Thari ya Baruti Pukwana ya Kganya Contract

62 8.5 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 Permanent Disability. 8.6 Subject to the Forgiveness Rules set out in clause 9.3 of Part I and Annexe E.5 , Personal Accident Benefits and Additional Personal Accident Benefits in respect of an Assured Life will only be paid in the event of the Permanent Disability of an Assured Life if: 8.6.1 1 (one) Premium and Additional Premium is recorded by the Insurer (or its duly appointed administrator, Kganya Insurance Administrators) – 8.6.1.1 with a Date of Payment in the Month preceding the Month in which the Date of Permanent Disability occurred; or 8.6.1.2 with a Date of Payment in the Month in which the Date of Permanent Disability occurred but before the Date of Permanent Disability. 8.7 All Premiums and Additional 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. 9. Death of an Assured Life 9.1 The Insurer shall not pay any Personal Accident Benefits and Additional Personal Accident Benefits if the Assured Life dies (whether as a result of the Insured Event or any cause whatsoever) prior to the date on which the Claim 23 for a Personal Accident Benefit and the Additional Personal Accident Benefit is submitted. 9.2 In the event that the Insurer accepts a Claim 24 for Personal Accident Benefits in respect of a Dependent Child, and the Policyholder dies, the Insurer shall make payment of the Personal Accident Benefits to the Beneficiary (as contemplated in the Thari ya Baruti Funeral Policy), in addition to any claims payable in terms of the Thari ya Baruti Funeral Policy. 23 Amended with effect from 1 April 2023. 24 Amended with effect from 1 April 2023.

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