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Auto & General Insurance Company Ltd (Broker)
 
Reg.No. 1973/016880/06

STATUTORY NOTICE OF DISCLOSURE TO SHORT-TERM POLICYHOLDERS IN TERMS OF THE POLICYHOLDER PROTECTION RULES
(This does not form part of the Insurance Contract or any other document)

As a short-term insurance policyholder, or prospective policyholder, you have the right to the following information:
 
About Your Intermediary (Insurance Broker)
 

About Your Insurer

  1. Insurer: Auto & General Insurance Company Ltd
    Physical Address: Cnr. Barry Hertzog and Napier Roads, Richmond, Johannesburg
    Postal Address: P.O. Box 11250, Johannesburg, 2000
    Tel: 011 489 4000
  2. The Compliance Officer P.O. Box 11250, Johannesburg, 2000
    Tel: 011 489 4767
    Fax: 011 489 4169
  3. In the event of a claim or complaint, you must call the local branch of the insurer's claims administrators, Hot-line Administrative Services (Pty) Ltd, at the number that appears on your Schedule.
  4. The type of cover appears on your Schedule.
  5. For your premium obligations refer to your Schedule to the paragraph headed:"Payment details" on your policy, for details regarding premium payable, the manner of payment of premium and the due date for your premium.
  6. If the premium for your policy is not received timeously, you will not have the cover for the period for which you did not pay. From the second month's due payment you will be allowed a 15 day period of grace, for payment of the premium. If we do not receive the premium for two months in a row, the Policy will be cancelled.
  7. The rand amount of fees paid to your broker as well as commission appears on your Schedule.

Other Matters of Importance

  1. You must be informed of any material changes to the information referred to in the above paragraph(s).
  2. If the information in the above paragraph(s) was given orally, it must be confirmed in writing within 30 days.
  3. If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit the complaint to the Registrar of Short-term Insurance.
  4. Polygraph or any lie detector test is not obligatory in the event of a claim and the failure thereof may not be the sole reason for repudiating a claim.
  5. If premium is paid be debit order:
    1) it may only be in favour of one person and may not be transferred without your approval; and
    2) the insurer must inform you at least 30 days before the cancellation thereof, in writing, of its intention to cancel such debit order.
  6. The insurer and not the intermediary must give reasons for repudiating your claim.
  7. Your insurer may not cancel your insurance merely by informing your intermediary. There is an obligation to make sure the notice has been sent to you.
  8. You are entitled to a copy of the policy free of charge.

WARNING

Do not sign any blank or partially completed application forms. Complete all forms in ink. Keep all documents handed to you. Make notes as to what is said to you. Don't be pressurised to buy the product. Incorrect or non-disclosure by you of relevant facts may influence an insurer on any claims arising from your contract of insurance.

Particulars of Short-term Insurance Ombudsman

Available to advise you in the event of claim problems which are not satisfactory resolved by the insurance intermediary and/or insurer:
Postal Address: P.O. Box 32334, Braamfontein, 2017
Tel: 011 726 8900
Fax: 011 726 5501

Particulars of Registrar of Short-term Insurance:
Postal Address: Financial Services Board, P.O. Box 35655, Menlo Park, 0102
Tel: 012 428 8000
Fax: 012 347 0221

SASRIA Limited
Reg. No. 1979/00287/06
STATUTORY NOTICE OF DISCLOSURE IN TERMS OF SECTION 4.2 OF THE POLICYHOLDER PROTECTION RULES.

About your SASRIA (South African Special Risk Insurance Association) Cover.

  1. You have purchased SASRIA cover.
  2. The cost of your SASRIA cover is reflected on your Schedule.
  3. For further details of what your SASRIA cover does and does not cover please see your Policy Book.
  4. In the event of a claim under your SASRIA policy you must call your local branch of Hot-line Administrative Services (Pty) Ltd., at the telephone number that appears on your Schedule.

Consent to share information
"I acknowledge that the sharing of claims information and underwriting information (including credit information) by Insurers is essential to enable the Insurance Industry to underwrite policies and to assess risks fairly and to reduce the incidents of fraudulent claims, in the public interest and with the view to limiting premiums. On my own behalf and on behalf of any person I represent herein, I hereby waive any right to privacy in any insurance information provided by me or on my behalf in respect of any insurance policy for claims made or lodged by me and I consent to such information provided by me or on my behalf in respect of any insurance policy for claims made or lodged by me and I consent to such information being disclosed to any other insurance company or agent. I also acknowledge that the information provided by me may be verified against other legitimate sources or databases. I also waive any rights of privacy and consent to the disclosure of any information relevant to any insurance policy or claim concerning me."

 
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