TOWNSHIP.
Product Summary Issued 1 March 2015 Zurich Life Risk Zurich Income Replacement Adviser use only Summary These tables outline the in-built benefits, optional extras and product parameters for Zurich Income
Employee Group Benefits UNDERWRITTEN BY SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK Marist College GROUP POLICY NUMBER - 810015 POLICY EFFECTIVE DATE - 93C-LH-NY Welcome to Sun Life Insurance and
Unofficial translation Employment Accidents Insurance Act (20.8.1948/608) Chapter 1. General provisions Section 1 (28.12.1962/677) 1. A person who by contract and for remuneration undertakes work for another
Survivors Benefits Contacting Social Security Visit our website At our website, www.socialsecurity.gov, you can: Create a my Social Security account to review your Social Security Statement, verify your
Nebraska Workers Compensation Court Information Sheet: Rights & Obligations under the Nebraska Workers Compensation Law NEBRASKA WORKERS COMPENSATION COURT OFFICIAL SEAL What is workers compensation? Workers
OPTIONAL BENEFIT APPENDIX TOTALCAREMAX Personal DISABILITY INCOME PROTECTION BENEFIT INDEMNITY This appendix only applies if cover under the policy schedule includes the Disability Income Protection Benefit
WORKERS COMPENSATION: A Guide for New Brunswick Workers Reprinted October 2014 DISCLAIMER New Brunswick law protects employers and workers rights under four pieces of legislation: the Occupational Health
Ontario Car Accident Insurance Car Accident Insurance in Ontario I was injured in a car accident. What insurance is available to assist me as I recover? There are possibly two main sources of compensation
Manitoba Public School Employees Group Life Insurance Plan Financial protection for every member of your family What could be more important? WELCOME Welcome to the Manitoba Public School Employees Group
Authority: WORKER S COMPENSATION, ACCIDENT REPORTING AND OSHA RECORDKEEPING Chancellor History: Revised January 22, 2007; supersedes former Policy No. HR 5.10 effective July 24, 1995 Source of Authority:
Nationwide Life Insurance Company Commonwealth of Kentucky Employee Term Life Coverage Basic and Optional Plans Dependents Term Life Coverage Accidental Death and Dismemberment Coverage Basic and Optional
MY SUPER APPROVED WA Super Insurance Guide The information in this document forms part of the WA Super Product Disclosure Statement, November 2013 You should read the PDS in conjunction with this Member
SunAdvantage Administration Guide for Sun Life Financial-administered group plans Use this guide if Sun Life Financial administers your plan members records and prepares your billing statements. Our guides
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper AMP Life fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document forms part of the
~ TRSL Disability Retirement ~ TRSL Disability Retirement Dear Member: This publication has been created as a resource and reference guide for members of the Teachers Retirement System of Louisiana (TRSL)
Optional Income Protection Insurance Cover Members of AMIST Super may apply for Income through the fund. This insurance provides benefits in the event that you are unable to work in your current occupation