Change my Coverages | ROBERT J. MORRIS

If you are interested in increasing your benefits as per the new limits, feel free to complete the following form.

Please note: Coverage cannot be bound by submitting this form alone. Once this form is submitted, a broker will get in touch with you to discuss the changes, and advise how coverage can be bound.

* Name:

First

Last

* Policy Number:

* Company:

I would like to increase the medical, rehabilitation, and attendant care benefit for non-catastrophic injuries from the standard $65,000 to the optional $130,000 or $1,000,000.

$130,000

$1,000,000

I would like to increase the medical, rehabilitation, and attendant care benefit for catastrophic injuries from the standard $1,000,000 to the optional $2,000,000.

Yes

I would like to increase the non-catastrophic benefit to $1,000,000 and the catastrophic benefit to $2,000,000.

Yes

I would like to increase my income replacement benefit:

Increase the weekly limit to $600

Increase the weekly limit to $800

Increase the weekly limit to $1,000

No increase

This benefit currently allows for 70% of gross income to a maximum of $400 per week.

I would like to increase my caregiver benefit to include non-catostrophic injuries:

Yes

This benefit allows up to $250 per week for the first dependent plus $50 for each additional dependant, and is currently only available for catastrophic injuries.

I would like to increase my housekeeping and home maintenance expenses benefit to include non-catostrophic injuries:

Yes

This benefit allows up to $100 per week, and is currently only available for catastrophic injuries.

I would like to increase my death and funeral benefits:

Increase the sums to $50,000 to an eligible spouse, $20,000 to each dependent, and maximum $8,000 for funeral expenses.

No changes

Currently provides: $25,000 lump sum to an eligible spouse; $10,000 lump sum to each dependant; Maximum $6,000 for funeral expenses.

I would like to add on a dependant care benefit:

Yes

Currently not provided. Benefit available: Up to $75 per week for the first dependant and $25 per week for each additional dependant to a maximum of $150 per week.

I would like to add on an indexation benefit:

Yes

Currently not provided. Benefit available: Annual adjustment for inflation for many benefits according to the Consumer Price Index for Canada.

I would like to increase my third party liability benefit:

Yes

I would like to increase my third party liability benefit:

I would like to change my tort deductible:

Yes

There is currently a $36,905.40 deductible for court awarded compensation for pain and suffering. This could be reduced by $10,000 regardless of annual indexation percentage increases.

Additional comments:

* Please enter the following to proceed:

This tool is intended for current Robert J. Morris Insurance & Consulting Ltd. customers only. The changes requested are not guaranteed. Additional information may be required. Your personal information will be collected and used for the purposes of communicating with you about your policy. Click here to view our Privacy Policy.

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Robert J. Morris Insurance & Consulting Ltd.

235545 23rd Line
Thamesford, ON

Phone: 519-283-6608

Business Hours:
Monday to Friday
8:30am – 4:30pm