FAMILY FUNERAL COVER PROVIDES LUMP SUM ON THE DEATH OF THE PRINCIPAL MEMBER AND THE DEFINED AND REGISTERED DEPENDANTS. A LUMP SUM BENEFIT IF DEATH AS A RESULT OF AN ACCIDENT. OTHER BENEFITS INCLUDE PREMIUM WAIVER, TRAUMA COUNSELLING, REPATRIATION.
OPTION 1 (R 26.50 PER FAMILY PER MONTH)
OPTION 2 (R 52.50 PER FAMILY PER MONTH)
OPTION 3 (R 78.50 PER FAMILY PER MONTH)
LIMITED TO R10,000
LIMITED TO R20,000
LIMITED TO R30,000
FAMILY FUNERAL COVER ON THE DEATH OF EXTENDED FAMILY DEPENDANTS (Parents / Parent in Law / Siblings / Adult child).
An additional premium will apply for each extended family dependant.
I declare that I have not withheld any information and I accept that this application and declaration shall be the basis of the contract of insurance between me and the Insurer, which will become effective on the first day of the month for which premiums are received. I also acknowledge that I have requested and instructed the broker not to complete a financial needs analysis. Furthermore, I understand and accept that this instruction not to proceed with a full financial needs analysis could have the effect that all my financial needs may not be properly addressed.
I further confirm that the following notable conditions have been explained to me:
a) A general 6 month waiting period is to apply from date of inception for all non-accident related death.
b) Not all your dependants on your family funeral cover are automatically covered under this policy, only your eligible spouse and your eligible children are covered as per the policy definitions.
i. Only one spouse is allowed.
ii. The maximum age for a child dependant is under 21 years. This age may be extended to twenty six (26) in respect of an unmarried child who is a
dependant on the Principal Insured Person’s policy and is financially dependent on the Principal Insured Person.
iii. Cover is provided for extended family members at an additional premium per extended family member. Extended family dependants must be parent or parent in law or a sibling or an adult child. The age limit is 75 (age attained) on entry.
I confirm that although I have completed this application form, it does not constitute an insurance contract until a membership number is assigned, policy issued and premium is successfully paid.