Pukwana ya Kganya Terms & Conditions

41 Benefit Applicable terms (summary) Natural Death Accidental Death When will Your cover cease • The Contract is cancelled; or • You cease to be a Member of the Trust; or • When You die; or • The Trust fails to pay the Premiums in respect of the Assured Lives as a result of Your failure, as a Member, to pay Your Membership Contribution, subject at all times to the Forgiveness Rules. Who can claim You Documents required • PACN Form signed by three Committee Members and all such documents as set out in the PACN Form. In the event that the Committee Members are unable or unwilling to sign the PACN Form, You may approach Us directly with the claim, or lodge a complaint; • original or certified copy of the Medical Report; • original or certified copy of Your identity document / identity card (copied both sides); • confirmation of Membership to the Trust, including original and/or certified copy of the Payment Receipt Booklet; • confirmation of bank account into which the Personal Accident Benefits must be paid; and • where the Assured Life is: • a Dependent Child, the original or certified copy of identity document / identity card (copied both sides) or birth certificate of the Dependent Child; • a Dependent Child who is 25 (twenty-five) years or older, the original or certified copy of identity document / identity card (copied both sides) or birth certificate of the Dependent Child as well as proof of the mental and/or physical disability of such Dependent Child, • any other documents required by Us from time to time including but not limited to marriage certificate, adoption certificate or other proof sufficient to show that a Dependent Child who is adopted or does not have the same surname as You, is a Dependent Child. Dread Disease Benefit in terms of the Dread Disease and Personal Accident Policy What We will pay Assured Life Dread Disease Benefit Policyholder R27 000 When will We pay • Upon You experiencing or suffering a Dread Disease event as defined in the Contract and after the expiry of the Waiting Period of 91 days calculated from the Inception Date, provided that You have, subject to the Forgiveness Rules, paid Your Membership Contributions in the three consecutive Months preceding the Month in which the Dread Disease was first diagnosed, whereby the Trust has or will pay Your Premiums due to Us as required in terms of the Dread Disease and Personal Accident Policy. • If You die after the date on which We accepted the claim for Dread Disease Benefits. What is the Waiting Period 91 days from the Inception Date When will We not pay • Upon the Dread Disease event occurring within the Waiting Period of 91 days calculated from the Inception Date. • Where You die (whether as a result of the Dread Disease or any case whatsoever) prior to the date on which the claim is submitted. • We will 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. We will not pay more than 1 claim. • There are important exclusions explained in Annexe E.3 to the Contract for each Dread Disease. You must carefully study these . When will Your cover cease • The Contract is cancelled; or • You cease to be a Member of the Trust; or • When You die; • On payment of the Dread Disease Benefit in all of the Dread Disease Categories provided for in the Dread Disease and Personal Accident Policy; or • The Trust fails to pay the Premiums as a result of Your failure, as a Member to pay Your Membership Contribution, subject at all times to the Forgiveness Rules. Who can claim You Documents required • DDCN Form signed by three Committee Members and all such documents as set out in the DDCN Form. In the event that the Committee Members are unable or unwilling to sign the DDCN Form, You may approach Us directly with the claim, or lodge a complaint; • original or certified copy of the Medical Report; • original or certified copy of Your identity document / identity card (copied both sides); • confirmation of Membership to the Kganya Benefits Fund Trust, including original and/or certified copy of the Payment Receipt Booklet; • confirmation of bank account into which the Dread Disease Benefit must be paid; and • any other documents required by Us.