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Critical Illness Insurance

Critical Illness Insurance, Explained Clearly

A lump-sum payment if you're diagnosed with a covered serious illness, such as a life-threatening cancer, heart attack or stroke. You decide how to use it: treatment, the mortgage, or time off to recover.

What It Is

Money while you're alive, when you need it most

Critical illness insurance pays a one-time, lump-sum benefit if you're diagnosed with a condition covered by your policy and survive the waiting period, usually 30 days. Paid to you on a personally owned policy, the benefit is generally not taxable.

There are no rules on how you spend it. People use it to replace income while they recover, cover treatment or travel costs that provincial health care doesn't, pay down the mortgage, or let a spouse take time off work.

Most claims come from three conditions: life-threatening cancer, heart attack and stroke. Many policies cover 25 or more conditions in total, and some pay a partial benefit for certain early-stage diagnoses. The exact list and definitions differ by insurer, which is why we compare policies from several Canadian insurers before you choose.

At a glance

  • Lump-sum benefitPaid once, on diagnosis of a covered condition
  • Generally not taxableOn a policy you own personally
  • Your money, your choiceNo restrictions on how it's used
  • Term or lifetime coverage10 or 20 years, to age 75, or for life
  • Waiting periods applyA survival period, and a 90-day period for cancer
How It Compares

Life, critical illness and disability insurance

Three kinds of coverage for three different risks. Many families and owners need more than one.

  Life insurance Critical illness Disability
Pays whenYou dieYou're diagnosed with a covered condition and survive the waiting periodIllness or injury keeps you from working
How it paysLump sum to your beneficiariesLump sum to youMonthly income, after a waiting period
Typical useMortgage, family income, estate taxRecovery costs, income gap, debtsOngoing living expenses
Through workOften one or two times salaryRarely includedOften included, with limits
Scroll the table sideways to see more.
Life Insurance With Critical Illness

Combining critical illness with life insurance

Many people shopping for life insurance also want critical illness coverage. There are two common ways to hold both.

  • Separate policiesEach pays on its own claim, so a critical illness payment doesn't reduce your life coverage
  • A rider on a life policyOffered by some insurers. Often simpler, but check what happens to the life coverage after a claim

We'll quote both ways, across several insurers, so you can see the difference in cost and coverage. See our life insurance page for term, permanent and coverage after 60.

What Drives the Cost

Pricing critical illness coverage

Age and health

Your age when you apply, your medical history and, often, your family history of cancer, heart disease and stroke.

Smoking

Nicotine use generally means smoker rates, which are considerably higher.

Amount and term

Larger benefits and longer coverage cost more. Lifetime coverage costs the most.

Return of premium

An option on some policies that refunds premiums under set conditions if you never claim. It adds to the cost.

For Business Owners

Critical illness coverage through your corporation

A serious illness can hit a small business as hard as it hits a family. These structures are reviewed with your accountant before anything is put in place.

Key person coverage

The corporation owns and pays for a policy on an owner or key employee, and receives the benefit to cover lost revenue or hiring while they recover.

Buy-sell funding

Gives partners the money to carry out a shareholder agreement if an owner becomes critically ill and wants or needs to step back.

Split-dollar critical illness

The corporation pays for the coverage and the owner personally pays for a return-of-premium option. The split must be set up carefully to avoid a taxable shareholder benefit.

Common Questions

Questions about critical illness insurance

On a policy you own personally and pay for with your own money, the benefit is generally not taxable. Corporate-owned policies and split-dollar arrangements have their own tax considerations, which your accountant should review.

A common starting point is enough to cover one to two years of household expenses, plus any costs you'd expect during treatment and recovery. We'll work through the number with you during a short call.

They do different jobs. Disability insurance replaces part of your income if you can't work, usually after a waiting period. Critical illness pays a lump sum on diagnosis, even if you keep working. Many people have both.

Most policies require you to survive a short period after diagnosis, often 30 days. Cancer usually has a 90-day exclusion period from when the policy starts, and pre-existing conditions may be excluded. We go through the specific terms before you apply.

Yes, for key person coverage, buy-sell funding or a split-dollar arrangement. Who owns the policy, who pays and who receives the benefit all affect the tax treatment, so your accountant reviews the structure first.

This information is general in nature and is not tax, legal, accounting, insurance or investment advice. It is based on current Canadian tax legislation, which can change. Any strategy should be designed and reviewed with your accountant and legal advisors based on your circumstances. Covered conditions, definitions, waiting periods and exclusions vary by insurer and policy; the policy contract governs.

Critical illness insurance in Burlington, Oakville, Milton, Mississauga and Hamilton

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