SCOPE OF COVER. The following Benefits are applicable under the Policy only if We have received the applicable premium due for that Benefit in full and the Policy Schedule/ Certificate of Insurance specifies that the Benefit is in force for the Insured Person. The Benefits available under this Policy are described below. Benefits under Section I and Section II will be payable subject to the terms, conditions and exclusions of this Policy and the availability of Sum Insured and basis of Sum Insured applicable and any sub-limits specified in respect of that Benefit and any limits applicable on the Insured Person as specified in the Policy Schedule/ Certificate of Insurance. Our total liability under this Policy for payment of any and all Claims in the aggregate arising under Section I and Section II during the Policy Period shall not exceed the Sum Insured specified in the Policy Schedule/ Certificate of Insurance.
SCOPE OF COVER. 2.1 The Insured The person insured under each Insurance must include, and coverage under the Insurance as joint insureds must extend to, all those persons and entities set out in clause 1 under the definition of “Insured”.
SCOPE OF COVER. If underwritten by the Policyholder and where expressly provided for in the Schedule of the Policy, through this Contract, as a complement to the Main Death Cover, situations of permanent disability for the profession or compatible activity due to illness or accident may also be guaranteed. If the Insured/Insured Person is in a situation of permanent disability for the profession or compatible activity, the Insurance Company shall proceed to the early payment of the capital established for this cover indicated in the Schedule of the Policy.
SCOPE OF COVER. Where expressly provided for in the Schedule of the Policy, through this Contract, as a complement to the Main Death Cover, situations of serious illnesses may also be guaranteed.
SCOPE OF COVER. Subject to the Terms of this Policy, We will indemnify a Student up to the Limit of Indemnity for:
SCOPE OF COVER. The Company hereby agrees with the Insured (subject to the Exclusions and Special Conditions contained herein or endorsed hereon) that if at any time during the period of insurance stated in the Schedule or during any subsequent period for which the Insured pays and the Company may accept the premium for the renewal of this Policy, the items or any part thereof entered in the Schedule shall suffer any unforeseen and sudden physical loss or damage from any cause, other than those specifically excluded, in a manner necessitating repair or replacement, the Company will indemnify the Insured in respect of such loss or damage as hereinafter provided by payment in cash, replacement or repair (at their own option) up to an amount not exceeding in any one year of insurance in respect of each of the items specified in the Schedule the sum set opposite thereto and not exceeding in all the total sum expressed in the Schedule as insured hereby.
SCOPE OF COVER. 1.1. Where expressly provided for in the Schedule of the Policy, through this Contract, as a complement to the Main Death Cover, situations of Total Permanent Disability (TPD) due to illness or accident may also be guaranteed.
1.2. For the purpose of this cover, the Insured/Insured Person is considered to be in a situation of total permanent disability if, as a consequence of an illness or accident, the following requirements are cumulatively and simultaneously met:
a) S/he is totally and permanently incapable of performing any remunerated activity;
b) S/he must resort to the permanent assistance of a third party in order to perform any everyday tasks, and,
c) Displays a degree of disability equal to or higher than 85%, according to the “National Table of Disabilities due to Occupational Accidents and Illnesses” officially in force upon the acknowledgement of the disability.
1.3. For the purpose of subparagraph b), everyday tasks are considered to be: - Washing/bathing, that is, performing all acts necessary to the maintenance of an adequate level of hygiene; - Feeding, that is, eating meals prepared and served at the table; - Dressing and undressing, taking into account the clothes usually worn; - Moving around the habitual residence.
1.4. If the Insured/Insured Person is in a situation of total permanent disability, under the aforementioned terms, the Insurance Company shall proceed to the early payment of the capital guaranteed for the Death cover indicated in the Schedule of the Policy.
SCOPE OF COVER. In the event that an Insured Event occurs We will reimburse You for:
4.1.3.1 Financial losses limited to the actual monetary amount of the Funds Transfers;
4.1.3.2 Financial losses which are attributable to one originating source or cause are considered to be one event;
4.1.3.3 Multiple Funds Transfers shall be deemed to be one event if they are as a result of a common cause of loss and the Cover Limit will not apply to each individual Funds Transfer separately;
4.1.3.4 By event We mean the period from the date of the initial Funds Transfer until the date that the loss is reported to the Financial Institution.
4.1.3.5 Notwithstanding the above, Losses from the purchase of goods and services advertised via classified advertisements are limited to 30% (thirty percent) of the Cover Limit.
SCOPE OF COVER. In the event that an Insured Event occurs We will reimburse You for:
4.2.3.1 The price agreed in the purchase or service/work contract (including shipping costs) for the insured goods or services;
4.2.3.2 In the event of damage to the delivered goods during delivery, We will refund the costs of repair up to a maximum of the purchase price.
4.2.3.3 If payment for the goods or services has not been made in South African Rands, the exchange rate that was applicable at the time of the purchase or service contract shall be applied when We provide compensation.
4.2.3.4 Loss or damage to multiple goods or services ordered in a single purchase contract shall be deemed to be one Insured Event;
SCOPE OF COVER. In the event that an Insured Event occurs, We will reimburse:
4.3.3.1 Costs for drafting and notarising documents required for SAPS, financial institutions, credit agencies or similar;
4.3.3.2 Postage costs for mailing documents in connection with a claim;
4.3.3.3 Lost income as a result of time taken off work to complete affidavits, meet with legal counsel, SAPS, Financial Institutions, credit agencies or similar;
4.3.3.4 Credit application fees for re-applying for any credit application solely due to the lender’s receipt of incorrect credit information due to identity theft;
4.3.3.5 Credit card or other bank fees charged by Your Financial Institution to cancel and/or reissue cards and/or bank accounts;
4.3.3.6 Reasonable legal fees incurred, with Our prior written consent, for:
4.3.3.6.1 defence of lawsuits brought against You by a business or their collection agency;
4.3.3.6.2 the removal of any criminal or civil judgments wrongly entered against You; and/or
4.3.3.6.3 challenging the information in Your credit report.
