| |
The table below summarizes the benefits
provided by Accigroup and Accigroup Plus. Certain exclusions
and restrictions apply. The issued contract is the only official document
that is binding on the parties.
Coverage that is different from the coverage
described below is also available, subject to certain conditions. Ask
your representative for details.
 |
Accigroup Plus Only |
 |
|
 |
|
A. Natural Death (children
and students only) |
|
|
|
|
From
15 days to 17 years of age and students under age 25 |
|
$2,500 |
|
|
B. Accidental Death* |
|
|
|
|
School
vehicle or public transportation |
|
$15,000 |
|
|
C. Emergency
Care or Services Outside the Province of Residence |
|
|
|
|
Services
of a physician, hospital care and transportation by ambulance following
an accident |
|
$5,000
max. |
|
|
Accigroup Plus and Accigroup |
|
|
|
|
A. Accidental Death* |
|
|
|
|
Other
circumstances (age 25 or over)* |
|
$10,000 |
|
|
Other
circumstances (under age 25) |
|
$5,000 |
|
|
B. Dismemberment
or Loss of Use* |
|
|
|
|
Loss
of two limbs, or one limb and sight in one eye or both eyes |
|
$50,000 |
|
|
Loss
of hearing in both ears and loss of speech |
|
$50,000 |
|
|
Loss
of hearing in both ears of loss of speech |
|
$25,000 |
|
|
Loss
of one limb or sight in one eye |
|
$12,500 |
|
|
Loss
of hearing in one ear |
|
$3,000 |
|
|
Loss
of fingers or toes (each finger or toe completely severed) |
|
$1,000 |
|
|
Maximum Amount Payable Under This Clause |
|
$50,000 |
|
|
C. Accidental
Fracture* |
|
|
|
|
Fracture
of the skull (with depression), of the spine (with displace vertebrae),
of the pelvis |
|
$250 |
|
|
Fracture
of the skull (without depression), of the spine (without displaced
vertebrae), femur, tibia, fibula, humerus, ulna, radius |
|
$50 |
|
|
Fracture
of any other bone not listed above |
|
$25 |
|
 |
*For insureds who are 65 years of age or older at the time of the accident, the benefits in case of accidental death, dismemberment, loss of use, or fracture correspond to 50% of the amounts indicated.
 |
 |
|
D. Hospital
and Paramedical Costs |
|
|
|
|
Medication |
|
Included |
|
|
Purchase
of a prosthetic device (artificial limb) |
|
$3,000
max. |
|
|
Initial
purchase of a hearing aid |
|
$500
max. |
|
|
Private
or semi-private room |
|
$55/day
max. |
|
|
Nursing
care |
|
Included |
|
|
Rental
(or purchase) of crutches or orthopedic devices or a wheelchair |
|
Included |
|
|
Replacement
or repair of glasses |
|
$100/year
max. |
|
|
Treatment
by a physiotherapist, chiropractor, occupational therapist, podiatrist,
osteopath, audiologist, or speech therapist |
|
$15/visit,
$180 max./year |
|
|
Emergency
transportation costs |
|
$1,000
max. |
|
|
Room
and board for a person accompanying the insured |
|
$100/day,
$500 max. |
|
|
Maximum Per Accident |
|
$25,000 |
|
|
E. Total
Disability (students only) |
|
|
|
|
Reorientation
costs |
|
$3,000
max. |
|
|
Remedial
classes |
|
$10/hour,
$1,000 max. |
|
|
Disability
benefit |
|
$200/month,
$5,000 max. |
|
|
F. Dental
Fees |
|
|
|
|
Per
damaged tooth |
|
$300
max. |
|
|
Dental
prosthesis (replacement or repair) |
|
$250
max. |
|
|
G. Hospitalization
Allowance |
|
|
|
|
Lump
sum (payable starting on the first night) |
|
$25/night,
$1,000 max. |
|
|
H. Childcare
Fees (children under 18 years of age) |
|
|
|
|
Injured
insured child or other children of the parent of legal guardian |
|
$10/hour,
$100 max./year. |
|
|
I. Transportation
Expenses (students only) |
|
|
|
|
Return
transportation expenses to and from school |
|
$10/day,
$100 max./year |
|
|
J. Convalescence
Allowance (18 years of age and over) |
|
|
|
|
Lump
sum |
|
$50 |
|
|
Day
surgery |
|
$50/night |
|
|
Each
night spent in hospital |
|
$500 max. |
|
|
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