Thari ya Baruti Pukwana ya Kganya Contract

58 2.3 The Dread Disease Benefits and the Personal Accident Benefits and Additional Personal Accident Benefits are dealt with separately below. 3. Dread Disease Benefits 3.1 Upon the happening of an Insured Event as specified in clause 6.1.40.2.2 of Part I, the Dread Disease Benefits payable in terms of this Thari ya Baruti Dread Disease and Personal Accident Policy will be paid by the Insurer to the Policyholder, in respect of a Dread Disease contracted, experienced or suffered by a Policyholder, where the Date of Dread Disease is after the Inception Date. 3.2 The Insurer shall 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. 3.3 The Insurer may, in writing, notify the Policyholder that an examination is required by a Medical Practitioner selected by, and at the cost of the Insurer, to independently determine the cause and/or extent of the purported Dread Disease. 3.4 Subject to the Forgiveness Rules as provided for in in clause 9.3 of Part I and Annexe E.5 , Dread Disease Benefits in respect of a Policyholder as Assured Life will only be paid upon the occurrence of a Dread Disease if: 3.4.1 the Insurer (or its duly appointed administrator, Kganya Insurance Administrators), recorded a Premium in respect of the Policyholder with Dates of Payment in each of the 3 (three) consecutive Months preceding the Month in which the Date of Dread Disease occurred; and 3.4.2 the Date of Dread Disease is 91 (ninety-one) days after the Inception Date, being the Waiting Period, as provided for in clause 4 of this Part III. 3.5 All Premiums recorded by the Insurer (or its duly appointed administrator, Kganya Insurance Administrators) shall be paid to the Insurer in accordance with the terms of the Premium Payment Agreement.

RkJQdWJsaXNoZXIy MTI4MTE=