Terms. Meanings. Accidental Death. No Waiting Period will apply if You die solely by physical injury suffered due to a sudden, unexpected, external, violent ...
FUNERAL POLICY WORDING: CASH BENEFIT
Issued by
NMS INSURANCE SERVICES (SA) LIMITED
This policy sets out the terms and conditions of Your funeral policy:
1. Definitions
In this Policy, the following terms shall have the following meanings, where capitalised:
Terms Accidental Death
Beneficiary
Commencement Date Contact Details Due Date FAIS Act Insured Insured Amount, Cash Benefit
Meanings No Waiting Period will apply if You die solely by physical injury suffered due to a sudden, unexpected, external, violent and visible event which happens at an identifiable place and time which occurred after inception of this policy. This excludes deaths as a result of non-accidental causes which are subject to the Waiting Period. The person identified in the Policy Schedule who will receive the cash benefit upon the death of the Policyholder or Insured Person, as the case may be. Upon the death of the Policyholder, the Beneficiary will receive the cash benefit. Upon the death of any of the Insureds specified under the Additional Lives Insured section of the policy schedule, the Policyholder will receive the cash benefit. The date on which the insurance cover, as set out in Your funeral Policy, starts. The Policy will commence upon Our receipt of the first Premium. See Sections 14, 15 and 16 of this funeral policy for the relevant contact methods and details. The date by which We must receive Your Premium.
The Financial Advisory and Intermediary Services Act, No. 37 of 2002.
The persons named in the Policy Schedule and covered by this Policy, being the Policyholder and up to 5 additional Insureds. The cash amount, specified in the Policy Schedule under the "Cash Benefit" column, which We will pay to Your Beneficiaries if You or the Insured should pass away. The amount We will pay depends on the age at the time of death as per below:
Spouse and Children: - Up to age 6 25% of the cash benefit - Age 7 to 13 50% of the cash benefit - Age 14 and older at death 100% of the cash benefit
Extended family members: - Up to age 6 25% of the cash benefit - Age 7 to 13 50% of the cash benefit - Age 14 and older at death 50% of the cash benefit
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Terms Month, Monthly
MultiChoice
MSS
NMSIS, Microinsurer, Financial Services Provider
Our, Us, We Policy Policy Schedule
Policyholder, You, Your Premium Self Service Statement Waiting Period
Meanings Month is calculated from Your MultiChoice account payment due date i.e. if Your MultiChoice account payment due date is on the 5th of the month, Your month will start on the 5th and end on the 4th. MultiChoice Proprietary Limited, the authorised juristic representative and premium collections independent intermediary of NMSIS, company registration number: 1994/009083/07. MultiChoice is authorised by Us to receive payment of Premiums on Our behalf. MultiChoice Support Services Proprietary Limited, Company Registration number 2007/014131/07, as Our authorised juristic representative and outsourced services provider to perform support services on Our behalf. NMS Insurance Services (SA) Limited, company registration number: 2005/026017/06. NMSIS is the provider of the Policy. NMSIS is an authorised financial services provider, FSP license number 48754, licensed according to the laws of the Republic of South Africa. NMSIS and persons or organisations authorised to act on its behalf. This funeral Policy document, which must be considered together with the Policy Schedule. The document entitled, "Funeral Policy Schedule: Cash Benefit", which forms part of this Policy that contains Your and Our details, information about this Policy, the Insured Amount, the Insured, Beneficiaries and the Premium that You must pay. The person in whose name the Policy is written, and who is a DStv customer, as specified in the Policy Schedule. The amount You have to pay to get cover under Your funeral Policy. The electronic platforms available to You including the MyDStv App; DStv website; and WhatsApp. A document We provide to You on request that provides details of Your Premium charges and payments. A waiting period of 6 consecutive months applies, except in the event of an Accidental Death, in which case there will be no waiting period.
2. What is covered in terms of this Policy
2.1. When You or the Insured Person should pass away, We will pay the Insured Amount into Your Beneficiary's bank account by way of electronic funds transfer (EFT).
