North City Insurance Brokers

416-225-6000
Toll Free: 1-888-892-7176

Optional Accident Benefits Confirmation Form

* Please choose an option for each of the 7 coverages below. If you wish to choose additional coverage please contact our office immediately for correct pricing.
  • The standard benefit pays up to $65,000 for medical, rehabilitation and attendant care expenses for non-catastrophic injuries. If catastrophically impaired, the standard benefit pays up to $1,000,000 for medical, rehabilitation and attendant care expenses. You can purchase optional medical, rehabilitation and attendant care benefits for non-catastrophic injuries of $130,000. You can purchase optional benefits for catastrophic injuries to $2,000,000 or increase medical, rehabilitation and attendant care benefits to $1,000,000 for non-catastrophic injuries and $2,000,000 for catastrophic injuries.
  • The standard caregiver, housekeeping and home maintenance expenses benefit is available only for a person who is catastrophically impaired. You can purchase an optional benefit to provide this coverage for all impairments.
  • The standard level of income replacement provided in the policy, $400/wk maximum, can be increased to $600/wk, $800/wk or $1,000/wk. Requested Income Replacement Option
  • What Income Replacement Benefit (IRB) is best for your customer?

    Is your income close to or greater than Consider an IRB at this level
    $30,000/year?$600/week
    $45,000/year?$800/week
    $60,000/year?$1,000/week
  • There is no standard dependant care benefit for persons who are employed and care for dependants. You can purchase an optional benefit to receive additional weekly dependant care expenses of $75/wk for the first dependant and $25/wk for each additional dependant, up to $150/wk.
  • The standard level of death benefits paid to the surviving spouse and dependant of a person who is killed - $25,000 to surviving spouse, $10,000 to surviving dependant can be doubled by purchasing this optional coverage. This coverage also increases the standard funeral expense benefit from $6,000 to $8,000.
  • This optional coverage will ensure that certain weekly benefit payments and monetary limits will increase on an annual basis to reflect changes in the cost of living.
  • This endorsement will provide a buy down on the deductible currently imposed by the Insurance Act on any settlement you may be awarded for pain and suffering following an automobile accident.
  • Please provide your contact information. Our team will be in touch with you shortly.

The North City Advantage

  • Three decades of experience
  • Tailored and competitive programs
  • Exceptional savings
  • We’re here to serve you
  • Personalized broker service
  • Group membership offers benefits

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North City Stories

After receiving a letter in the mail from my “previous” insurance company advising me that my home rates were increasing, I decided to call North City for a quote. North City provided me with a quote for both my home and auto insurance. Their staff also noticed that my spouse already had vehicle insurance with North City so they offered both of us a multi-policy discount. When the quote came back, they were able to offer us more comprehensive coverage than we had before, at lower rates. My home insurance dropped from $110/month to $86/month. My vehicle insurance dropped from $90/month to $59/month. My spouse’s vehicle insurance dropped from $86/month to $56/month. Do the math yourself, together, we are saving over $1020/year with North City (1-888-892-7176).

Darryl Wilton – Advanced Care Paramedic, President Professional Paramedic Association of Ottawa