Common use of Weekly Accident Benefit Clause in Contracts

Weekly Accident Benefit. This benefit is applicable to you but only if you are under the age of sixty-five years and engaged in gainful employment. If as a result of an accident during the policy period you sustain bodily injury and are totally and continuously disabled and prevented from performing the substantial and material duties pertaining to your usual occupation, we will pay you the Weekly Accident Benefit as stated below for the period of disability while you are under the regular care and attendance of a licensed physician. Weekly Accident Benefits commence on the 8th day of disability, not to exceed 104 consecutive weeks as the result of any one accident. Weekly Accident Benefit: up to $500 per week, not to exceed 75% of your pre-disability net earnings. The benefit payable will take into account any of the benefits payable under the following plans, but will not include any amounts payable on account of eligible dependents, if any: (a) the disability or retirement provisions of the Canada/Quebec Pension Plans; (b) the benefits payable in accordance with the Workers' Compensation or Occupational Disease Act or Law, or any other law which provides compensation for an occupational Injury; (c) the income benefits provided by or through any Government Plan of automobile insurance or similar legislation; (d) the amounts paid or payable under a group insured or non-insured disability plan (including association group); or (e) the Employment Insurance Act if the Employment Insurance benefit does not include the amounts paid or payable under this policy as earnings in determining the benefits payable under the Act. Any subsequent changes to the amounts payable under any of the above stated benefits which are specifically designated as cost-of-living adjustments will neither reduce nor increase the amount of Weekly Accident Indemnity payable hereunder. 1. with respect to an Insured who is employed on a full-time basis, the weekly rate of wage or salary the Insured was receiving from his employer(s) as of the date of the Injury, exclusive of overtime pay or other remuneration; 2. with respect to an Insured who works on a seasonal basis, the weekly rate of earnings based on the total amount(s) of the Insured's earnings as reported on T-4(s) for the full taxation year immediately prior to the date of the Injury. 3. with respect to an Insured who is self-employed, the weekly rate of earnings based on the three (3) years average of the Insured's earnings received for duties performed (excluding other income which does not depend on the Insured's ability to engage in an occupation or employment) less any business expenses which are deductible for income tax purposes but before deduction of any personal income taxes for the full taxation year immediately prior to the date of the Injury.

Appears in 3 contracts

Samples: Insurance Policy, Insurance Policy, Insurance Policy

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Weekly Accident Benefit. This benefit is applicable to you but only if you are under the age of sixty-five years and engaged in gainful employment. If as a result of an accident during the policy period you sustain bodily injury and are totally and continuously disabled and prevented from performing the substantial and material duties pertaining to your usual occupation, we will pay you the Weekly Accident Benefit as stated below for the period of disability while you are under the regular care and attendance of a licensed physician. Weekly Accident Benefits commence on the 8th day of disability, not to exceed 104 consecutive weeks as the result of any one accident. Weekly Accident Benefit: up to $500 per week, not to exceed 75% of your pre-disability net earnings. The benefit payable will take into account any of the benefits payable under the following plans, but will not include any amounts payable on account of eligible dependents, if any: (a) the disability or retirement provisions of the Canada/Quebec Pension Plans; (b) the benefits payable in accordance with the Workers' Compensation or Occupational Disease Act or Law, or any other law which provides compensation for an occupational Injury; (c) the income benefits provided by or through any Government Plan of automobile insurance or similar legislation; (d) the amounts paid or payable under a group insured or non-insured disability plan (including association group); or (e) the Employment Insurance Act if the Employment Insurance benefit does not include the amounts paid or payable under this policy as earnings in determining the benefits payable under the Act. Any subsequent changes to the amounts payable under any of the above stated benefits which are specifically designated as cost-of-of- living adjustments will neither reduce nor increase the amount of Weekly Accident Indemnity payable hereunder. 1. with respect to an Insured who is employed on a full-time basis, the weekly rate of wage or salary the Insured was receiving from his employer(s) as of the date of the Injury, exclusive of overtime pay or other remuneration; 2. with respect to an Insured who works on a seasonal basis, the weekly rate of earnings based on the total amount(s) of the Insured's earnings as reported on T-4(s) for the full taxation year immediately prior to the date of the Injury. 3. with respect to an Insured who is self-employed, the weekly rate of earnings based on the three (3) years average of the Insured's earnings received for duties performed (excluding other income which does not depend on the Insured's ability to engage in an occupation or employment) less any business expenses which are deductible for income tax purposes but before deduction of any personal income taxes for the full taxation year immediately prior to the date of the Injury.

Appears in 1 contract

Samples: Insurance Policy

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