2.2. Please read the details in the Policy Schedule carefully for important information regarding commencement of cover, and contact Us immediately should You have any questions as per Our Self Service platforms or as per Our Contact Details.
3. Who/What is NOT covered under this Policy
3.1. This Policy is not available to anyone who is not resident in South Africa. 3.2. To be eligible for insurance:
3.2.1. You must be a DStv or MultiChoice customer; 3.2.2. You may not be younger than 18 years of age or older than 75 years of age. 3.3. Core family policy - You may not have more than 5 additional Insureds, in addition to yourself, as Insureds. Your additional Insureds must be Your spouse and children. Your additional Insureds may be younger than 18 years of age, but may not be older than 75 years of age as at the commencement date. 3.4. Extended family policy - You may not have more than 9 additional Insureds, in addition to yourself, as
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Insureds. Your additional Insureds must be Your spouse, children and extended family members. You may not have more than 2 extended family members on Your Policy. Your additional Insureds may be younger than 18 years of age, but may not be older than 75 years of age as at the commencement date. 3.5. In the event that You or the Policyholder and/or Your Insureds:
3.5.1. within 31 days before inception of this Policy completed a Waiting Period; and 3.5.2. such Waiting Period was completed in respect of the same lives Insured and under a similar
Policy to this Policy; and 3.5.3. submit written proof of such completed Waiting Period to Us, then We shall deduct the number
of Waiting Period days so completed from the Waiting Period. 3.6. If You wish to replace an Insured on Your Policy, this Policy will cease and a full replacement Policy will
be issued, which will then be the Policy under which You and Your Insureds have cover. The Waiting Period will then apply to the new Insureds. 3.7. This Policy does not cover death resulting from:
3.7.1. any deliberate, wrongful action or inaction (including suicide) of the Insured in the first 12 months of inception of the Policy; or
3.7.2. any act of war, riot, strike, civil disobedience, or any military, naval or police action. 3.8. No Insured may be covered more than once under this Policy.
4. Policyholder communications and Policy documentation
4.1. We may record the purchase of this Policy electronically via telephone, or other media. We will send Your communications and documentation by email and/or SMS and We will make Your communications available to You on Our Self Service platforms within 31 days after the inception of the Policy. We do not send Policyholder communications or Policy documentation via the post.
4.2. The Self Service platforms available to You include the MyDStv App; DStv website; and WhatsApp. 4.3. We may contact You in order to confirm the details of Your Insureds and nominated Beneficiary, as well
as any other information relevant to this Policy. 4.4. Should You wish to change the details of Your Beneficiary or the Insureds, please contact Us as per Our
Self Service platforms or as per Our Contact Details and have the following information readily available: 4.4.1. Name and Surname of the Insureds or the Beneficiary; 4.4.2. Identity Number; 4.4.3. Your or Your Beneficiary's relevant contact details.
4.5. Any new Insured added to this Policy will be subject to the Waiting Period.
5. Your responsibilities
5.1. You must pay the Premiums in terms of 6.1. 5.2. If You do not give full and truthful information (as required by this Policy) to Us when requested, this
insurance cover may be invalidated. 5.3. You must provide a correct date of birth in respect of each Insured. If the date of birth provided is not the
same as the date of birth in the identity document or birth certificate of the Insured, the Insured will not be covered under this Policy. 5.4. You must ensure that all details are correctly recorded. In the event of any errors, please contact Us immediately using Our Self Service platforms or as per Our Contact Details. 5.5. Incorrect or non-disclosure by You of relevant facts may influence Us on any claims arising from Your contract of insurance. 5.6. You must provide Us with a valid cellphone number and, where available, a valid email address. 5.7. You must let Us know if Your contact details change. 5.8. You or Your family must notify Us if You or any of the Insureds should pass away, even if no claim is made. Failure to inform Us of the death of the Policyholder or Insureds, where applicable, will result in continued deductions of the Premiums. 5.9. It is important to note that You will be held liable for Premiums unless You cancel this Policy.
