ACCOUNT BALANCE INSURANCE TERMS AND CONDITIONS

Hollard Credit Protection Policy


IMPORTANT NOTE

Words in this policy that start with capital letters have the meanings ascribed to them in this policy’s Definitions section, starting on page 7, or as defined elsewhere in this policy. Please consult these definitions to fully understand the meanings of these words.

INTRODUCTION
The following constitutes the Hollard Credit Protection Policy wording as applicable to the TRUWORTHS Account Balance Protection Insurance Policy.

This policy is underwritten by Hollard. Hollard is a registered insurance company and an authorised Financial Services Provider. This policy has been designed by Hollard for clients of TRUWORTHS who have successfully applied for a credit facility (retail account) with TRUWORTHS. Hollard agrees to accept any eligible person who has successfully applied for this cover and, in the event of a valid claim, will pay the benefit to TRUWORTHS subject to the terms and conditions of this policy.

TRUWORTHS is a juristic representative of Hollard, an authorised Financial Services Provider, for the purposes of marketing and providing administrative services in relation to the policy and will receive commission from Hollard as set out in the Certificate of Cover.

This policy wording as amended from time to time, along with various administrative forms, Application Forms, Certificates of Cover, declarations, authorisations, any voice-logged conversations pertaining to this policy and agreements supplied by Hollard shall form the basis of this insurance contract. In the event of any conflict between the provisions set out in this policy wording and that of any other documents as mentioned above, the provisions of this policy wording shall prevail.

CESSION
• It is recorded and agreed to by You in the Application Form that You assign and transfer the benefits in terms of this policy to TRUWORTHS as collateral security for the outstanding debt in terms of the Credit Agreement. Accordingly, in the event of a valid claim, Hollard will pay the benefit in terms of this policy to TRUWORTHS.
• This cession supersedes and cancels any nomination of beneficiary made by You.

DEATH BENEFIT
• The Death Benefit provides a payment equal to the Outstanding Liability in the event that an Insured Person covered by this benefit should die during the Period of Insurance.
• The Death claim event date is the date on which the Insured Person has died.

TERMINATION OF BENEFIT
The Death Benefit in respect of a particular Insured Person and Credit Agreement will cease on whichever date is earlier:
• The Insured Person’s 60th (sixtieth) birthday.
• The Expiry of Insurance Cover in respect of that Credit Agreement.

DREAD DISEASE BENEFIT
• The Dread Disease Benefit provides a payment equal to the Outstanding Liability in the event that an Insured Person covered by this benefit should suffer a Dread Disease (as specified below) during the Period of Insurance.
• The Dread Disease must be diagnosed by a registered Medical Practitioner and must be supported by clinical, radiological, histological and laboratory evidence acceptable to Hollard.
• The Dread Disease claim event date, as determined by Hollard, is the date of such diagnosis or, if applicable, the date on which the procedure required by the Dread Disease definition is performed.

TERMINATION OF BENEFIT
The Dread Disease Benefit in respect of a particular Insured Person and Credit Agreement will cease on whichever date is earlier:
• The Insured Person’s 60th (sixtieth) birthday.
• The Expiry of Insurance Cover in respect of that Credit Agreement.

DREAD DISEASES COVERED
The following Dread Diseases are covered, as specifically defined in the Definitions section of this policy:
1. Heart attack 7. Paralysis
2. Stroke 8. Blindness
3. Cancer 9. Major Organ Transplant
4. Coronary Artery Bypass Graft 10. Coma
5. Heart Valve Surgery 11. Major Burns
6. Renal Failure

DREAD DISEASE CLAIMS — ASISA CRITICAL ILLNESS DISCLOSURE GRID
• Hollard is a member of ASISA (Association for Savings & Investment South Africa) and in terms of this membership, should Hollard decline a Dread Disease (Critical Illness) claim for 1 (one) of the 4 (four) main Dread Diseases (as per the table below) where such Dread Disease is covered by the policy, Hollard may be requested to assess the claim in terms of the ASISA standardised definitions.
• For the 4 (four) main Dread Disease events, ASISA has standardised Dread Disease definitions according to 4 (four) severity levels. Hollard agrees to pay the following percentage of the Outstanding Liability for the following Dread Diseases and severity levels:

Dread Disease Event ASISA Severity Level Classification
  A
Most Severe
B
Moderate Impairment
C
Mild Impairment
D
Almost Full Recovery
Heart Attack 100% 0% 0% 0%
Coronary Artery Bypass Graft 100% 100% 0% 0%
Stroke 100% 0% 0% 0%
Cancer 100% 0% 0% 0%

PERMANENT DISABILITY BENEFIT
• The Permanent Disability Benefit provides a payment equal to the Outstanding Liability in the event that an Insured Person covered by this benefit should suffer Total and Permanent Disability during the Period of Insurance.
• The Permanent Disability claim event date, as determined by Hollard, is the date on which the incident occurred, which resulted in the Insured Person becoming totally and permanently disabled, on the basis of objective medical or professional evidence.

