Total and permanent loss of autonomy
Cover that treats as equivalent to death the condition of an insured permanently unable to do any paid work and dependent on another person for ordinary daily activities, paying the death benefit during their lifetime.
Total and permanent loss of autonomy is the twin of death cover in protection and borrower insurance policies. It applies when three conditions are met: the insured can no longer do any activity providing income or profit, the condition is permanent, and they need another person's assistance to perform ordinary daily activities, generally washing, dressing, eating and moving about. The benefit provided on death is then paid early, and the contract ends. The definition is deliberately strict, and many severe disability cases do not meet it, because the insured retains partial autonomy. Policies also set an age limit, often sixty-five or seventy, beyond which the cover ends. The gap between what the insured believes is covered and the contractual definition is a frequent source of complaints, which equivalence of cover in borrower insurance requires comparing criterion by criterion.
A 48-year-old borrower left quadriplegic after a 2024 accident and recognized as totally and permanently dependent sees the insurer repay the bank the 180,000 euros outstanding on his home loan, as if he had died.
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