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6. Premium payable
6.1. Your Policy is an annual Policy with Monthly Premium payments and You must pay the Monthly Premium in advance or on the Due Date.
6.2. If You make only a partial or incomplete payment of the amount due as indicated on Your Statement, You must inform Us as to how much of this amount should be used to pay Your Premium.
6.3. If Your Premium is not paid in full by the Due Date, You will receive a notice within 15 days after the Due Date that Your Policy will be cancelled unless payment of all outstanding Premiums is received within 31 days. If We still have not received the outstanding Premiums within the 31 days, Your Policy will be cancelled and You will have no insurance cover. You will receive a notice to this effect after the Policy has been cancelled.
6.4. The claimant will be able to claim during the 15 days grace period and the 31 days period referred to in clause 6.3.
6.5. If the Policy is taken out during the month, Your Premium will be an amount that applies only for the rest of that month Your cover will be for the same period. You must pay this Premium on the next Due Date together with that month's Premium.
6.6. Your Premiums may be paid using cash, debit order, electronic funds transfer (EFT), or credit card. A full listing of all the methods and where You may pay, is posted on the Self Service platforms or You may call Us using Our Contact Details.
6.7. If the Premium is paid in cash, You will be provided with a receipt. 6.8. The Premium will be reviewed annually in the event that it is required due to inflation, increase in benefits,
unexpected increases in expenses, loss ratios worse than anticipated and any new regulatory requirements that directly affect this Policy. If a Premium escalation is required, We will give You 31 days' written notice thereof and will furnish You with detailed reasons as to why the escalation is necessary and any impact this may have on You.
7. Suspension of cover in terms of this Policy
7.1. If You breach the terms of this Policy in any way, that will automatically suspend Our responsibility to You and You will not be able to claim in terms of this Policy until the breach is remedied.
8. How to claim
8.1. If anything happens that may result in a claim under this Policy, the claimant is required at their own cost and expense to notify Us of such an event. The claimant must follow the claims procedure set out below carefully to avoid a delay in the payment of benefits.
8.2. In the event of a claim under this Policy, We will within 2 business days after all required documents in respect of the claim having been received, inform the claimant if the claim is valid, rejected or disputed.
8.3. We reserve the right to cancel any benefits if there is any evidence of, or attempted submission of, a fictitious claim, fraud or misrepresentation.
8.4. Claims must be submitted to Us within 6 months of the death of the Insured Person. Failure to do so will result in the benefit being lost.
8.5. The claimant may make representations to Us if the claimant disagrees, in the event that the claim is rejected or if the claimant disagrees with the benefits approved. The claimant must do so within 90 days of receipt of the notice stating that the claim is rejected, or that the benefits are approved.
8.6. In the event of the claim being rejected, and the claimant failing to make any representations within the 90 day period referred to above, all benefits in respect of that claim shall expire.
8.7. In the event of a claim being rejected and legal action not being commenced within 6 months after the expiry of the 90 day representation period referred to above, all benefits afforded under this Policy in respect of such claim shall be forfeited.
8.8. We reserve the right to request any additional documents to substantiate the information we specifically requested from you before the inception of the policy that We, in Our sole discretion, deem necessary to accurately assess the claim.
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9. Cancellation and cooling-off period
9.1. You may cancel this Policy by: 9.1.1. sending Us a cancellation request via e-mail, or 9.1.2. contacting Us telephonically, or 9.1.3. as per the Self Service platforms.
9.2. If You ask Us to cancel Your Policy, You agree that We may credit Your MultiChoice account with the prorata Premium for the period of the cancellation date to the end of the current Month.
9.3. The cooling off period is 31 days after the date of receipt of the policy documents. You can cancel this Policy within the first 31 days of inception of this Policy if no claim has been received prior to such cancellation. All Premium payments made in respect of this Policy, if so cancelled within the first 31 days of inception of this Policy, will be refunded in full by Us provided there has been no claim submitted and paid before receipt of Your cancellation notice.