TERMINATION OF BENEFIT
The Permanent Disability Benefit in respect of a particular Insured Person and Credit Agreement will cease on whichever date is earlier:
• The Insured Person’s 60th (sixtieth) birthday.
• The Expiry of Insurance Cover in respect of the Credit Agreement.

RETRENCHMENT BENEFIT
• The Retrenchment Benefit provides a payment equal to the Outstanding Liability in the event that an Insured Person covered by this benefit should be retrenched during the Period of Insurance.
• Where the Insured Person returns to work within 6 (six) months of claiming under the Retrenchment Benefit, the Insured Person is required to work full time for at least 12 (twelve) consecutive months before another retrenchment claim can be made.
• The Retrenchment claim event date, as determined by Hollard, is the date on which the Insured Person ceases to earn an income, having regard to the Insured Person’s last date of active service and employment record.

TERMINATION OF BENEFIT
The Retrenchment Benefit in respect of a particular Insured Person and Credit Agreement will cease on whichever date is earlier:
• The Insured Person’s 60th (sixtieth) birthday.
• The Expiry of Insurance Cover in respect of the Credit Agreement.

ELIGIBILITY
• A Person who has an existing retail account with TRUWORTHS or who successfully applies to open a retail account with TRUWORTHS where Accountholder or Partner Cover has been selected, or is the Partner of such a person where Joint Cover has been selected.
• The Insured Persons will be covered for the benefits stated in the table below.
• Insured Persons are eligible to apply for cover of the benefits described above, provided they are over the age of 18 (eighteen) years and below the maximum entry age as stated in the table below at the Commencement of Insurance.
• Where an Insured Person is over the maximum entry age as stated in the table below at the Commencement of Insurance for a particular benefit, the Insured Person will not be covered for that benefit.

Benefit Death Dread Disease Permanent Disability Retrenchment
Maximum Entry Age 60 (sixty) 60 (sixty) 60 (sixty) 60 (sixty)

DEFERRED PERIOD
• The Deferred Periods applicable to each benefit are specified in the table below.
Benefit Death Dread Disease Permanent Disability Retrenchment
Deferred Period (days) n/a n/a 30 (thirty) 30 (thirty)

• The Permanent Disability Benefit will only be paid once Hollard is satisfied that the condition is permanent. If further claim investigation is necessary in order to form a more accurate and fair assessment of the disability, Hollard reserves the right to extend the Deferred Period.
• Premiums are payable during the Deferred Period, and any extended Deferred Period required by Hollard.

WAITING PERIODS
• The Waiting Periods applicable to each benefit are specified in the table below.
Benefit Death Dread Disease Permanent Disability Retrenchment
Waiting Period (months) 3 (three) 3 (three) 3 (three) 3 (three)

• There is no Waiting Period for claims that are the result of an Accident that occurred after the Commencement of Insurance.
• Should cover in respect of an Insured Person be terminated and subsequently reinstated, the Waiting Periods will commence on the date of reinstatement, unless waived in writing by Hollard.
• Should cover for a new retail account be applied for, a new Application Form for cover under this policy must be submitted and the Waiting Periods will again apply to the new retail account from the Commencement of Insurance of such account.

EXCLUSIONS
PRE-EXISTING CONDITIONS EXCLUSION – ALL BENEFITS
• No claim will be payable during the 12 (twelve) month period following the Commencement of Insurance or date of reinstatement where the Insured Person suffered from any condition (i.e. any medical condition, physical defect, illness, bodily injury or disability) of which the Insured Person was aware or ought reasonably to have been aware of and for which the Insured Person received treatment or consulted a medical professional in the 12 (twelve) months prior to the Commencement of Insurance or date of reinstatement where the claim event was caused directly or indirectly by the pre-existing condition.
• Pre-existing conditions include:
 - Any form of heart disease or heart attack, high blood pressure or high cholesterol.
 - Any form of cancer.
 - Any form of stroke.
 - Any form of kidney disease.
 - Any form of pneumonia, asthma, tuberculosis or lung ailment.
 - Any form of diabetes.
 - Any form of depression, epilepsy or fit.
 - Any form of disability (including back, hip, knee or shoulder problem).
 - Any disease or condition that requires the use of chronic medication.
 - Any disease or condition that requires medical treatment as a result of a special investigation, such as a scan or an X-ray, which showed abnormal results.

OTHER EXCLUSIONS – ALL BENEFITS
In addition to the Waiting Periods and Pre-existing Conditions Exclusion specified above, Hollard will not be liable for the payment of any benefit if any claim arises directly or indirectly from, or is traceable to:
• Self-inflicted injuries or illness, suicide or attempted suicide.
• The Insured Person engaging in:
 - Terrorist activity.
 - Labour disturbances, riot, strike or lock-out.
 - Hazardous sports/activities more than once a month or on an income earning basis.
 - War, invasion, acts of foreign enemy, hostilities, rebellion, revolution, insurrection or military or usurped power, or by ionising radiations or contamination by radioactivity from a nuclear fuel or waste.
• The Insured Person driving any type of vehicle when he/she had a blood alcohol content that exceeded the legal limit allowed for driving by the laws of the country where the Accident occurred.
• The use of drugs by the Insured Person, unless it is proven that the drug was used in accordance with proper medical prescription and not for the treatment of a drug addiction.
• The Insured Person refusing medical treatment recommended by a Medical Practitioner.

