which the limit of family protection coverage exceeds the total of all limits of motor vehicle liability insurance, or
bonds, or cash deposits, or other financial guarantees as required by law in lieu of such insurance, of the
inadequately insured motorist and of any person jointly liable with that motorist.
5. Where this change form applies as excess, the insurer’s maximum liability under this change form is the amount
calculated under section 4 of this change form, less the amounts available to eligible claimants under any first
loss insurance referred to in Section 18 of this change form.
AMOUNT PAYABLE PER ELIGIBLE CLAIMANT
6. The amount payable to an eligible claimant under this change form shall be calculated by determining the amount
of damages the eligible claimant is legally entitled to recover from the inadequately insured motorist, and
deducting from that amount the aggregate of the amounts referred to in Section 7 of this change form, but in no
event shall the insurer be obliged to pay an amount in excess of the limit of coverage as determined under
Sections 4 and 5 of this change form.
7. The amount payable under this change form to an eligible claimant is excess to an amount received by the
eligible claimant from any source, other than money payable on death under a policy of insurance, and is excess
to amounts that were available to the eligible claimant from
(a) the insurers of the inadequately insured motorist, and from bonds, cash deposits or other financial
guarantees given on behalf of the inadequately insured motorist;
(b) the insurers of a person jointly liable with the inadequately insured motorist for the damages
sustained by an insured person;
(c) the Société de l’assurance automobile du Québec;
(d) an unsatisfied judgment fund or similar plan in a jurisdiction other than Ontario, or which would have
been payable by such fund or plan had this change form not been in effect;
(e) the uninsured automobile coverage of a motor vehicle liability policy;
(f) an automobile accident benefits plan applicable in the jurisdiction in which the accident occurred;
(g) a law or policy of insurance providing disability benefits or loss of income benefits or medical expense
or rehabilitation benefits;
(h) any applicable Workers’ Compensation Act or similar law of the jurisdiction in which the accident
occurred;
(i) the family protection coverage of another motor vehicle liability policy.
8. If the insurer is presented with claims by more than one eligible claimant and the total amount payable to the
eligible claimants exceeds the limit of the insurer’s liability under sections 4 and 5 of this change form, the insurer
shall pay to each eligible claimant a pro rata portion of the amount otherwise payable to each eligible claimant;
and if payments are made to eligible claimants prior to the receipt of actual notice of any additional claim, the
limits in sections 4 and 5 shall be the amount calculated under those sections less the amounts paid to the prior
eligible claimants.
DETERMINATION OF THE AMOUNT RECOVERABLE
9. The amount that an eligible claimant is entitled to recover shall be determined in accordance with the procedures
set forth for determination of the issues of quantum and liability under Section 5 of the Policy "Uninsured
Automobile Coverage".
10. In determining the amount that an eligible claimant is entitled to recover from the inadequately insured motorist,
issues of quantum shall be decided in accordance with the law of Ontario, and issues of liability shall be decided
in accordance with the law of the place where the accident occurred.
11. In determining any amounts that an eligible claimant is entitled to recover, no amount shall be included with
respect to prejudgment interest which accumulated prior to notice as required by section 15 of this change form.
12. In determining any amount that an eligible claimant is entitled to recover, no amount shall be included with
respect to punitive, exemplary, aggravated or other damages awarded in whole or in part because of the conduct
of the inadequately insured motorist or the person jointly liable with him or her, unless these damages are for the
purpose of compensating the eligible claimant for losses actually incurred.
13. In determining any amounts an eligible claimant is entitled to recover from an inadequately insured motorist, no
amount shall be included with respect to costs.
14. For the purposes of this change form the findings of a court with respect to issues of quantum or liability are not
binding on the insurer unless the insurer was provided with a reasonable opportunity to participate in those
proceedings as a party.
PROCEDURES
15. The following requirements are conditions precedent to the liability of the insurer to an eligible claimant under
this change form:
(a) the eligible claimant shall promptly give written notice, with all available particulars, of any accident
involving injury to or death of an insured person and of any claim made on account of the accident;
(b) the eligible claimant shall, upon request, provide details of any policies of insurance other than life
insurance to which the eligible claimant may have recourse;
(c) the eligible claimant and the insured person shall submit to examination under oath, and shall
produce for examination at such reasonable place and time as is designated by the insurer or its
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