Insure - Funeral

Immediate Family

• Partner:
  
• • A person to whom you are married, including marriages recognised under South African law, such as civil, customary, religious, or same-sex marriages.
  • A person with whom you live in a relationship similar to marriage, which is intended to be permanent, and has existed for at least six months prior to the Cover Start Date.
  • Important: You are allowed to cover up to two spouses/partners under the policy. If you have more than two spouses, only two can be covered as partners. Any additional spouse(s) may be covered under the policy as Extended Family Members.
    
    
• Child:
• • Includes your own biological child, legally or traditionally adopted child, and stepchild.
  • Traditional adoption: This includes a child you’ve been caring for permanently and living with for at least six months.
  • You can cover up to 5 children under the policy, and each child must be added at the start date or before a claim is made.
    
    
• Parent:
• • A person that is your “mother” or “father” includes the person you, or your partner, are a child to according to the description of “child” above.
  • You can cover up to 4 parents under the 
  • policy, with coverage based on their age at the time of adding them to the policy.

24 Hour Pay Out

• To ensure we process claims within 24 hours, the following supporting documents must be submitted:
  
  
• • For All Claims
  • • Completed claim form - download here
    • Certified copy of the Life Assured’s ID
    • Certified copy of the Beneficiary’s ID
    • Certified copy of the death certificate
    • Certified copy of a fully completed DHA-1663 or DHA-1680 form
    • Beneficiary’s bank account confirmation letter
• For Accidental Death Benefit Claims
• • In addition to the above documents:
  • A police report is required for deaths resulting from motor vehicle accidents, murder, suicide, or cases under investigation.
    
    
• Providing these documents promptly allows us to uphold our commitment to paying out claims within 24 hours.

Death Premium Waiver

• How it works:
• • Coverage continues for six months for all lives assured, without any premium payments.
    
    
• Eligibility:
• • Policy must be active for 12 months prior to the Policyholder’s death. 
  • All lives assured must have  been added to the policy at least 4 months before the death of the Policyholder.
    
    
• Limitations:
• • After the 6-month period, the policy will lapse. 
    

Marriage Premium Waiver

• How it works:
• • You won’t be charged for premiums for three months, but your policy remains active.
    
    
• Eligibility:
• • Policy must be active for 12 months prior to the marriage. 
  • Provide the marriage certificate  within 6 months of the wedding. 
  • Your new spouse must be added  to the policy.
    
    
• Limitations:
• • Can be used twice during the life of the policy.

Birth Premium Waiver

• How it works:
• • You won’t be charged for premiums for three months, but your policy remains active.
    
    
• Eligibility:
• • Policy must be active for 12 months prior to the birth. 
  • Provide the birth certificate within 3 months of birth. 
  • The mother must be an  insured person on the policy.
    
    
• Limit:
• • Can be used twice during the life of the policy.

Premium Holiday

• How it works:
• • Policyholder Activation: The policyholder can choose to activate this benefit by informing us at least 15 days before the next premium is due. During this month, the policyholder will remain covered without needing to pay the premium.
  • Automatic Activation: If the policyholder does not use the premium holiday within a 12-month period, we will automatically apply the holiday to the twelfth month, ensuring that coverage continues for a full year in exchange for 11 months of premium payments.
    
    
• Eligibility:
• • Policy must be active for 12 consecutive months prior to activation of the benefit.
    

Child Dependents

• Eligibility:
  
• • This includes biological, legally adopted, stepchildren, or any child where the primary insured or their partner is the legal guardian.
    
    
• Additional Cover:
• • You can purchase additional cover for your children, up to the statutory limits as specified in the policy.
    
    
• Limitations:
• • The free R10,000 cover is available for each child, but additional cover will be subject to the legal maximum for child dependents.

Escalation Rates

• How it works:
• • If no other instruction is provided, premiums and benefits will automatically increase by 5% annually. 
  • Policyholders also have the option to decline the increase and keep their premiums and cover at the current rate.
    
    
• Limitations: 
• • The policy allows annual increases based on the insurer’s discretion, but additional rate adjustments beyond the standard 5% are not specified as a customisable feature in the current policy.

Waiting Period & Waiver

• How it works:
• • If you switch from a funeral plan with any other licensed insurer and that policy's waiting period is over, we'll waive your waiting period for natural death for the same persons covered and related cover amounts as your previous policy. 
  • A licensed insurer is defined as a licensed insurance company recognised by the Financial Services Conduct Authority (FSCA) and listed on the FSCA website.
    
    
• Limitations:
• • We also recognise that waiting periods will be waived in accordance with Rule 2A of the Policyholder Protection Rules provided that the required documents are submitted, and the required criteria are met.
    

Voluntary Policy Pause

• How it works:
• • Policyholders can pause premium payments for up to 3 consecutive months, and the cover amounts will remain the same once payments resume. 
  • Policyholders can start paying premiums again at any time during the pause, and full coverage will be reinstated.
    
    
• Eligibility:
• • This benefit is only available if the policy has been active for 12 consecutive months, with 12 monthly premiums fully paid.
    
    
• Limitations:
• • No changes can be made to the policy while this benefit is in use, and no claims or benefits will be payable if a claim event occurs during the policy pause period.

Extended Family

Immediate Family
Cover Eligibility & Limitations

• Partner Cover: 
• • Ages 18–70: R100 000 max cover.
    
    
• Stillborn Cover:
• • If pregnancy exceeds 26 weeks: R1 000 max cover.
  • For babies 0 to 6 months old: R1 000 max cover.
    
    
• Child Cover:
• • From 6 months up to the 6th birthday: R20 000 max cover.
  • From the 6th birthday up to the 14th birthday: R50 000 max cover.
  • From the 14th birthday onward: R50 000 max cover.
    Legal Maximum for Child Cover: 
  • • By law, the total cover amount for a child’s death is limited. 
    • We must apply these legal limits across all our policies and any other policies we are aware of. 
    • If the child’s cover on this policy reaches the maximum amounts listed, we will cap the cover to the legal maximum allowable amount.
      
      
• Adult Child Cover: 
• • Ages 18–70: R50 000 max cover.
    
    
• Parent Cover:
• • Ages 26–60: R75 000 max cover.
  • Ages 61–75: R50 000 max cover.