ADDITIONAL EXCLUSIONS – DISABILITY BENEFITS
For the Disability Benefits, in addition to the Waiting Periods and Exclusions set out above, Hollard will not be liable for the payment of any Disability Benefit if the Insured Person was not permanently employed for a period of at least 6 (six) consecutive months before the onset of disability.

ADDITIONAL EXCLUSIONS – RETRENCHMENT BENEFIT
In addition to the Waiting Periods and Exclusions set out above, Hollard will not be liable for the payment of a Retrenchment Benefit if any of the following applies:
• The Insured Person resigned, retired or accepted voluntary retrenchment or redundancy.
• At the Commencement of Insurance the Insured Person was aware or had reasonable grounds for believing that he/she would become unemployed, retrenched or redundant.
• The Insured Person lost his/her job due to theft, fraud, dishonesty or any misconduct on his/her part, or received one or more verbal or written reprimands which constituted part of his/her employer’s disciplinary procedures, in the 6 (six) months prior to the Commencement of Insurance.
• The Insured Person had not been employed on a permanent full-time basis for at least 6 (six) consecutive months, by the same employer, at the time he/she was retrenched.
• The Insured Person was self employed or employed as a partner in a partnership, was a member of a close corporation or a director of a company, was employed in a business owned by a family member of his/hers, or where the Insured Person undertook seasonal work or other work in which unemployment is a regular feature.
• The Insured Person’s unemployment was:
 - Caused by a strike, labour dispute or industrial action, whether the Insured Person was participating or not.
 - Due to pregnancy, childbirth, illness or injury.
 - Due to the expiry of the fixed term of a renewable contract of employment.
 - Caused by any lawfully constituted authority nationalising, confiscating or commandeering the assets of his/her employer.

LIMITATION OF BENEFITS
• The Insured Person shall not be covered in terms of this policy where the total Outstanding Liability across his/her cover exceeds:
 - R 5,000 (five thousand rand) in respect of a particular Credit Agreement.
 - R 7,500 (seven thousand five hundred rand) in respect of all Credit Agreements at any time.
• The Insured Person shall not be covered in terms of this policy where the total Outstanding Liability across that Insured Person’s cover exceeds:
 - R 5,000 (five thousand rand) in respect of the Main Insured Person or Accountholder.
 - R 5,000 (five thousand rand) in respect of a Partner.
 - R 7,500 (seven thousand five hundred rand) in respect of Joint Cover (Accountholder and Partner).
• Hollard may increase this limit from time to time.
• In the event that a claim is submitted where these limits as stated above has been breached, the amount payable by Hollard will be limited to the maximum benefit allowed. Hollard may refund a portion of the premiums paid for cover above the maximum benefit.
• Only one Credit Agreement shall be covered per Application Form and Certificate of Cover. Should an Insured Person apply for a second retail account, a new Application Form must be submitted and a new Certificate of Cover must be issued for the new retail account. In the event that this was not done and a claim is submitted, Hollard shall only be liable for the claim amount applicable to the original retail account.
• In the event that claims for more than one benefit are qualified for at the same time, only one such benefit, being the benefit of maximum value per Credit Agreement, will be payable at any time.
• This policy does not require any paid-up value or surrender value.
• All payments of benefits are subject to the verification of the validity of any claim.

GENERAL RESTRICTIONS, EXCLUSIONS, PROVISIONS AND CONDITIONS
CONSENT TO THE DISCLOSURE OF PRIVATE INFORMATION
• It is essential for insurance companies to share claims and underwriting information (including credit information) in order to enable the fair assessment and underwriting of risks and to reduce the number of fraudulent claims.
• Insured Persons are required to waive any right to privacy and consent to the disclosure of any insurance information provided by them or on their behalf for any insurance policy or claim made or lodged by the Insured Persons or on their behalf and to agree to such information being disclosed to any other insurance company, whether on their behalf or on behalf of any person represented herein.
• This consent clause will survive the Expiry of Insurance Cover for whatever reason, including the cancellation or lapse thereof.
• The information provided may be verified against other sources or databases.

CURRENCY AND LAW
• Premiums and benefits payable under this policy shall be paid in the Republic of South Africa and in South African Rands only.
• This policy shall be governed by and interpreted in accordance with South African Law in the courts of the Republic of South Africa.

TERRITORY COVERED
• Insured Persons must primarily reside in the Republic of South Africa to be covered in terms of this policy. Cover is extended to include a visit lasting less than 3 (three) months outside the Republic of South Africa.
• An Insured Person who is not a South African citizen, or a legal permanent resident or who primarily resides outside the Republic of South Africa, will not be covered in terms of this policy.

