|Principal Member plus Children Benefit||Cost|
|Principal member||R 20,000 (offers may change with notice)|
|Children age 14 to 21 years||R 10,000 (offers may change with notice)|
|Children age 0 to 13 years||R 5,000|
|Adults age 70 to 85 years||R 10,000|
|An additional R20,000 accidental benefit
for principal member only for commuter travel*
*Commuter travel is defined as follows:
Get whilst travelling on a registered South-African road in a motorised vehicle as a driver or passenger (air, rail, sea and road)
Monthly premium per principal member FREE
• Age at entry: -18 to 85 years
• Maximum number of dependents covered under the immediate family benefit: - 0 spouse,5 children
Please note that age at entry above refers to the actual age of the principal member at entry into the scheme.
Minimum and maximum age at entry:
The minimum age at entry for a principal member is 18 years. The maximum age at entry for a principal member is 85 years. The maximum age at entry for a child is 21, The age at entry is the actual age at the date of application.
Maximum number of dependents:
A maximum of 0 spouse and 5 children may be covered under the principal member plus children benefit.
Maximum benefits payable: In cases where a member is covered under more than one policy, e.g. covered as a member on a policy and covered as an extended family member on another policy, both claims will be paid. However, the maximum payable on any one life, above the age of 14, by the underwriter will be R 100,000. This is subject to statutory regulations limiting the benefit payable on children as follows:
• The maximum benefit payable for a child aged below 6 years is R10,000
• The maximum benefit payable for a child aged 6 – 14 years is R30,000
Condition for payment of benefits: Benefits will only be payable while they are is still in force. Benefit for a member will commence from the later of the day that the first premium is received, in respect of that member or the day that the completed application form for the benefit is received from the member. The underwriter reserves the right to decline payment of a claim if at claims stage it is determined that the Principal Member would not suffer a financial loss, such as funeral costs or related burial costs, as a result of the death of the nominated person. Cover will cease when premiums are not paid within the 30 day grace period allowed for the payment of premiums that are due.
A qualifying period will apply for death due to non-accidental causes and suicide from the day that a member is accepted onto the scheme or, where there is an increase in benefit, from the date of increase but only in respect of the increased benefit amount. Death due to accidental causes is not subject to the qualifying period.
• The qualifying period is six months for members 18 - 69 years.
• Qualifying period for members 70 - 85 years is a 12 months waiting period.
Claim notification period:
There will be a 6 month claim notification period. Claims will need to be submitted within 6 months of the deceased’s date of death in order for the claim to be valid.
The following information will be required from each member to take out funeral benefit on this scheme:
• Name and surname of the member and each of the immediate family members
• ID number or a valid Passport number
• Contact phone number
• Name and surname of nominated beneficiary
• Contact phone number of the nominated beneficiary
At claims stage the following information will be required:
• A membership certificate
• A completed underwriter claim form
• Proof of banking details of the beneficiary
• The original or certified copies of the identity documents or Passports of the deceased and the beneficiary
• The original or certified copy of the death certificate
• A police report in the case of accidental death if death occurred in the first six months after inception of the benefit's
• Any other documents/reports which the underwriter needs to assess the claim
The underwriter has the right to put off paying a claim on any life assured covered under this scheme until all requirements have been met.
A life (lives) assured is required to be permanently resident in the Republic of South Africa to be covered under this scheme. Benefits under this policy in respect of the principal life assured and his/her dependents, immediate family members, parents or extended family members shall terminate if the principal life assured resides for a continuous period exceeding three months outside of South Africa.
The following exclusions and limitations apply in respect of all benefit plans offered in terms of this policy in respect of the assured lives:
• No insurance benefit shall be granted or benefits paid in the event of the death of any of the assured lives resulting directly or indirectly from, or which is attributable to, attempted suicide or suicide during the first 24 (twenty four) months from the inception date in respect of each assured life.
The policy will provide that no benefit will be payable in the event of death occurring as a direct or indirect consequence of:
• Active participation in war, invasion, acts of foreign enemies, hostilities, warlike operations (whether war be declared or not), civil war, rebellion, revolution, insurrection, civil commotion assuming the proportions of, or amounting to an uprising, military or usurper power (To seize, take over or occupy without right and hold by force or without legal authority).
• The use of nuclear, biological or chemical weapons, or any radio-active contamination; or attacks on or sabotage of facilities (including, but not limited to, nuclear power plants, reprocessing plants, final repository sites and research reactors) and storage depots, which lead to the release of radio-activity or nuclear, biological or chemical warfare agent. Irrespective whether any of the aforesaid has been performed with the specific use of information technology
No claim instituted shall be recognised or entertained unless written notice of such claim was received within 12 (twelve) months after the death of the assured life.
Benefit's under this policy in respect of an assured life shall terminate if the individual concerned resides for a continuous period exceeding three months outside of South Africa.
Definitions A Principal Member(s) means any person who satisfies the eligibility requirements on or after the commencement date.
A Child means an unmarried child of the Principal Member who is resident in the Republic of South Africa and shall include an adopted child, a biological child, a dependent step child, including the child of any Spouse and a Stillborn child. Children shall have the corresponding meaning.
Stillborn means the death of a foetus of at least 26 (twenty six) weeks or longer after conception or immediately prior to or during delivery, limited to a maximum claim of 2 (two) stillbirths, limited to a maximum claim of 2 (two) stillbirths.