The accident of life guarantee is a provident insurance contract which aims to protect the insured and his family from the consequences of everyday accidents. This insurance initially compensates the victim if the person responsible is not known or if the insured is himself responsible. Accident-of-life insurance contracts cover domestic accidents, accidents occurring in the context of leisure activities or even assaults… Here is the Reassure-me guide to guaranteeing life-related accidents to help you find all the information you need .
What is guaranteed against accidents of life?
Life accident insurance, a new insurance
The accident of life guarantee (GAV) covers the policyholder and his family against the economic consequences of “everyday” accidents at home or during their free time. Fifteen years after its launch, in 2001, has this insurance really fulfilled its contract? When the FFSA had launched, with a certain media coverage, its new insurance product, the life accident guarantee, it had at the same time defined a standard contract, a common base, below which no insurer could descend into the development of its own contracts: the assurance of a minimum service in a way. It is then up to companies to offer more, in particular with regard to the intervention threshold and the scope of guarantees.
The risks covered by the GAV
In fact, in accordance with the “FFSA-style” contract, all GAV contracts of insurance companies cover the insured, his / her spouse, cohabiting partner or PACS partner and their dependent children. They are covered against bodily injury (injury or death) resulting from a domestic accident or occurring in the context of their leisure time (sporting activity or travel), but also resulting from a natural or technological disaster, an attack or an assault or even a medical or surgical act, whether or not there is fault on the part of the practitioner or the care establishment (therapeutic hazard, nosocomial infections).
To summarize, the GAV supports:
Accidents of everyday life, without a third party responsible: slipping in the street, falling down a staircase, DIY accident, gardening …
Fortunately, medical accidents are rare: nosocomial infections, medical errors.
Accidents in school life.
Who can take out accidental life insurance?
A single person without children can very well take out a GAV contract . But this insurance is particularly suited to the protection of the whole family against the risks of everyday life which are unfortunately very real: each year around six million domestic accidents are recorded, the leading cause of hospitalization in front of work and traffic accidents.
With this in mind, all insurers offer at least two formulas : one for single people and a “Family guarantee” for others. However, other insurers may offer a wider range of formulas. For example, Malakoff-Médéric offers three: an individual formula, a couple / family formula (couple with or without children under the age of twenty-six) and a couple’s formula over sixty-five.
Until what age should you take out life accident insurance?
In general, the subscription age conditions range from 18 to 65 years. The GMF does not set any age limit for subscription, while Malakoff-Médéric no longer accepts subscribers over the age of 77, Gan, over 75 and Groupama, over 70. At Matmut, it is in your interest to do it early: after 55, it will be too late! Except for members, who benefit from a suspension of up to 60 years.
The children of the subscriber and / or his spouse are taken care of up to the age of 26 at Sogessur and Malakoff-Médéric, if they have never established an independent tax return.Up to 25 years in Gan, if they live under the same roof as their parents. Also 25 years at Groupama if the children continue their studies, the company also guaranteeing the grandchildren of the subscriber and his spouse under 18, during the time they are entrusted to them.
When does the accident-of-life guarantee trigger?
The basic contract of the FFSA provides for an intervention threshold for the guarantee of at least 30% permanent partial disability (PPI). This means that the guarantee will only cover the most serious disabilities. The lower this threshold, the greater will be the scope of the guarantee, which will therefore apply to less disabling bodily injuries, but nevertheless just as difficult to live with and heavy with economic consequences.
Wishing to be more generous than the FFSA, none of the insurance companies in our comparative study strictly adheres to the recommended intervention thresholds. Some offer 2 thresholds: GMF and Gan, from 10% or 30% PPI; Axa, Generali, Sogessur, SwissLife , from 5% or 30%; at AGF, 5% or 25%. Malakoff-Médéric offers a triple choice to subscribers under 65 (intervention threshold from 7%, 10%, or 30%) and a double choice to others (10% or 30%). La Matmut, the Postal Bank and the Maaf, establish their intervention threshold from 10% of PPI. At Crédit Agricole, we do not speak of PPI but of DFP, a permanent functional deficit, compensated from 5%. Same rate at Groupama. Undoubtedly, MMA is the most generous with an intervention threshold at the rate of only 1% PPI.
How is the invalidity of accident insurance calculated?
To determine the invalidity rate, the scale used is that of ordinary law, and not that of Social Security. Quadriplegia gives an AIPP level of 95%, for example.
|Type of disability||Corresponding PPI rate|
|Loss of a finger (except thumb)||5 to 8%|
|Loss of a knee (fitting a prosthesis)||10%|
|Loss of all 5 toes||15%|
|Loss of a leg||40%|
|Loss of vision in one eye||20 to 25%|
|Loss of a foot||30 %|
|Loss of hand (for a right-handed person)||30 to 40%|
|Complete hearing loss||60%|
|Total loss of locomotion||65%|