CRIMINAL ACTIVITIES
• Hollard shall have no liability whatsoever under this policy, where any claim arises from or is the result of any intentional contravention of any criminal law, whether legislative or common-law (including fraud), by the Credit Provider or the Insured Person, or by anyone acting on behalf of the Credit Provider or Insured Person or with his/her consent, or by any person claiming any benefit under this policy.
• In the event of such a claim, all benefits afforded in terms of this policy and all premiums paid in respect of this policy shall be forfeited, and this policy may be void or cancelled as of the date of the criminal offence, at Hollard’s discretion.

MISREPRESENTATION, MISDESCRIPTION OR NON-DISCLOSURE
• Misrepresentation, misdescription or non-disclosure of any material fact or circumstances in connection with this policy, a claim or the application for cover under this policy may result in the Insured Persons’ cover being cancelled, a claim being rejected or cover under this policy being void from inception and all premiums in respect of that cover being forfeited.
• In the event that a benefit has been paid as a result of any misrepresentation, non-disclosure, misdescription or fraudulent action by the Credit Provider, the Insured Person or any person claiming any benefit under this policy, such person will be required to repay or return the benefit paid. Hollard shall be entitled to take legal action to recover the benefit as well as any other costs involved.

30-DAY REVIEW PERIOD
• Where no claim has been instituted in terms of this policy or where no right has accrued to institute a claim, an Insured Person may, within 30 (thirty) days of the Commencement of Insurance or receipt of policy documentation, whichever is later, cancel their cover under this policy by contacting TRUWORTHS and informing them of such cancellation. Such cancellation of cover shall be subject to TRUWORTHS’ written approval.
• All premiums paid during this 30 (thirty) day review period, subject to the deduction of the cost of any cover actually enjoyed by the Insured Person(s), shall be refunded by Hollard to TRUWORTHS, who shall in turn refund the Insured Person(s).

PREMIUM CALCULATION
• The premium payable shall be a monthly premium calculated with reference to the Outstanding Liability as provided by the Credit Provider.
• In the event that premiums are incorrectly calculated and are insufficient to pay for the benefits as specified, Hollard shall notify You of the correct premium amount, and full cover shall only resume on the condition that the additional premium and any outstanding premiums are paid to Hollard.
• If no such adjustment is effected within 30 (thirty) days, all benefits applicable to the Insured Person(s) for whom the premium was incorrectly calculated shall be reduced to only provide cover applicable to the total premium received.

NO PREMIUM NO COVER
• The Insured Person’s cover shall begin upon receipt of the first premium due in respect of the Credit Agreement or with the commencement of the Credit Agreement, whichever date is later.
• Premiums are due and payable monthly in arrears on the same date as the Commencement of Insurance.

PREMIUM PAYMENT DAYS OF GRACE
• A period of 30 (thirty) days’ grace from the premium due date is allowed for the payment of each premium due and payable. During this period, all benefits will remain in force. If any event occurs during this grace period that results in a valid claim, the unpaid premium will be deducted from any amount paid out.
• The premium grace period does not apply to the payment of the first premium.

PREMIUM AND POLICY AMENDMENTS
• Hollard may increase the premiums from time to time by giving You 30 (thirty) days’ written notice of such increase.
• Hollard may amend this policy by way of endorsement, provided that any amendment will not retrospectively affect the extent of cover already provided and in force in terms of this policy.
• Hollard may charge an administration fee for any amendment requested (including reinstatement of cover). Hollard will advise of the administration fee at the time that the amendment is requested.

CHANGES IN DETAILS SUPPLIED
• Should there be any changes to the original details supplied at the time of application, the Insured Person(s) must notify TRUWORTHS within 30 (thirty) days of such changes occurring. TRUWORTHS shall notify Hollard of such changes, and Hollard shall take any action deemed necessary in this regard.
• Should the Insured Person not notify TRUWORTHS of such changes, or should the Insured Person notify TRUWORTHS of such changes and TRUWORTHS fails to notify Hollard, then Hollard reserves the right to reject liability in terms of a claim or to cancel the Insured Person’s cover.

CANCELLATION
• You may request the cancellation of Your policy by giving Hollard 30 (thirty) days’ notice of such cancellation.
 - Such cancellation shall be subject to Hollard’s receipt of written approval of cancellation of the policy and the cession from TRUWORTHS.
 - If a premium has been paid for any period beyond the date of cancellation of the policy, Hollard shall refund the relevant premium to TRUWORTHS, who will in return refund it to You.
• Hollard may cancel the policy by giving You 30 (thirty) days’ notice of cancellation. If a premium has been paid for any period beyond the date of cancellation of the policy, Hollard shall refund the relevant premium to TRUWORTHS, who in return will refund it to You.

COMMUNICATION METHOD
• All communication with Hollard must be done in writing.
• Hollard may, at its sole discretion, accept communication by phone where such communication is voice logged by Hollard or on Hollard’s behalf.

CLERICAL ERROR
A clerical error by Hollard shall not invalidate insurance otherwise validly in force, nor continue insurance otherwise not validly in force.

CONDITION PRECEDENT
Hollard’s liability in terms of this policy is conditional on TRUWORTHS, the Insured Person or anyone acting on behalf of TRUWORTHS or the Insured Person, complying with all the terms, conditions and warranties of this policy.

