Pukwana ya Kganya Terms & Conditions

39 Benefit Applicable terms (summary) Natural Death Accidental Death Documents required • FBCN Form signed by three Committee Members and all such documents as set out in the FBCN Form. In the event that the Committee Members are unable or unwilling to sign the FBCN Form, You may approach Us directly with the claim, or lodge a complaint; • original or certified copy of Your identity document / identity card (copied both sides); • original or certified copy of the identity document / identity card (copied both sides) of the Beneficiary where You are deceased; • confirmation of Membership to the Trust, including original and/or certified copy of the Payment Receipt Booklet; • original or certified copy of the death certificate of the Assured Life; • confirmation of bank account into which the Funeral Benefit must be paid; • where the Assured Life is: • a Dependent Child and/or Paid-up Dependant, the original or certified copy of the identity document / identity card (copied both sides) or birth certificate of the Dependent Child and/or Paid-up Dependant; • a Dependent Child and/or Paid-up Dependant who is 25 (twenty-five) years or older, the original or certified copy of the identity document / identity card (copied both sides) or birth certificate of the Dependent Child and/or Paid-up Dependant as well as proof of the mental and/or physical disability of such Dependent Child and/or Paid-up Dependant; • where the Assured Life has died by Accident, a copy of the police report confirming such Accidental Death; • any other documents required by Us from time to time including but not limited to – • medical confirmation in the case of a Stillbirth; or • a marriage certificate, adoption certificate or further proof sufficient to show that a Dependent Child who is adopted or does not have the same surname as You, is a Dependent Child and/or Paid-up Dependant. Personal Accident Benefit in terms of the Dread Disease and Personal Accident Policy What We will pay The aggregate Base Amount specified in the first table below, applicable to the Permanent Disability event incurred in an Accident, multiplied by the Percentage of the Base Amount, subject to the Minimum and Maximum Disability Amounts specified in the second table below. Permanent Disability Category Base Amount Permanent and total quadriplegia. R27 000 Permanent and total paraplegia or total loss of two or more limbs at or above the wrist or ankle. R27 000 Permanent and total loss of speech. R27 000 Permanent and total loss of hearing in both ears. R27 000 Permanent and total loss of hearing in one ear. R13 500 Partial loss of hearing in one ear (a loss of at least 50%). R6 750 Permanent and total loss of sight in both eyes. R27 000 Permanent and total loss of sight in one eye. R13 500 Partial loss of sight in one eye (a loss of at least 50%). R6 750 Loss or loss of use of limb at or above the wrist or ankle. R27 000 Complete loss of four fingers on a hand (loss of at least two phalanges). R18 900 Complete loss of three fingers on a hand (loss of at least two phalanges). R10 800 Complete loss of two fingers on a hand (loss of at least two phalanges). R6 750 Complete loss of thumb (loss of both phalanges) or loss of use of thumb. R8 100 Partial loss of thumb (at least one phalange). R4 050 Complete loss of four toes on foot (loss of two phalanges on each toe). R8 100 Complete loss of a toe on any foot (at least one phalynx) (for each toe). R1 350

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