9.4. We will give You 31 days' written notice before We cancel this Policy, should We choose to do so.
10. Renewal, lapse and reinstatement
10.1. This Policy will automatically renew each annum. 10.2. This Policy will lapse if Premiums are outstanding for 2 months, and it cannot be reinstated after lapsing. 10.3. In the event that You wish to continue with the funeral benefit cover after this Policy has lapsed, a new
Policy will be issued. The Waiting Period for such new Policy issued will be calculated with reference to the Waiting Period under the original Policy, and will not exceed 3 months in total.
11. Termination of benefits
11.1. Cover under this Policy terminates on the earlier to occur of: 11.1.1. Your death, or 11.1.2. the non-payment of Premiums for 2 consecutive months.
11.2. Any changes to Your Policy will result in the issuing of a new Policy Schedule that will reflect the changes to Your Policy. Please ensure that any changes requested have been recorded correctly in Your Policy Schedule.
12. Replacement
12.1. If this Policy is being purchased to replace another Policy that has been cancelled or will be cancelled in the near future, You should be aware that this may change the extent of Your applicable cover.
13. Additional information about the Financial Services Provider
13.1. We are the registered product supplier and this Policy constitutes a life policy issued by Us. 13.2. We accept responsibility for Our representatives to act within the scope of their authority, and work under
supervision. We record all telephone conversations, and a transcript of the recording can be made available on request. Representatives may receive incentive remuneration based on individual and/or company performance. 13.3. We are authorised to give advice, provide intermediary services and accept responsibility for the activities performed by Our representatives in the ordinary course and scope of the representative's duties in respect of the financial products as specified below. We will not be liable for any prejudice relating to services or advice provided by any representative, which falls outside of the scope of this authorisation.
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Category
CATEGORY 1 Long-term Insurance Subcategory A Long-term Insurance Subcategory B1-A Short-term Insurance Personal Lines Short-term Insurance Personal Lines A1 Short-term Insurance Personal Lines Commercial Lines
Advice Automated
Advice Non- Intermediary Intermediary
Automated
Scripted
Other
X
X
X
X
X
X
X
X
X
X
X
X
X
13.4. We have implemented a conflict of interest management policy, which is available on the Self Service platforms.
13.5. We have appointed MultiChoice as Our authorised juristic representative to receive payment of premiums on Our behalf. Premiums paid to MultiChoice are deemed to be payment to Us. The relationship between MultiChoice and Us is based on an arm's length relationship whereby MultiChoice recovers the bank charges and collection fees from Us on the premiums collected. MultiChoice owns 100% of Our A1 shares.
13.6. The relationship between MSS and Us is based on an arm's length relationship whereby We pay MSS an outsourcing fee for the support services performed and use of its infrastructure on a monthly basis.
13.7. We have professional indemnity insurance cover.
14. Our Contact Details:
Please use the Self Service platforms as Your first attempt to contact Us. In the event these do not resolve Your inquiry, see the below:
NMS Insurance Services (SA) Limited, Company registration number: 2005/026017/06; FSP license no. 48754
Telephone Number: Email Address:
Physical Address:
Postal Address:
(011) 369 4000 dcc@multichoice.co.za MultiChoice City 144 Bram Fischer Drive Randburg, Gauteng, 2194 PO Box 1502 Johannesburg, 2125
15. Other Parties' Contact Details 15.1. Our Intermediaries
Please only contact Talksure if Your policy was sold directly to You by Talksure and You have a question about the Talksure sales process. For all other queries related to Your Policy subsequent to the initial sale of the Policy, please contact Us. See Our contact details above for NMS Insurance Services (SA) Limited in Section 14.