WAIVER OF CONDITIONS
• No waiver of any of the terms, conditions and endorsements of this policy shall be valid unless made in writing under the signature of a duly authorised officer of Hollard. In addition, no act or omission by Hollard or any officer, employee or servant of Hollard shall be deemed a representation on behalf of Hollard upon which TRUWORTHS, Insured Persons or their representatives are entitled to act.
• Hollard shall have the right to do all that is deemed necessary and appropriate to comply with any requirements of any legislation or regulatory authorities.

HOLLARD’S LIABILITY
• Hollard will not be liable for any payments unless the premium due in terms of the Credit Agreement has been received, and the applicable documentation, data or medical evidence and satisfactory proof of a claim, as required by Hollard, has been provided to Hollard at the expense of the Insured Person or, if applicable, the appointed executor or TRUWORTHS.
• Payment by Hollard of the benefits provided in the event of a valid claim in terms of the Insured Person’s cover under this policy will be a full and effective discharge by Hollard of its liability and obligations in terms of that cover.
• No benefit payable under this policy shall carry interest.

CLAIM PROCESS
• Upon the occurrence of an event that may result in a claim in terms of this policy, the Insured Person or his/her appointed executor shall submit the claim to TRUWORTHS, who in turn shall submit the claim to Hollard.
• Hollard shall be notified of the full details of the claim in writing as soon as is reasonably possible but within a maximum of 180 (one hundred and eighty) days from the date of the event giving rise to the claim.
• Hollard shall in no way whatsoever be liable for the payment of any benefit if the full details of the claim are not received within the maximum period as stipulated above.
• All certificates, information and evidence required by Hollard shall be furnished in the form prescribed and without expense to Hollard. Should Hollard require confirmatory diagnosis or a second opinion on the evidence submitted to Hollard, the Insured Person shall submit to medical examinations by a Medical Practitioner appointed by Hollard, at Hollard’s expense, as often as shall be required in connection with any claim.
• Hollard shall be entitled to access any medical and hospital records in relation to the Insured Person’s health and make copies of such records.
• Any receipt or discharge which TRUWORTHS may give to Hollard for any benefit paid under this policy shall be deemed as final and complete discharge of all liability of Hollard in respect of any and every contingency relating to the Insured Person in consequence of the claim event, whether resulting before or after the date of such receipt or discharge.

REJECTION OF CLAIM AND TIME BAR
• If Hollard declines liability for a claim made in terms of this policy, voids this policy, or if there is a dispute regarding the amount of the claim, representation may be made to Hollard within 90 (ninety) days (the ‘representation period’) of the date of your receipt of the letter of rejection or avoidance. Representation must be submitted in writing to:
The Hollard Life Claims Manager, PO Box 87428, Houghton 2041
Fax: 011 351 3003
• Alternatively, you may contact:
The Ombudsman for Long-Term Insurance, Private Bag X45, Claremont 7735
Tel: 021 657 5000
Fax: 021 674 0951
• If the dispute is not satisfactorily resolved in this manner, legal action may be instituted against Hollard for the enforcement of the claim by way of the service of summons against Hollard. Summons must be served on Hollard within 180 (one hundred and eighty) days of the expiry of the representation period, failing which all benefits in respect of such claim shall be forfeited and no liability can arise in terms of such claim.

INTERPRETATION
• Words importing the singular shall include the plural, and vice versa, words importing the masculine gender shall include the feminine, and vice versa, and words importing natural persons shall include legal persons, and vice versa.
• The clause headings in this policy are inserted for reference purposes only and shall not affect the interpretation of any of the provisions to which they relate.

DEFINITIONS
Unless the contrary is evident from the context, the following words and phrases shall have the following meanings wherever they appear in this policy:

ACCIDENT
Accident refers to a sudden, fortuitous and uncertain event, which is caused solely and directly by violent, external, physical and visible means independent of any other cause.

APPLICATION FORM
Application Form refers to the document with which the Insured Person(s) applies for cover in respect of this policy.

BLINDNESS
Blindness is the total, permanent and irreversible loss of all sight in both eyes as a result of an illness or accident. Diagnosis has to be confirmed by an ophthalmologist and evidenced by a permanent visual acuity impairment (which is not reversible by surgery), resulting in a Snellen rating of less than 20/200 bilaterally.

CANCER
Cancer refers to any malignant tumour positively diagnosed with histological confirmation characterised by the uncontrolled growth of malignant cells and invasion of tissue. The term ‘malignant tumour’ includes leukaemia, lymphoma and sarcoma, however the following are not covered:
• All tumours that are histologically classified as pre-malignant, non-invasive, cancer in situ, or having either borderline malignancy or low malignant potential.
• All tumours of the prostate, unless histologically classified as having a Gleason score greater than 6 (six) or having progressed to at least clinical TNM classification T2N0M0.
• All skin cancers, other than malignant melanoma that has been histologically classified as having caused invasion beyond the epidermis (outer layer of the skin).
• Chronic lymphocytic leukaemia, unless histologically classified as having progressed to at least stage 2 on the RAI classification system.
• Lymphoma that is limited to one region of lymph nodes.

