(a)
(b)
(c)
(d)
(e)
(f)

Name, physical address and postal address and telephone number.
Legal status and any interest in the insurer.
Whether or not in possession of professional indemnity insurance.
Detail of how to institute a claim.
Rand amount of fees and commission payable.
Written mandate to act on behalf of insurer.

Name, physical and postal address and telephone numbers.
Telephone number of compliance department of the insurer.
Details of how to institute a claim and/or complaint.
Type of policy involved.
Extent of premium obligations you assume as policyholder.
Manner of payment of premium, due date of premiums and consequences of non-payment.

(a)
(b)
(c)

(d)

(e)
(i)
(ii)

(f)
(g)

(h)

You must be informed of any material changes to the information referred to in paragraph 1 and 2.
If the information in paragraphs 1 and 2 was given orally, it must be confirmed in writing within 30 days.
If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit the complaintto the Registrar of Short-term Insurance.
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.
If premium is paid by debit order:
it may only be in favour of one person and may not be transferred without your approval; and
the insurer must inform you at least 30 days before the cancellation thereof, in writing, of its intention to
cancel such debit order.
The insurer and not the intermediary must give reasons for repudiating your claim.
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.
You are entitled to a copy of the policy free of charge.

Particulars of Registrar of Short-term Insurance Financial Service Board

PO Box 35655
MENLO PARK
0102
Tel: (012) 428 8000
Fax: (012) 347 0221

(You may be required to sign a copy of this document)