Pukwana ya Kganya Terms & Conditions

49 6.1.32 “Forgiveness Rules” means the leniency rules to be applied by the Insurer as specified in Annexe E.5 , where Benefits may remain payable even if the Premium(s) in terms of the Policies is/are not paid on the Due Date, due to failure by the Policyholder in his/her capacity as a Member of the Kganya Benefits Fund Trust, to pay his/her Membership Contribution(s) to the Kganya Benefits Fund Trust, which in turn results in the Kganya Benefits Fund Trust not paying the Premium(s) to the Insurer, as set out in the Master Regulations, read with clause 3.2 and clause 3.3 of this Part I; 6.1.33 “Funeral Benefit” means the funeral benefit payable in terms of the Funeral Policy upon the death of an Assured Life, as set out in Annexe E.2 ; 6.1.34 “Funeral Policy” means the insurance policy concluded between a Member as Policyholder, and the Insurer, in respect of the Funeral Benefit as set out in the Funeral Policy. The Funeral Policy forms part of this Pukwana ya Kganya Contract, and is concluded pursuant to a Member’s Membership to the Trust, as provided for in the Master Regulations and the Basic Benefits Regulations; 6.1.35 “Inception Date” means, notwithstanding the Effective Date, the date upon which cover for all Assured Lives in terms of this Pukwana ya Kganya Policy Contract commences, which Inception date is determined in the manner set out in i) clause 7.2 of this Part I for Members (as Policyholders) other than Existing Members; and ii) clause 6 of Part IV in respect of Existing Members; 6.1.36 “Insurance Act” means the Insurance Act, 18 of 2017; 6.1.37 “Insured Event” means - 6.1.37.1 in terms of the Funeral Policy, the death of an Assured Life in respect of the Funeral Benefit; 6.1.37.2 in terms of the Dread Disease and Personal Accident Policy - 6.1.37.2.1 the Permanent Disability of an Assured Life in respect of the Personal Accident Benefits; or 6.1.37.2.2 the contraction, experience or suffering of a Dread Disease by the Policyholder in respect of the Dread Disease Benefits, 6.1.38 “Insurer” means Sanlam Developing Markets Limited (registration number: 1911/003818/06), a public company incorporated and registered in terms of the laws of the Republic of South Africa and a licenced insurer in terms of the Insurance Act, with its main place of business situated at 9 – 13 West Street, Houghton, 2196; 6.1.39 “Kganya Insurance Administrators” means Kganya Insurance Administrators (RF) Proprietary Limited (registration number: 1995/007875/07), a private company duly incorporated in terms of the laws of South Africa, duly licensed as a financial services provider in terms of the FAIS Act, with license number 7974, with its main place of business situated at 328 Rivonia Boulevard, Ground Floor - South Wing, Rivonia, 2128; 6.1.40 “Kganya Benefits Fund Trust” means the trustees for the time being of the Kganya Benefits Fund Trust (Master’s reference number: IT 6797/00), a vesting and discretionary trust duly registered in terms of the Trust Property Control Act 57 of 1988, with its main place of business situated at 328 Rivonia Boulevard, Ground Floor - South Wing, Rivonia, 2128 or such other address as may be determined by the Trustees from time to time. 6.1.41 “Long-term Insurance Act” means the Long-term Insurance Act 52 of 1998; 6.1.42 “Master Regulations” means the master regulations issued from time to time by the Kganya Benefits Fund Trust in accordance with the provisions of the trust deed of the Kganya Benefits Fund Trust; 6.1.43 “Medical Report” means, for purposes of a Claim for Dread Disease Benefits and Personal Accident Benefits in terms of the Dread Disease and Personal Accident Policy, the medical report(s) to be completed by a Medical Practitioner, in the form and manner prescribed by the Insurer, supported by clinical, radiological, histological and laboratory evidence acceptable to the Insurer; 6.1.44 “Medical Practitioner” means a duly qualified and suitable medical practitioner, registered as such in terms of the Health Professions Act 56 of 1974; 6.1.45 “Member” means a member of the ZCC who satisfies the requirements for membership to the Kganya Benefits Fund Trust in accordance with the terms of the Master Regulations, read with the Basic Benefits Regulations. In this Pukwana ya Kganya Contract, “ Membership ” shall have a corresponding meaning. For purposes of this Pukwana ya Kganya Contract, the Member is also the Policyholder; 6.1.46 “Membership Book” means a membership book issued by the Kganya Benefits Fund Trust in accordance with the Master Regulations to a Member, comprising (i) the Membership Terms and Conditions Booklet; (ii) the Payment Receipt Booklet; (iii) all Existing Membership Books; and (iv) any other documents issued by the Kganya Benefits Fund Trust from time to time relating to Membership, including any amendments and/or endorsements thereto, as provided for in the Master Regulations; 6.1.47 “Membership Contribution” means the amount payable each Month by a Member as set out in the Master Regulations, which entitles a Member, for purposes hereof and amongst others, (i) access to this Pukwana ya Kganya Contract; and (ii) payment of the Premiums due in terms of the Policies by the Kganya Benefits Fund Trust; 6.1.48 “Membership Terms and Conditions Booklet” means the booklet of the Kganya Benefits Fund Trust issued to Members, comprising all terms and conditions of Membership to the Kganya Benefits Fund Trust, including i) the terms and conditions applicable to the benefits provided in terms of the Basic Benefits Regulations; and ii) copy of this Pukwana ya Kganya Contract and the Policy Schedule(s), which is included therein for the sake of convenience, and includes all amendments and/or endorsements thereto; 6.1.49 “Missed Premium(s)” means the non-payment of a Premium(s) by the Kganya Benefits Fund Trust, due to the Policyholder’s failure, in his/her capacity as a Member, to make payment of a Membership Contribution(s) to the Kganya Benefits Fund Trust;