Embedded Accidental Death Insurance Terms

‘Accident’ :
means the sudden, unforeseen and uncertain event, which could not reasonably be expected to occur, which is caused by violent, external, physical and visible means at an identifiable time and place, resulting directly and independently of any other cause, in Bodily Injury.

‘Accidental Death’ :
means Bodily Injury which (directly and independently of any other cause) results in the death of the Insured and shall exclude Natural Death.

‘Administrator’ :
Hello Protect, with Registration Number 2017/488906/07 and FSP Number 49260.

‘Age’ :
age next birthday when determining Premium at Entry Date.

‘Applicable Laws’:
shall mean the Insurance Act 18 of 2017, the Long-term Insurance Act 52 of 1998, the Policyholder Protection Rules (Long-term Insurance), 2017, the Protection of Personal Information Act 4 of 2013, and any other legislation relating to or regulating the protection or processing of data or Personal Information, direct marketing or unsolicited electronic communications and which may be applicable in the Republic of South Africa from time to time.

‘Auto-Renewal’:
shall mean the choice given to the Policyholder at the time of taking the Policy to have the Policy to be auto-renewed at the end of the Period of Insurance. This means the cover will be extended by a further 31 (thirty-one) Days.

‘Beneficiary’ :
means the person nominated by the Insured who is 18 (eighteen) years or older, to whom the Benefit Amount is payable on the Accidental Death of the Insured. The Beneficiary must have a valid South African bank account into which the Benefit will be paid. Should the Beneficiary not have a valid South African bank account, the Beneficiary will be given the option, at claims stage, to direct that the money be paid to the Administrator for purposes of facilitating the remittance of the Benefit Amount to him/her via money transfer.

‘Benefit/Benefit Amount’ :
means the cover amount payable in case of Accidental Death, for which the appropriate Premium has been paid. This is the amount that the Insured has selected and is stated on the Policy Schedule.

‘Bodily Injury’ :
means physical bodily injury to the Insured caused by an Accident. Bodily Injury shall be deemed to include death by starvation, thirst and/or exposure to the elements.

‘Claim’ :
means, unless the context indicates otherwise, a demand for benefits under this Policy by a Claimant, irrespective of whether or not the Claimant’s demand is valid, made by submitting a completed and signed claim form with supporting documentation to the Administrator.

‘Claimant’ :
means a person who makes a Claim in relation to this Policy.

‘Claim Event’ :
means the risk insured, occurring during the currency of this Policy, being the Accidental Death of an Insured.

‘Claim Event Date’:
means the date on which the Claim Event occurs, giving rise to a Claim.

‘Day’ :
means a 24 (twenty-four) hour period and ‘Days’ has a corresponding meaning.

‘Death’ :
means the Accidental Death of the Insured.

‘Entry Date’ :
the date on which cover commenced and will be the Day when a Premium is paid.

‘Exclusion’ :
means the losses or risk events not covered under this Policy. Should a Claim Event arise from an Exclusion, no Benefit will be payable.

‘Insured’ :
means You, the person who has successfully applied for this Policy, who is listed in the Policy Schedule and for whom the full Premium has been paid.

‘Insurer’ :
shall mean a microinsurance insurer, namely Guardrisk Microinsurance Limited with Registration Number 1991/005238/06 and FSP Number 51674.

‘Misrepresentation’ :
the conscious decision to provide inaccurate or incorrect information in relation to any personal details or medical history or to change the true facts to mislead an interested party. This shall also mean the failure to disclose material information at the date of application that had the Insurer been aware of would have resulted in the Policy not being issued.

‘Period of Insurance’ :
the period starting from the Day the Premium is paid and will last for 31 (thirty-one) Days thereafter. Each subsequent Policy issued to the Policyholder will have its own Period of Insurance, as reflected in the Policy Schedule.

‘Personal Information’ :
means personal information as defined in the Protection of Personal Information Act 4 of 2013 and / or any subsequent amendments to this Act.

‘Policy’ :
refers to the Policy Schedule, the terms and conditions contained in this document.

‘Policyholder’ :
means the Person in whose name the Policy is issued and who has paid the Premium.

‘Policy Schedule’:
the Schedule stating the Insured’s details, the Benefit details and the Premium paid for this Policy.

‘Premium’ :
the amount payable as stated in the Policy Schedule .

‘Repudiate’ :
means, in relation to a Claim, any action by which the Insurer rejects or refuses to pay a Claim or any part of a Claim, for any reason, and includes instances where a Claimant lodges a Claim-
(i) in respect of a loss event or risk not covered under this Policy; and
(ii) in respect of a loss event or risk covered under this Policy but the Premium(s) payable in respect of this Policy has/have not been paid,
and ‘Repudiation’ shall have a corresponding meaning.

‘Unclaimed Benefits’:
means a Benefit in terms of an approved Claim where payment cannot be made to the nominated Beneficiary within 6 (six) months of the Claim having been approved because the nominated Beneficiary is unknown or is not contactable. In other words, the nominated Beneficiary cannot be located, his/her emails are undelivered, his/her post is returned and/or his/her contact number is no longer in use. It is a Claim that is known to the Insurer and has been reported, assessed, proven valid and approved. ‘Unclaimed Benefits’ shall have a corresponding meaning.

‘We, Us, Our’ :
means Guardrisk Microinsurance Limited (‘Guardrisk’).

‘You, Your’ :
the person named as the insured in the Policy Schedule. You must be 18 years of age and must have a South African Identity Document, Foreign Passport with Work Permit or Asylum document and residing in South Africa.