What cover do I get?
When does my cover start?
Your cover starts after you have completed the application, entered your payment details and we receive the first premium.
When does my cover end?
Cover ends when you pass away, suffer a covered disability, when premiums are no longer paid or on the date you ask us to cancel your policy.
Who receives the benefit after a claim?
If you pass away, your beneficiaries will receive the payout. If you suffer a covered disability, you will receive the payout.
How much does each beneficiary receive?
If you pass away, the amount each beneficiary (if there are more than one; please see the question “How do I add or remove beneficiaries or change beneficiary information?”) receives is equal to the amount allocated to each. If you suffer a covered disability, you will receive the full cover amount.
Will my cover amount change?
Yes, your cover amount will grow each year (at your policy anniversary - please see the question “When is my policy anniversary?”) with inflation.
What inflation is used to determine changes to my cover?
Inflation used is the increase in the Consumer Price Index (CPI) over a 12-month period as published by Statistics South Africa 3 months prior to your policy anniversary (please see the question “When is my policy anniversary?”).
When does the Education, Transport, Grocery and Daily Expense Fund pay out?
For example, the Education Fund pays out 18 years after the Education Protector Plan started if your policy is still active, you are alive, have not claimed and your policy premiums are paid up to date.
Who receives the Education Fund, Transport Fund, Grocery Fund or Daily Expense Fund payout?
The Education, Transport, Grocery and Daily Expense Funds are paid to you, the main member.
Do the Education Fund, Transport Fund, Grocery Fund or Daily Expense Fund values change?
Your Education Fund, Transport Fund, Grocery Fund and Daily Expense Fund values do not change.
Will my cover continue after the Education, Transport, Grocery and Daily Expense Fund pay out?
Yes, your cover will continue after the Education Fund, Transport Fund, Grocery Fund and Daily Expense Fund have paid out as long as you continue to pay premiums. You will not receive further funds on that same Protector Plan after the fund has paid out.
When do I pay premiums?
Premiums are payable each month in advance. Your premium will be collected within a 10 (ten) day period of the payment date you select.
Why do you collect premiums within a 10-day period?
This helps to ensure that you and your family always remain fully protected, since premium collection is made when funds are available in your account and to allow for changes in line with public holidays and weekends.
How do I pay premiums?
Premiums can be paid from your bank account by debit order or from your debit card or credit card by providing your card details.
Will my premium increase?
Your cover amount will increase each year with inflation (usually around 5%). Your premium will increase in line with your cover as well as a factor to take into account your increasing age. This increase will typically be around 10% each year, on average.
How did you calculate my premium?
Your premium is calculated based on your unique set of circumstances and uses your age, gender and cover amount amongst other things.
How do I change how I pay my premium?
You can change how you pay your premiums by:
My debit or credit card is expiring, how do I update my card details?
Please see the question “How do I change how I pay my premium?”, which provides a step by step guide to updating your payment details.
I missed a premium, what do I do now?
If you have missed 1 premium payment, we will try to collect 2 premiums in the next month (the premium missed for the current month and the premium for the next month). If we are able to collect the 2 premiums, your policy and cover will remain in place. If we are unable to collect the 2 premiums in the next month, we will try to collect 3 premiums in the following month. If we are able to collect the 3 premiums, your policy and cover will remain in place. If we are unable to collect the 3 premiums, your cover and policy will be cancelled.
What changes can I make to my Protector Plans?
You can change personal and payment information, add or remove Protector Plans, add or remove beneficiaries, change beneficiary information or cancel your policy.
How can I cancel my Protector Plan(s)?
What happens when I cancel my policy?
If you cancel your policy, you will no longer be able to claim under that policy and your Protector Plan Fund on that policy will fall away. Any premium you paid up until that point will not be returned to you. This means that if you pass away or suffer a covered disability going forward (please see the question “What is a covered disability?”), you (or your beneficiaries) will not get a payout and you will also not get your Protector Plan Fund payout.
What happens if I cancel my policy within 31 days of taking it out?
Provided no claims have been made within the 31 days, your policy will immediately be cancelled and any premium you paid up until that point will be returned to you.
Can I reinstate my cover after cancelling my policy?
Yes, you can reinstate your cover within 2 months after cancelling your policy. If you try to reinstate your cover more than two months after you cancelled your policy, you will not be reinstated to that same policy and you will be issued a new policy with new benefits, where the full waiting period will apply. A maximum of 2 reinstatements will be allowed on a single policy over the entire duration of the policy term.
When can I claim?
If you pass away or suffer a covered disability, and your policy premiums have been paid up to date.
What is a covered disability?
How do I claim?
What documents are required when claiming?
Who is classified as a specialist medical practitioner?
A legally and duly qualified medical practitioner who registered as such with the Health Professionals Council of South Africa who has completed advanced education and clinical training in a specific area of medicine, their specialty area (that is, this person must be registered with the Health Professions Council of South Africa in a relevant specialty).
How long does it take for a claim decision to be made?
After all required documents have been received a claim decision will be made as soon as possible.
When is the benefit paid?
The benefit will be paid after a claim has been approved, but there might be a slight delay before the amount appears in the bank account to which the payment is made due to payment settlement delays between our bank and your bank (your beneficiaries’ bank).
What is a waiting period?
A waiting period is an amount of time that needs to pass before you are able to be covered for a particular claim. A 6-month waiting period applies from the date you take out your policy for natural death and natural disability, as well as a 12-month waiting period applies to suicide.
What is a natural death?
Death that excludes accidental death and suicide. These deaths are related to illnesses, diseases and any other natural causes, for example (but not limited to) deaths from cancer or a heart attack.
What is an accidental death?
Death caused by an accident (please see the question “What is an accident?”).
What is an accident?
A sudden and unexpected event, which happened at a specific time and place and is caused by violent, external, physical and visible means and causes an injury. This does not include self-inflicted injury or suicide.
What is a natural disability?
A covered disability (please see the question “What is a covered disability?”) that excludes both accidental disabilities and disabilities caused by self-inflicted injury. These disabilities are related to illnesses, diseases and any other natural cause.
What is an accidental disability?
An injury caused by an accident which causes you to suffer one of the covered disabilities (please see the question “What is a covered disability?”).
What happens if I die or suffer a disability from natural causes (that is, a natural death or natural disability occurs) within the 6-month waiting period?
If you die or suffer a disability from natural causes within the waiting period, the premiums paid will be refunded to you (if you suffer a disability) or your beneficiary/ies (if you die).
When will I not be able to claim?
What is a pre-existing condition?
An illness or injury sustained or contracted by you which you have been aware of, or should reasonably have been aware of, or received medical treatment or advice by a doctor before your cover started. This includes, but is not limited to, any physical or mental defect, symptoms, disease, infirmity or condition which existed prior to your cover starting or reinstatement of the policy (whichever occurred last).
Can I have more than one Education Protector?
Yes. You can take out up to three Education Protector Plans for each of your children.
Can I have more than one Transport Protector?
No, you can only take out one Transport Protector at present.
Can I have more than one Grocery Protector?
No, you can only take out one Grocery Protector at present.
Can I have more than one Daily Expense Protector?
No, you can only take out one Daily Expense Protector at present.
What are the entry age requirements for the Living Plan range of products?
You need to be between the ages of 18 and 60 in order to qualify for any of these products.
When is my policy anniversary?
This is the anniversary which occurs every year on the first day of the month in which you started your policy.
Can I have an Education Protector, Transport Protector, Grocery Protector and Daily Expense Protector at the same time?
Yes, you can have all 4 Living Plans at the same time.
Can I add family members to my Living Plans?
No, you are not able to add family members to your Living Plans.