Pukwana ya Kganya Contract

53 3.2 The Insurer shall only pay 1 (one) Claim per Dread Disease Category regardless of the number of Claims made in respect of the same Dread Disease occurring and/or being diagnosed forming part of the same Dread Disease Category. 3.3 The Insurer may, in writing, notify the Policyholder that an examination is required by a Medical Practitioner selected by, and at the cost of the Insurer, to independently determine the cause and/or extent of the purported Dread Disease. 3.4 Subject to the Forgiveness Rules as provided for in in clause 9.3 of Part I and Annexe E.5 , Dread Disease Benefits in respect of a Policyholder as Assured Life will only be paid upon the occurrence of a Dread Disease if: 3.4.1 the Insurer (or its duly appointed administrator, Kganya Insurance Administrators), recorded a Premium in respect of the Policyholder with Dates of Payment in each of the 3 (three) consecutive Months preceding the Month in which the Date of Dread Disease occurred; and 3.4.2 the Date of Dread Disease is 91 (ninety-one) days after the Inception Date, being the Waiting Period, as provided for in clause 4 of this Part III. 3.5 All Premiums recorded by the Insurer (or its duly appointed administrator, Kganya Insurance Administrators) shall be paid to the Insurer in accordance with the terms of the Premium Payment Agreement. 3.6 Death of the Policyholder 3.6.1 The Insurer shall not pay any Dread Disease Benefit if the Policyholder dies (whether as a result of the Insured Event or any cause whatsoever) prior to the date on which the claim for a Dread Disease Benefit is submitted. 3.6.2 In the event that the Insurer accepts a claim for Dread Disease Benefits and the Policyholder dies, the Insurer shall make payment of the Dread Disease Benefit to the Beneficiary (as contemplated in the Funeral Policy), in addition to any Claims payable in terms of the Funeral Policy.