Pukwana ya Kganya Terms & Conditions

40 Benefit Applicable terms (summary) Natural Death Accidental Death Personal Accident Benefit in terms of the Dread Disease and Personal Accident Policy What We will pay Assured Life Percentage of Base Amount Minimum Permanent Disability amount Maximum Permanent Disability amoun Policyholder 100% R1 350 R27 000 Dependant Child: 14 years or older 100% R1 350 R27 000 Dependant Child: Between 6 and 13 years (inclusive) 48.15% R650 R13 000 Dependant Child: Between 1 and 5 years (inclusive) 35.19% R475 R9 500 Dependant Child: Between date of birth and 1 years (inclusive) 19.26% R260 R5 200 When will We pay • Upon the Assured Life incurring one or more Permanent Disabilities as listed in Annexe E..4 of the Contract as a result of an Accident resulting in a Permanent Disability provided that: o You have paid Your Membership Contribution in the Month preceding the Month in which the Permanent Disability occurred or in the Month which such Permanent Disability occurred, but before the date of the Permanent Disability ; and o whereby the Trust has or will pay Your Premiums due to Us as required in terms of the Dread Disease and Personal Accident Policy. • Payment of a Claim is always subject to the Forgiveness Rules. • If You or a Dependent Child dies (whether as a result of the injuries incurred in the Accident or any case whatsoever) after the date on which We accepted the claim for Personal Accident Benefits, We will pay the claim for personal Accident Benefits in addition to any Claim for Funeral Benefits. What is the Waiting Period No Waiting Period is applied. When will We not pay • If the Assured Life dies (whether as a result of the injuries incurred in the Accident or any case whatsoever) prior to the date on which the Claim is submitted for the Personal Accident Benefits. • We will only pay 1 (one) claim per Permanent Disability Category in respect of Permanent Disabilities incurred by an Assured Life pursuant to an Accident, irrespective of the number of claims made. We will not pay more than 1 (one) such claim. • For the following exclusions : If the Permanent Disability was caused by, related to or in consequence of: • wilful exposure to danger; • any attempt to commit suicide; • self-inflicted injury; • war, invasion, act of a foreign enemy, hostilities (whether war be declared or not), civil war, mutiny, insurrection, rebellion, revolution, military or usurped power or participation in a riot or unprotected strike; or • nuclear weapons, ionising radiation or contamination by radio-activity from any nuclear fuel or nuclear waste resulting from the combustion of nuclear fuel (including any self-sustaining process of nuclear fission). • Personal Accident Benefits are not paid in respect of Paid-up Dependants.