Pukwana ya Kganya Terms & Conditions
51 6.1.71 “Reconcile” means the process whereby the Kganya Benefits Fund Trust (or its administrator) captures the details of a duplicate Receipt received by the Kganya Benefits Fund Trust (or its administrator) in respect of payment of a Membership Contribution by a Member as provided for in the Master Regulations, irrespective whether or not the proceeds of such Receipt are deposited to the bank account of the Kganya Benefits Fund Trust, and “Reconciled” shall have a similar meaning; 6.1.72 “Stillbirth” means the death of a foetus 28 (twenty-eight) weeks or longer after conception or immediately prior to or during delivery; 6.1.73 “Waiting Period” means, if applicable, a period when the Policies (and the cover in terms thereof) are in force, but during which period no Benefits will be payable. The Waiting Period is calculated from the Inception Date; and 6.1.74 “ZCC” means the Zion Christian Church, with its main place of business situated at Zion City, Boyne, Limpotp Province. 6.2 In this Pukwana ya Kganya Contract, any reference to: 6.2.1 the singular includes the plural and vice versa ; 6.2.2 natural persons include juristic persons and vice versa ; 6.2.3 any one sex or gender includes any other sex or gender, as the case may be; 6.2.4 any statute, constitution, decree, treaty, regulation, directive, ordinance, by-law, order or any other enactment or legislative measure of government (including local or provincial government), statutory or regulatory body which has the force of law means the relevant enactment or legislative measure as at the date of signature of this agreement and as amended or re-enacted from time to time; 6.2.5 a party includes a reference to that party’s successors in title and assigns allowed at law. 6.3 The words “shall” and “will” and “must” used in the context of any obligation or restriction imposed on a party have the same meaning. 6.4 The clause headings in this Pukwana ya Kganya Contract have been inserted for convenience only and shall not be taken into account in its interpretation. 6.5 If any provision in a definition is a substantive provision conferring rights or imposing obligations on any party, effect shall be given to that provision as if it were a substantive clause in the body of this Pukwana ya Kganya Contract, notwithstanding that it is only contained in the interpretation clause. 6.6 If any period is referred to in this Pukwana ya Kganya Contract by way of a reference to a number of days or weeks or months or other intervals, the period shall be reckoned exclusively of the 1st (first) day and inclusively of the last day of the relevant interval, unless the last day falls on a day which is not a Business Day, in which case the last day shall be the next succeeding Business Day. 6.7 This Pukwana ya Kganya Contract shall be governed, interpreted and enforced in accordance with the laws of the Republic of South Africa from time to time. 6.8 If amounts or figures are specified in numerals and in words and if there is any discrepancy between the numerals and the words, then the words shall apply. 7. Insurance cover 7.1 Insurance cover is available to the Assured Lives as set out in the Funeral Policy and the Dread Disease and Personal Accident Policy, respectively. 7.2 Subject to the provisions of clause 6 of Part IV insofar as it relates to insurance cover for Existing Members, insurance cover in respect of the Assured Lives commences on the later of the date on which the Policyholder, acting as a prospective Member - 7.2.1 completed the MPP Form and purchased a Membership Book; or 7.2.2 paid the initial Membership Contribution to the Kganya Benefits Fund Trust, on which date the Member accepts the offer for insurance cover and Benefits in terms of this Pukwana ya Kganya Contract, being “the Inception Date” . The Insurer waives the requirement to receive notification of acceptance of the offer. 7.3 In the event that a Dependent Child is born after the Inception Date, the cover in respect of such Dependent Child shall commence on the date of birth, subject to compliance with the provisions of clause 12.3 of this Part I. 7.4 Payment of Benefits shall at all times be suspended until the Insurer receives the first Premium payable by the Kganya Benefits Fund Trust in respect of a Policyholder, subject to the terms of the Premium Payment Agreement. 7.5 The Policyholder shall at all times update his/her personal particulars if any change occurs in respect of the information provided in the MPP Form, by completing an AMPP Form. 7.6 Cover in terms of the Policies shall cease as set out in Part II and Part III below. 8. Benefits 8.1 The Benefits payable in terms of this Pukwana ya Kganya Contract are set out in – 8.1.1 Part II in respect of the Funeral Policy; and 8.1.2 Part III in respect of the Dread Disease and Personal Accident Policy, and shall be paid as set out in Part II and Part III, respectively. 8.2 In order to qualify for payment of the Benefits, the Premiums must be paid in respect of the Policies as set out in – 8.2.1 clause 2.3 and clause 2.4 of Part II as it applies to the Funeral Benefit in terms of the Funeral Policy; and 8.2.2 clause 3.4.1 of Part III as it applies to the Dread Disease Benefits in terms of the Dread Disease and Personal Accident Policy; and 8.2.3 clause 8.5.1 of Part III as it applies to the Personal Accident Benefits in terms of the Dread Disease and Personal Accident Policy, subject at all times to the Waiting Periods as set out in Part II and Part III, respectively and/or the provisions of clause 3.1.4 of Part IV in respect of Existing Members. 8.3 The Insurer shall not allow any deductions from the Benefits by any party. 8.4 The Insurer shall at all times be entitled to amend the Benefits, by way of 31 (thirty-one) days’ written notice to the Policyholder. 9. Payment of Premiums 9.1 General 9.1.1 The premium payer of the Premiums due in terms of the Policies, is the Kganya Benefits Fund Trust. 9.1.2 The Premiums payable in terms of the Policies are specified in Annexe E.1 . 9.1.3 The Premiums must be paid in full and are due Monthly in advance on the Due Date for the cover enjoyed during that Month.
Made with FlippingBook
RkJQdWJsaXNoZXIy MTI4MTE=