Kabir & Alam Lawyers

What is a personal injury claim actually worth? How damages are assessed in Ontario

Muniza Kabir
Barrister & Solicitor (Ontario)
A calculator and office supplies on a desk

At some point, everyone with an injury claim asks what it is worth. It is a fair question and it deserves a real answer, which is that no lawyer can tell you a number at the first meeting, and any who does is guessing. What a lawyer can do is explain how the number is built, because Ontario law assesses damages under specific categories, each with its own evidence and its own rules. Once you understand the categories, you understand what the claim depends on.

Damages compensate, they do not punish

The purpose of damages in a personal injury claim is to put the injured person, as far as money can, in the position they would have been in had the injury not occurred. Punitive damages, intended to punish a defendant, are rare and reserved for outrageous conduct. The size of a claim is therefore driven by the losses actually suffered, not by how badly the defendant behaved.

General damages: pain, suffering and loss of enjoyment of life

This is the category people think of first. It compensates for the injury itself: the pain, the limitations, the activities lost, the effect on relationships. Canadian law caps this category at a fixed amount, adjusted for inflation, that is reserved for the most catastrophic injuries. Everything else is assessed below that ceiling by reference to how courts have treated comparable injuries. In car accident cases, a statutory deductible reduces the award unless it exceeds a set threshold, which we explain in our post on the tort threshold and deductible.

General damages are assessed on the medical evidence and on the evidence of how the injury has changed your life, which is why treatment records, specialist reports and before-and-after evidence matter so much.

Past and future income loss

If the injury has kept you from working, or has reduced what you can earn, the loss is compensable. Past loss is calculated from the accident to trial or settlement, using employment and tax records. Future loss is a projection: what you would likely have earned over your working life, less what you can now earn, discounted to present value. It depends on medical evidence about your capacity, vocational evidence about what work is realistically available, and sometimes on an economist or actuary to do the calculation.

For self-employed people, students, and those early in a career, this category requires careful proof, because the baseline is less obvious. It is also the category most likely to make a serious injury claim substantial, since a lifetime of reduced earnings adds up.

Future care costs

Where the injury will require ongoing treatment, medication, equipment, home modifications, attendant care or housekeeping assistance, the cost of that care over your lifetime is claimable. These claims are supported by a life care plan prepared by an occupational therapist or similar professional, costed and projected. In car accident cases, amounts available through accident benefits are taken into account.

Special damages: out-of-pocket expenses

Every expense caused by the injury that you have actually paid is recoverable with proof: treatment not covered elsewhere, medication, transportation to appointments, assistive devices, housekeeping help. Keep every receipt from the day of the injury. Small amounts accumulate, and undocumented expenses are not recovered.

Family Law Act claims

Ontario law allows certain family members of an injured person, including spouses, children, parents and siblings, to claim for their own loss of the injured person’s care, guidance and companionship, and for expenses they have incurred and services they have provided. These claims are made in the same lawsuit. In car accident cases, they are subject to their own deductible.

The OHIP subrogated claim

If you received publicly funded health care because of the injury, the provincial health insurer has a right to recover those costs from the person at fault. That claim is advanced as part of your lawsuit, and the amount is paid to the province, not to you. It is one reason why the headline figure in a settlement is not the amount the injured person receives.

What comes off the top

The amount you receive is what remains after deductions. Those can include the statutory deductible in car accident cases, amounts already paid by accident benefits or other collateral sources, the OHIP claim, legal fees and disbursements, and any reduction for contributory negligence if you were found partly at fault. A lawyer should be able to explain each of these to you before a settlement is accepted, in writing, with the net figure clear.

Why timing matters

Damages are assessed once, and a settlement is final. Settling before the injury has stabilized and before the future is reasonably predictable means settling on incomplete information. That is the main reason serious injury claims take time: the value cannot be responsibly assessed until the medical picture is clear.

How we can help

At Kabir & Alam, we assess every category of damages with the evidence it requires, and we do not recommend settlement until the picture is complete enough to do so responsibly. Read more about our personal injury practice, our personal injury FAQs, or book a consultation with us.

This post is general information about Ontario personal injury law and is not legal advice. Every case turns on its own facts. Speak with a lawyer about your situation before making decisions.

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