Declarations

Old Mutual Life Assurance Company (SA) is a licensed Financial Services Provider and Life Insurer and holds Professional Indemnity Insurance.

I have read and understood the product information given to me during this application.

I understand and agree that:

  • All the information I have provided to Old Mutual in this application is true and correct.
  • This is only an application. Old Mutual will evaluate this application and may accept or refuse it.
  • I acknowledge that when Old Mutual evaluates my application, Old Mutual may accept or adjust the cover that I have chosen.
  • If Old Mutual accepts my application, they will send me an English policy contract.
  • I understand that this funeral plan has a six-month waiting period from the application date or date on which an insured person was added under the plan. During this waiting period, Old Mutual will only pay the cover if the insured person dies because of an accident. However, if the funeral plan I am claiming on was taken out within two months of a previous policy that was designed to cover funeral expenses being cancelled (including because it had lapsed or its term had ended), the waiting period may be reduced. I also understand that the waiting period will not be reduced if the previous policy was cancelled but cover under it had not ended when an insured person dies. If I applied for more cover under this plan than I had under the previous policy, Old Mutual will not reduce the waiting period on the increased portion of cover.
  • You have 30 days to opt out the contract from date of receiving the policy contract at no cost to you.
  • The cover will be changed if Old Mutual at claims stage discovers that the date of birth I provided for any insured person differs from his/her date of birth on the death certificate or his/her ID document. It is important to ensure that the date of birth for all insured persons are correct and to notify Old Mutual of any changes.
  • The premiums will increase on 1 July each year but the cover will stay the same. If I don't pay the increased premium, the cover will reduce by the same portion as the premium should have increased.
  • I may cancel this Funeral Plan but will not get any money because this product does not have any withdrawal or cancellation value.
  • I must tell Old Mutual if any of my personal details change or the details of any beneficiaries or the premium payer (if different).
  • Old Mutual needs access to my personal information to evaluate any application for insurance I make for underwriting purposes and to consider a claim for benefits. If Old Mutual doesn't have access to this information, it cannot evaluate my application and consider claims. I also understand that my personal information may be shared with other insurers to enable all insurers to consider applications for insurance that I make for underwriting and claims purposes. I understand that my personal information is protected by law and will be treated confidentially. I authorise a doctor, hospital or any other person to provide the information that Old Mutual may need.
  • I understand that legal limits also apply to insured persons younger than 14 and Old Mutual has set its own limit relating to stillborn children. I am aware that at the time of death, Old Mutual will never pay more than what is allowed by law.
  • I understand replacing any insurance policy for this product may be to my disadvantage and that I should preferably speak to a qualified financial adviser before doing so.

When paying for my policy:

  • I give Old Mutual permission to arrange for the payment of the premiums with my bank.
  • Premium increases and up to two outstanding premiums may be included in these deductions.
  • Premiums for an Old Mutual Group Schemes policy will show on my bank statement as "OMGPSCHEME".
  • The bank will deduct the premium on the day that I have chosen, or where this is not possible, the soonest date thereafter.
  • Old Mutual will use an early debit order service provided by certain banks to collect premiums when there is not enough money in my account on the date that I have chosen. This service allows Old Mutual to track my bank account and to deduct my premiums when there is enough money in my account. Any premium for an Old Mutual Group Schemes policy that is deducted with the early debit order service will show on my bank statement as "OLD MUTUAL".

I declare that:

  • All insured persons on this application are permanent residents of the Republic of South Africa.
  • My current financial position makes it possible for me to pay the monthly premiums for the product/products I am applying for.
  • I am responsible for the funeral costs of all the insured persons on this application.
  • I confirm that all information provided is true and complete. I understand that if I misstated or failed to give certain facts, Old Mutual may keep the premiums I have paid and I will not receive any benefits.

All transactions are recorded and can be made available upon request.

For Complaints process and options please visit our website: https://www.oldmutual.co.za/customer-complaints/

POPIA notice

The Old Mutual Group would like to offer you ongoing financial services and may use your personal information to provide you with information about products or services that may be suitable to meet your financial needs. Please SMS your ID number to 30994 if you would prefer not to receive such information and/or financial services. The Old Mutual Group may use, share or obtain your personal information (including criminal and/or health information) for the following purposes:

  • Underwriting
  • Assessment and processing of claims
  • Where applicable, credit reference searches or verification, credit scoring and assessment and credit management
  • Verification of personal information (including your identity, address and banking details)
  • Updating your personal information
  • Claims checks (Industry Life & Claims Register(s))
  • Tracing beneficiaries
  • Debt tracing or debt recovery
  • Tracing you where you are uncontactable
  • Prevention and detection of fraud, crime, money laundering (including anti-money laundering screening) or other malpractice
  • Market or customer satisfaction research or statistical analysis
  • Audit & record keeping purposes
  • Compliance with legal & regulatory requirements and in connection with legal proceedings
  • Sharing information with service providers we engage to process such information on our behalf or who render services to us. These service providers may be abroad, but we will not share your information with them unless we are satisfied that they have adequate security measures in place to protect your personal information.

You agree that Old Mutual may view, search and update your information.

You may access your personal information that we hold and may also, under certain circumstances, request us to correct any errors or to delete this information.

In certain cases you have the right to object to the processing of your personal information.

You also have the right to complain to the Information Regulator, whose contact details are:

www.justice.gov.za/inforeg/index.html

Our AML Obligations

We have to apply South Africa’s laws against money laundering (AML) and terrorist financing. We have to perform a customer due diligence exercise on any person associated with this plan (including you) before making payment to them. This will include any person that you nominate as a beneficiary or replacement owner, where applicable. It also applies to any owner to whom you cede the plan, where allowed.

TERMS OF USE

You hereby instruct Us via the Services to effect transactions in accordance with these terms and conditions in accordance with Your instructions.

Your instruction becomes irrevocable once submitted to Us, and an instruction is deemed to have been submitted once You have positively indicated Your verification of the instruction by means of the functionality available.

You must take all reasonable precautions to prevent unauthorised use of the Services and unauthorised access to Your mobile device. If You suspect that Your device has become known to an unauthorised person, you must immediately notify the Client Services Helpdesk at 0860 50 60 70. Any act performed, obligation undertaken or omission of any person other than Us, in connection with the Services, shall be deemed to have been performed, undertaken, or made by you, unless You are able to prove that a person other than You has obtained Your Mobile device through Our negligence or internal fraud.