Terms and Conditions

Policy Terms and Conditions applicable to this policy:

• Maximum entry age for the Principal Member is 94 years
• Principal Member and family members on group scheme of 10 – 6 (six) month waiting period applies and age limit is 74 years
• Waiting period for the persons age 75 years to 94 years – 12 (twelve) month waiting period applies, and they do individual cover
• Policy lapse if two premiums missed and if reinstatement occur full waiting period as above apply
• To claim please complete claim form that can be requested by calling Kaeloyame Grocery Scheme and submit claim as directed on claim
• Safrican (underwriter/ Insurer) contact details are:

• Kaeloyame Grocery Scheme (funeral scheme administrator /Broker) contact details are:

Birth of a Child or Addition of members

An addition of lives application form detailing out the new lives to be insured must be submitted to Kaeloyame Grocery Scheme for processing.

Divorce of a Principal Member

Upon removal of a spouse the policy will convert to a single parent or individual or remain the same if spouse is maintained.

INSURABLE INTEREST

Please note that all persons insured under the policy must be related to the principal member and/ or policy payer, and the principal member and /or policy payer must have an insurable interest in all insured persons under the policy.

EXCLUSIONS

All Benefits will not be paid if death is directly or indirectly caused by or attributable to:

• Terrorism or war (whether declared or not).
• Radioactive contamination, whether directly or indirectly.
• Suicide will not be covered during the first 2 (two) years of membership.
• Unnatural causes of death will not be paid before finishing the waiting period.

WAITING PERIODS

There is a 6 (six) month waiting period applicable to the Principal Member, Spouse, Eligible Children, Wider Children and Extended Family Members under age 75 years, 12 months from 75 years to 94 years, 24 Months waiting period for suicide from the date of inception will be applicable.

This waiting period may be waived depending on the length of time the Group was previously underwritten.

Only one benefit option per group will be allowed where the Extended Family Member option has been selected. The premium rate for principal and extended will differ as per age at entry.

In the event of electing a higher benefit from an existing Plan, the waiting periods above will apply to the increased portion of the benefit, not to the current benefit enjoyed.

PREMIUM PAYMENT

Premiums are payable by the Policyholder monthly in advance and at the Premium Rate as specified in the Schedule.

Premiums are paid in advance and should be received before or on the 7th of every month, premiums received after this date will be allocated to the following month.

GRACE PERIOD

After the first premium is paid, a Grace Period of 1 (one) month will be allowed for the payment of future premiums. The Plan will remain in force during the Grace Period.

If the arrear premium and the premium due for that month is not paid by the end of the Grace period, the Plan will lapse and the 6 (six) month waiting period will apply on any reinstatement.

COOLING OFF PERIOD

The policyholder has a 30 (thirty) day cooling off period from receipt of the policy to examine the policy.

Provided that no death or claim has taken place in this period, should the policyholder not to take up the policy, she or he must inform Kaeloyame Grocery Scheme in writing of her or his intention not to accept.

All premiums already paid shall be refunded, less the cost of any risk cover.

CANCELLATION

After the 30 day cooling off period has ended, the policyholder, Kaeloyame Grocery Scheme or the underwriter reserves the right to cancel this Policy at any time after giving the other party 3 (three) months written notice of such intention.

REVISION

The underwriter reserves the right to do a revision on the Plan at any point in time.

A notification of 3 (three) months will be given to the Policyholder after revision, to accept and pay the revised premium rates.

Revision of the Burial Society Umbrella will take place annually each January. In the event that the current underwriter revised rates be too high Kaeloyame Grocery Scheme may see an alternative underwriter with same or revised benefits and options negotiated with all policy holders. Should a change of underwriter be resorted to written communication will be sent to all members.

CONTINUATION OPTION

Should a Principal Member cease to be a member of an existing fund, of which he / she has been a member for at least 12 consecutive months, he / she has the option of applying for a similar individual funeral policy. This option must be exercised within 1 (one) month of ceasing to be a member prior to retirement age.

SURRENDER VALUES

There are no surrender values under this Plan. Benefits under this Plan may not be ceded or pledged in any way. No loans are available under this Plan. No refund of premiums paid upon cancellation of lapse of a policy.

FRAUDULENT CLAIMS

If any fraudulent claim is made against this Policy, Kaeloyame Grocery Scheme or the underwriter will be under no further obligation whatsoever to pay this claim, and shall, at its own discretion, be entitled to cancel the Policy with immediate effect without any refund of paid premiums.

SUMMARY CLAIMS PROCEDURE:

In the event of a death, a Claim Notification Form must be requested from a Kaeloyame Grocery Scheme office, and submitted together with the relevant supporting documents. Failure to do so within the stipulated notification period will result in the benefit being forfeited.

COMMISSION

Commission on premium received for benefits will be payable by the underwriter to the intermediary (Kaeloyame Grocery Scheme). The premium paid by the policy holder will include underwriting costs, commissions and administration fees.

DISSOLUTION

On dissolution of the Plan, all Kaeloyame Grocery Scheme liabilities towards the existing and any former Principal Members and Dependants will cease as from the day of the last premium received or the date of dissolution, whichever is the later.

POLICY DOCUMENT

The policyholder is entitled to be provided, upon request, with a copy of the Policy.