BENEFITS (APPLY TO IMMEDIATE FAMILY ONLY) Bronze Plan Silver Plan Silver Plus Plan Gold Plan BENEFITS INCLUDED WITH NO ADDITIONAL CHARGE. PAID ON DEATH OF THE PRINCIPAL MEMBER YES YES YES DOUBLE ACCIDENTAL DEATH BENEFIT YES YES YES YES R 250 R 350 R 450 R 650 CASH PAYBACK IF NO CLAIM AFTER EVERY THREE YEAR PERIOD YES BENEFITS INCLUDED AS OPTIONAL BENEFITS TO ALL THE SIMANAWE FAMILY PLANS (CHARGED SEPARATELY) REPATRIATION BENEFIT R 2.50 R 2.50 R 2.50 R 2.50 SURVIVAL BENEFIT (PAY OUT R15,000 DIVIDED BY 12 MONTHS) R 37.50 R 37.50 R 37.50 R 37.50 MEMORIAL BENEFIT (PAY OUT R10,000) R 45.00 R 45.00 R 45.00 R 45.00 TERMS AND CONDITIONS FOR THE SIMANAWE FRIENDSHIP CIRCLE FUNERAL PRODUCTS ● Principal member must be below age 65 at inception of REPATRIATION BENEFIT this policy and have the ability to afford and pay the monthly premiums for the plan as stated on the schedule. The principal member must be a permanent resident of South Africa and accept the conditions as stated herein and the premiums indicated in the schedule. Policy will commence on the date of the first premium is received and/or honored and the policy will continue as long as the future premiums are honored. The Repatriation Benefit provides repatriation of mortal remains, of any life covered under this policy, from place of death within South Africa to anywhere within South Africa, if event occurs outside the normal residence of area to which the burial is to be conducted. The benefit is not transferable to cash. This is an optional benefit. ● Spouse: A person married to the Principal member by law, MEMORIAL BENEFIT Tribal Custom or under the Tenets of any Asian Religion and shall include a Common Law Spouse and where applicable, a relationship between two people of the same gender. The Principal Member may, due to a Life changing incident apply to NESS in writing to change the spouse details within one month of such changes. ●Child: an unmarried child of the Principal Member including posthumous child, stepchild, child of any common law spouse of the principal member, illegitimate or legally adopted child, providing that proof of any child is submitted to NESS and acceptance acknowledged by the Underwriter. A child who is stillborn shall be covered for funeral benefits if the death occurred after the 26th week of pregnancy. Only 2 stillbirths’ claims will be accepted per family during the term of the policy. ●Unmarried children: are covered to below age 22 and to below age 26 years if a full-time student. Unmarried children who are mentally retarded or totally and permanently disabled prior to age 22, who are unable to care for themselves are covered to death, cessation age of the principal member or withdrawal (In both instances, proof satisfactory to the underwriter of the condition of disablement or confirmation of full-time study must be submitted at claim stage. This does not include part-time correspondence students). ●Extended family member: A person on which the policyholder has financial responsibility towards his/her funeral costs in the event of his/her death and shall include but not limited to, parents, parents in law, grandparent, uncles, aunts, brothers, sisters, nephews, nieces, grandchildren and own children above 21 years. There is a maximum joining age of 84 on this cover and benefit will be limited in accordance to age of the extended at entry. The benefit will not decrease due to age i.e cover at entry will always be applicable unless policyholder elects to change benefits. The policyholder may, due to a life changing incident apply to NESS Consulting in writing to change the details of the extended family members within three months of the occurrence of such event. The extended may not be covered with a benefit higher than that of the main member. REVISION OF TERMS AND CONDITIONS NESS reserves the right to amend, revoke, vary or alter any of the terms and conditions of this policy, and giving all its members a 30 days notice period. CANCELLATIONS The policyholder as well as NESS, reserves the right to cancel this policy at any time after giving the other party 3 (Three) months written notice of such intention. DOUBLE ACCIDENTAL DEATH Accidental Death Benefit will be applicable on death as a result of accident. The benefit will result in payment of double the sum assured in respect of immediate family lives above 5 years of age on death. This benefit will not be applicable to death as a result of self-inflected injuries and those inflected by the beneficiary. This benefit will pay a lump-sum amount of R 10,000 on the first anniversary of the date of death of either the principal member or the spouse. This is an optional benefit. WAITING PERIODS: P.O Box 45007, Claremont, 7735 In the event of duplication of cover, the underwriter will not be liable for any accumulation of benefit on any one life covered, which exceeds R20,000 in respect of those below 75 and R10,000 in respect of those above 74. NESS reserve the right to review the NESS reserves the right to review the premium rate in line with inflation, market and Actual claims experience of the business and in general on the Scheme Anniversary date. Contact Cell No: 0763582693 CLAIMS PROCEDURE In the event of a death, the beneficiaries must contact SIMANAWE as soon as possible to arrange the provision of a funeral service. All deaths where SIMANAWE is not arranging the Funeral must be