CERTIFICATE OF COVER
The Certificate of Cover is the document issued in respect of insurance cover for a particular Credit Agreement and forms part of this policy.

CLAIM PAYABLE DATE
The Claim Payable Date is the date on which a valid claim becomes payable and is equal to the claim event date plus any Deferred Period (if applicable).

COMA
A Coma is a state of unconsciousness with no reaction or response to external stimuli or internal needs, persisting continuously, with the use of life support systems, for a period of at least 96 (ninety-six) hours and which in the opinion of Hollard results in permanent neurological deficit. Diagnosis has to be confirmed by a specialist and neurological deficit has to be medically documented for at least 3 (three) months. A Coma secondary to alcohol or drug misuse is not covered.

COMMENCEMENT OF INSURANCE
Commencement of Insurance refers to the date from which an Insured Person is covered in terms of this policy for a particular Credit Agreement. It is equal to the date of receipt of the first premium due for cover in respect of that Credit Agreement or the commencement of the Credit Agreement as noted on the Certificate of Cover, whichever is later.

CORONARY ARTERY BYPASS GRAFT
Coronary Artery Bypass Graft is the undergoing of surgery to correct the narrowing of, or blockage to, two or more coronary arteries by means of a bypass graft. Realisation of the bypass surgery has to be confirmed by a cardiothoracic surgeon. This excludes:
• Angioplasty.
• Keyhole surgery.
• Any other intra-arterial procedures.

CREDIT AGREEMENT
Credit Agreement means a retail account, which meets all the criteria for credit agreements as set out in Section 8 of The National Credit Act 34 of 2005 (as amended), and which is entered into between the Credit Provider and the Insured Person(s).

CREDIT PROVIDER - TRUWORTHS
The Credit Provider is the financial institution, as specified in the Certificate of Cover, that has entered into the Credit Agreement with the Insured Person(s).

DEFERRED PERIOD
Deferred Period means the period, starting on the claim event date, for which a claim condition must endure continuously in order for a benefit to become payable.

EXPIRY OF INSURANCE COVER
Expiry of Insurance Cover means the date from which all benefits and premiums in respect of a particular Credit Agreement will cease to be payable, and is equal to whichever occurs earlier:
• The Main Insured Person’s death.
• All benefits pertaining to cover for that Credit Agreement being cancelled, ceased, expired or lapsed.
• The non-payment of any premium within 30 (thirty) days of the premium due date.
• The payment of a claim, where the claim amount is equal to the Outstanding Liability.
• The termination of the Credit Agreement in terms of sections 122 or 123 of the National Credit Act 34 of 2005 (as amended).

HAZARDOUS SPORTS/ACTIVITIES
Hazardous Sports/Activities include but are not limited to participation in the following sports on an income-earning basis or participating in the following sports more than once a month:
aviation sports, paragliding, underwater diving necessitating the use of an artificial breathing apparatus, hang-gliding, hunting, spear-fishing, rock climbing or mountaineering necessitating the use of ropes and guides, micro-lighting, motorboat racing, motor racing, motorcycle racing, skydiving/parachuting, target shooting, acrobatic flying, parasailing, go-carting, drag racing, rally driving, bungee jumping, winter sports involving snow or ice, or any racing other than on foot.

HEART ATTACK
Heart Attack is the death of the heart muscle, due to inadequate blood supply, as evidenced by at least two of the following criteria:
• Compatible clinical symptoms.
• Characteristic ECG changes, which can be either of the following:
- New pathological Q-waves, defined as:
- Any new Q-wave in leads V1 through V3.
- A Q-wave greater than or equal to 40 ms (0.04s) in leads I, II, AVL, AVF, V4, V5 or V6.
- The Q-wave changes must be present in any two contiguous leads, and be greater than or equal to 1mm in depth.
- The appearance of new complete bundle branch block.
Or
- ST-segment and T-wave changes, when accompanied by raised cardiac markers as described below, indicative of myocardial ischaemia that may progress to myocardial infarction, defined as:
- Patients with ST-segment elevation:
o New, or presumed new, ST segment elevation at the J-point in two or more contiguous leads with the cut-off points greater than or equal to 0.2mV in leads V1, V2 or V3, and greater than or equal to 0.1mV in other leads.
o Contiguity in the frontal plane is defined by the lead sequence AVL, I and II, AVF, III.
- Patients without ST-segment elevation:
o ST-segment depression of at least 0.1 mV.
o T-wave abnormalities only.
• Pre-intervention raised cardiac markers:
 -  Trop T greater than 1,0 ng/ml.
 - Trop I greater than 0,5 ng/ml.
 - CK-MB mass greater than two times the normal values in acute presentation phase.
 - Total CPK elevation of greater than two times the normal values, with at least 6% (six percent) being CK-MB.