Talksure Trading (Pty) Ltd Company registration number: 2010/013902/07 ("Talksure/Intermediary")
Telephone Number: Email Address:
Physical Address:
031 582 8366 dcc@multichoice.co.za Quadrant 2, The Centenary Building 30 Meridian Drive Umhlanga New Town Centre 4319
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Postal Address: Website: FAIS Compliance Officer:
Telephone Number: Email Address:
Physical Address:
Website:
PO Box 1498 Umhlanga Rocks, Durban, 4320 www.talksuresa.co.za Compli-Serve KZN (Pty) Ltd Catherine Cooper 0860 33 33 43 catherine@compliserve.co.za Unit No. 4, Seawood Close 29 Chartwell Drive Umhlanga Rocks, Durban, 4320 www.compliserve.co.za
15.1.1. Talksure is a company registered in accordance with the Companies Act, No. 71 of 2008. Talksure is a registered financial services provider (FSP licence no. 42788).
15.1.2. Talksure is mandated to act on Our behalf. 15.1.3. Talksure is in possession of professional indemnity insurance. 15.1.4. Talksure accepts responsibility for the actions of its representatives acting within the scope of their
authority. 15.1.5. Talksure has representatives working under supervision. 15.1.6. We pay Talksure a 20% commission on the first month's premium per policy sold by Talksure. 15.1.7. We pay Talksure an outsourcing fee for the use of its call center infrastructure on a monthly basis.
15.2. Regulatory Parties
FAIS Ombud
Telephone Number: Facsimile Number: Email Address:
Physical Address:
Life Insurance Ombudsman
Financial Sector Conduct Authority
Postal Address: Telephone Number: Facsimile Number: Email Address:
Physical Address:
Postal Address: Telephone Number: Facsimile Number: Email Address: Physical Address:
Postal Address:
012 762 5000 086 764 1422 info@faisombud.co.za The Customer Contact Division The FAIS Ombud Kasteel Park Orange Building, 2nd Floor c/o Nossob & Jochemus Street Erasmus Kloof, Pretoria, 0048 PO Box 74571, Lynnwood Ridge, 0040 0860 103 236 021 674 0951 info@ombud.co.za Third Floor, Sunclare Building 21 Dreyer Street, Claremont Cape Town, 7700 Private Bag X45, Claremont, 7735 0800 203 722 012 346 6941 info@fsca.co.za Riverwalk Office Park, Block B 41 Matroosberg Road, Ashlea Gardens Pretoria, 0081 PO Box 35655, Menlo Park, 0102
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16. Other matters of importance
16.1. You must be informed of any material change to the information referred to in clauses 13, 15.1, 15.2 and the balance of this clause 16.
16.2. If You have a complaint, please contact Us and We will address Your concerns. Please note that in terms of the FAIS Act, all complaints must be addressed to Us in writing, labelled as Funeral Policy Complaint, and can be submitted using the information below.
Complaints: Labelled as Funeral Policy Complaint
Made at any of the DStv Walk-in Centres Email Address:
Locations at: www.dstv.co.za dcc@multichoice.co.za
16.3. Should We not be able to address Your concerns to Your satisfaction, You may lodge a complaint with any of the aforementioned Ombudsmen, but in particular with the FAIS Ombudsman. Please visit www.dstv.co.za for more information about the complaints procedure. Our response time for complaints is 10 working days.
16.4. We make use of ISS Compliance (Pty) Ltd as Our compliance practice.
ISS Compliance (Pty) Ltd: Practice number: CO28.
Telephone Number: Email Address: Physical Address:
011 369 4000
dcc@multichoice.co.za Workspace, 140A Kelvin Drive, Morningside, 2196
Postal Address:
PO Box 940, Houghton, 2041
Website:
www.nfsgroup.co.za
17. Warning
17.1. Do not sign any blank or partially completed application form. 17.2. Complete all forms in ink. 17.3. Keep all documents handed to You. 17.4. Take note as to what is said to You. 17.5. Do not be pressured to buy the product. 17.6. Do not waive any of Your rights.
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