notified to SIMANAWE within 6 (six) months of the date of death with the following documentation: Certified death certificate ID document of the Deceased (must be Stamped DECEASED) ID document of the claimant Removal order For a disabled child, confirmation of the Disability Grant, copy of the Medical application or Medical report is required. Failure to do so within the first 6 (Six) month period from date of death, could result in the benefit being forfeited. Claims, in respect of dependants, will only be paid where such dependants have been nominated on the original application form. The underwriter and / or NESS reserves the right to request any further documentation or information as it may seem necessary to accurately assess a claim. EXAMINATION PERIOD The beneficiary is the person fully described in the schedule to this policy who has been elected by the principal member to receive the benefits or direct the usage of the benefits claimed as a result of death of the principal member. SURRENDER VALUES IMPORTANT WARNING There are no surrender values attached to this Policy. Benefits under this Policy may not be ceded or pledged in any way. No Loans will be granted against this policy. CASH BACK BENEFITS This benefit provides for those policies that have been continuously active for a minimum of three years and have not as yet lodged a successful claim on the policy. The cash back benefit will be paid at the end of every three year of no claim period in each policy. SURVIVOR BENEFIT The Survivor Benefit entails that upon the death of the principal member an amount of R 1,250 for 12 (twelve) months will be paid out to the surviving immediate family members. This is an optional benefit. DETAILS OF OMBUDSMAN Ombudsman for Long Term Insurance There is a 6 (six) months waiting period for claims due to natural causes in respect of all lives below 65 years at entry and benefits of R12,000 and below. A further 3 (Three) months waiting period will be applicable for those benefits in excess of R12,000 in respect of deaths due to natural causes. There is a 9 (nine) months waiting period for claims due to natural causes in respect of all lives above 74 years at entry. Where a higher benefit is selected than in a previous plan, a 6 (Six) month waiting period will apply to the increased amount. Where premium payment are missed then resumed, the applicable waiting period will apply from date payment date payment of premiums is resumed. Suicide will not be covered during the first 2 (two) years of membership. Each Principal Member must complete an application form electing his / her dependants. From the date that NESS receives the first premium, there is a 30 day period in which the applicant still has an option to cancel the policy. Ness must be notified in writing to have the policy cancelled and any premiums that may have been paid or deducted, refunded. If no such notification is received within 30 (thirty) days from payment and/or deduction of the premium, in writing, Ness will consider the policy taken up BENEFICIARIES NESS is an authorised financial service provider to render services and act as an intermediary in the Long-Term insurance categories 1A and B, and Short–Term insurance category 1, Personal lines and Commercial lines, amongst others. NESS is an independent administrator with written mandates from New Era Life Insurance, Sanlam and Lion of Africa Life Insurance. It has no interest in any of the Insurers. NESS earns an average administrative fee of 10% and an average brokerage for marketing fee of 10% of premium. Collection fees of an average of R5 per policy is also included in the premium. It is very important that you are quite sure that the product or transaction meets your needs and that you feel you have all the information you need before making a decision. It is recommended that you discuss with the intermediary or insurer the possible impact of the proposed transaction on your finances, your other policies or your broader investment portfolio. You should ask for information about the flexibility of any proposed policy. Where paper forms are required, it is advisable to sign them only once they are fully completed. Feel free to make notes regarding verbal information, and to ask for written confirmation or copies of documents. Remember that you may contact either the long-term insurance Ombudsman or the registrar of long-term insurance, whose details are set out below, if you have any concerns regarding a product sold to you or advice given to you. Tel No.: (012) 674 - 0330 Fax No.: (012) 674 - 0951 http://www.ombud.co.za DETAILS OF COMPLIANCE OFFICER Lentle & Associates CC. CO 4155 - FSB Approved Compliance Practice Contact Tel No: (011) 339-7647 E-mail address: [email protected] DETAILS OF ADMINISTRATOR NESS Consulting (Pty) Ltd FSP No.: 22576 Reg No.: 2005 / 020315 / 07 3rd Floor UCS Building, 209 Smit Street, Braamfontein, Johannesburg, 2001 P.O Box 61647, MARSHALLTOWN, 2107 KEY INDIVIDUALS OF NESS CONSULTING: Tel: (011) 339 – 7647 Fax: 086 683 1414 http://www.nessgroup.co.za DETAILS OF THE UNDERWRITER This product is underwritten by the following underwriters, please nominate one New Era Life Insurance Tel: (011) 783 9500 Fax: (011) 783 9900 Sanlam Tel: (011) 359 7991 Fax: (086) 694 4160 Lion of Africa Life Assurance Tel: (021) 685 0214 Fax: (021) 685 0218
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