And with permanent impairment in one or more of the following functional criteria, as measured 6 (six) weeks post-infarction:
• LVEF of less than 30% (thirty percent).
• LVEDD of more than 72 (seventy-two).
• Ultrasound FS in percentage of less than 16% (sixteen percent).
• METS of 1 (one) or less.
• NYHA classification of Class 4 (four).
The evidence must show a definite acute myocardial infarction. Other acute coronary syndromes, including but not limited to angina, are not covered by this definition.

HEART VALVE SURGERY
Heart Valve Surgery is the undergoing of major surgery requiring median sternotomy (division of the breastbone) on the advice of a consultant cardiologist to replace or repair 2 (two) or more heart valves. Realisation of the heart valve surgery has to be confirmed by a cardiothoracic surgeon.

HIV THROUGH BLOOD TRANSFUSION
HIV Through Blood Transfusion means the contraction of HIV as a result of the transfusion of infected blood or blood products from a transfusion service recognised by Hollard, and occurring after the commencement date of the policy. The transfusion service must admit liability for the incident. Payment in terms of this condition shall only be made while AIDS continues to be an incurable disease.

HOLLARD
The Hollard Life Assurance Company Limited.

INSURED PERSON(S)
Insured Person(s) refers to the person(s) who have been accepted as Main Insured Persons or Partners in terms of this policy. No person will be covered unless listed in the Certificate of Cover as an Insured Person.

MAIN INSURED PERSON/POLICYHOLDER
The Main Insured Person or Policyholder is the principal debtor in terms of the Credit Agreement and who is listed in the Policy Schedule as the Main Insured Person in terms of this policy.

MAJOR BURNS
Major Burns are burns that involve damage or destruction of the skin to its full depth through to the underlying tissue, covering at least 20% (twenty percent) of the body surface area as determined by the Lund Browder chart.

MAJOR ORGAN TRANSPLANT
Major Organ Transplant is the actual undergoing of a transplant as the recipient of a heart, lung, liver, pancreas, small bowel, kidney or bone marrow. Realisation of the transplantation has to be confirmed by the relevant medical specialist. Excluded are:
• The transplant of all organs, parts of organs or any other tissue, other than those specified above.
• The injection of cells into organs to generate growth.

OUTSTANDING LIABILITY
Outstanding Liability refers to the outstanding balance due by an Insured Person in terms of the Credit Agreement at the Claim Payable Date, excluding any finance charges, arrears due on the Claim Payable Date and any interest thereon.

PARALYSIS
Paralysis is the total and irreversible loss of the use of 2 (two) or more limbs through paralysis due to an Accident or illness of the spinal cord. These conditions have to be medically documented by a specialist for at least 3 (three) months. Paralysis due to Guillain-Barré-Syndrome is excluded.

PARTNER
A Partner is a surety approved by the Credit Provider, who is contractually bound in terms of the Credit Agreement and is listed in the Certificate of Cover as a Partner in terms of this policy.

A Partner also refers to the person to whom You or the Insured Person (as applicable) is married.
Marriage means:
• A marriage or civil union in terms of statutory law.
• A union that is recognised as a marriage in terms of any customary or tribal law or under the tenets of any Asiatic religion.
• A union where 2 (two) persons are living together as if married (whether in a heterosexual or homosexual partnership), with the commitment of continuing to do so permanently and had been doing so for at least 12 (twelve) consecutive months immediately prior to the Benefit Inception Date and for at least 12 (twelve) consecutive months immediately before a claim is submitted.
This is provided that satisfactory proof is submitted to Hollard regarding the conditions above.

PERIOD OF INSURANCE
Period of Insurance for a particular Credit Agreement means the period between the Commencement of Insurance and the Expiry of Insurance Cover, subject to the receipt of premiums monthly in arrears.

PHYSICIAN OR MEDICAL PRACTITIONER
Physician or Medical Practitioner means a person legally licensed and duly qualified to practise medicine and surgery (other than the Policyholder, the Insured Person or a member of their family).

POLICY SCHEDULE
Policy Schedule is the document issued in respect of this policy and which forms part of this policy.

RENAL FAILURE
Renal Failure is end-stage renal disease presented as the chronic irreversible failure of both kidneys to function, as a result of which either regular renal dialysis (haemodialysis or peritoneal dialysis) is instituted or renal transplantation is required. Diagnosis has to be confirmed by a nephrologist.

RETRENCHMENT
Retrenchment means being retrenched or made redundant by an employer during the term of the employment agreement due to new technology, reorganisation by the employer, liquidation of the employer or staff reductions as contemplated under the Labour Relations Act of 1995 (as amended), and which prevents the Insured Person from earning an income from any occupation.

STROKE
• Stroke is the death of brain tissue due to inadequate blood supply or haemorrhage within the skull resulting in neurological deficit lasting longer than 24 (twenty four) hours, consistent with the area of the brain affected and confirmed by a neuro-imaging investigation and appropriate clinical findings by a specialist neurologist.
• The stroke must result in a Whole Person Impairment (WPI) of greater than 35% (thirty five percent) (calculated as per the American Medical Association Guide to the Evaluation of Permanent Impairment, 6th Edition) or result in the Insured Person being unable to do 3 (three) or more basic Activities of Daily Living (Bowel status, Bladder status, Grooming, Toileting, Feeding, Transfers from chair to bed, Indoor mobility, Dressing, Stairs, Bathing).
• The severity level must be assessed by means of a full neurological examination by a specialist neurologist any time after 3 (three) months.
• Excluded are:
- Transient ischaemic attacks (TIA).
- Traumatic injury to brain tissue or blood vessels.
- Vascular disease affecting the eye or optic nerve.
- Migraine and vestibular disorders.

TERRORIST ACTIVITY
Terrorist Activity denotes an act involving the use of violence and/or intimidation, or the threat or preparation thereof, which appears to be intended to disrupt, coerce or influence a government, the public or a section of the public, read together with Section 1 of the Protection of Constitutional Democracy Against Terrorist and Related Activities Act (Act 33 of 2004) as amended.

TOTAL AND PERMANENT DISABILITY
Total and permanent disability means medically certified total disability as a result of illness, injury or disease, which cannot be cured or treated and prevents the Insured Person from earning an income by following his/her own occupation, or any other occupation for which he/she is suited in terms of training, education and experience. An Insured Person shall also be deemed to have suffered total and permanent disability upon the loss or loss of use of both hands, both feet (or one of each) or both eyes. If the Insured Person was not permanently employed for a period of at least 6 (six) consecutive months before the onset of disability, total and permanent disability shall mean the loss or loss of use of both hands, both feet (or one of each) or both eyes.

TREATMENT OR ADVICE
Treatment or Advice means the regular or routine examination by, or consultation with, a Physician or Medical Practitioner for the purpose of monitoring existing medical conditions.

TRUWORTHS
TRUWORTHS shall mean Truworths Limited (Reg. No.: 1940/013923/06). TRUWORTHS is a juristic representative of Hollard, an authorised Financial Services Provider.

WAITING PERIOD
Waiting Period means the period, starting on the Commencement of Insurance, during which the occurrence of a claim event does not result in a benefit becoming payable.

YOU
You shall mean the Insured Person who has applied for insurance cover in terms of this policy.

INFORMATION
Note: This section does not form part of the policy and is provided for informational purposes only.

To communicate with Hollard in connection with this policy, kindly contact: Hollard Life Assurance Company Limited Retail Division PO Box 87428 Houghton 2041 Tel: 011 351 5000 Fax: 011 351 3982 To communicate with the Credit Provider in connection with this policy, kindly contact: Truworths Limited PO Box 4775 Cape Town 8000 Tel: 021 460 7021 Fax: 021 460 7142 Reg. No.: 1940/013923/06

QUERIES, ADMINISTRATION AND CLAIMS
In the event of a general query, Insured Persons must contact the Administrator at the Administrator’s address below. In the event of a claim, Insured Persons must contact the Administrator at the Administrator’s address below to obtain a claim form and to be advised of all additional documentation required in order for the claim to be processed.

ADMINISTRATOR’S CONTACT DETAILS
Glenrand MIB Consultants (Pty) Ltd t/a Finrite Insurance Administrators, a division of the Aon Group Company PO Box 22524
Helderkruin
1733
Tel: 0861 375 225
Fax: 0865 060 002

Only original documentation will be accepted. In the event that the original is not available, only copies certified by a Commissioner of Oaths will be accepted. Documentation can be faxed in order for the claims department to start processing the claim.

Hollard shall at all times have the right to inspect all documents relating to the policy and will communicate with the Insured Person(s), the Credit Provider or appointed executor regarding any problems with the documentation.

COMPLAINTS PROCEDURE
If an Insured Person has a complaint about the advice or service received from the representative, the Credit Provider can be contacted at the address above. If the matter is not resolved to their satisfaction by the Credit Provider, the complaint may be submitted to the FAIS Ombudsman:
The FAIS Ombudsman, PO Box 74571, Lynwood Ridge 0040
Sharecall: 0860 324 766 Tel: 012 470 9080 Fax: 012 348 3447

Complaints about the policy may be submitted to Hollard:
Hollard Life Assurance Company Limited, Retail Division, PO Box 87428, Houghton 2041
Tel: 011 351 5000 Fax: 011 351 3982

If the matter is not satisfactorily resolved by Hollard, the complaint may be submitted to the Ombudsman for Long-Term Insurance:
The Ombudsman for Long-Term Insurance, Private Bag X45, Claremont 7735
Tel: 021 657 5000 Fax: 021 674 0951

MATTERS OF IMPORTANCE
• Insured Persons must accurately, fully and properly disclose all material facts. All information provided by Insured Persons or on their behalf is their own responsibility. Insured Persons need to be satisfied with the accuracy of any and all transactions submitted by anyone on their behalf.
• If an Insured Person did not receive a summary of the policy within 60 (sixty) days, or a full copy of the policy upon request, or if an Insured Person feels that the policy or the manner in which the policy was sold does not meet legal requirements, or if an Insured Person is not happy about the advice received, please write to The Compliance Officer: Hollard, PO Box 87428, Houghton 2041
• Insured Persons must not sign any incomplete or blank documents. No person may request or insist that they do so.

Insurance Fraudline