
Insurer cannot rely on policy terms after adviser’s misrepresentation
A policyholder’s godfather was recorded as her father despite the adviser knowing the true relationship, leading to a ruling that the insurer must pay the claim.

A policyholder’s godfather was recorded as her father despite the adviser knowing the true relationship, leading to a ruling that the insurer must pay the claim.

The Bill re-organises existing asset-protection obligations into a fiduciary framework that places greater emphasis on governance, evidence, and customer protection.

The Appeal Tribunal found that an undisclosed diagnostic test was not material to the insurer’s assessment of the risk and ordered the claim to be paid.

The outcomes-based framework links product and service governance with customer expectations and the experience that follows.

The decision turned on the adviser’s acceptance of personal benefits from a client, the lack of proper compliance disclosure, and the higher standard expected of a KI.

The NFO says proactive disclosure, better underwriting conversations, and stronger intermediary oversight will benefit customers and insurers alike.

The JSE issues a public censure and suspended fine after the Komati Basin Water Authority again failed to publish a required SENS announcement on time.

Guidance under development signals stricter application of existing rules to sustainability claims and disclosures.

Opting for personal cover to save on premiums can backfire. Insurers may reject claims if income-generating use was not disclosed.

Exclusion clauses will not operate where indemnities are not properly concluded with each participant and brought to their attention.

Determination says a ‘reasonable broker’ would supplement a bulk email with an email or phone call to ensure the client is aware of new conditions.

The Tribunal agrees with the FSCA that the entity’s key individual did not ‘come clean’ about her past misconduct.

Changes such as joint ventures, investing in infrastructure, and switching to higher-value crops can introduce risks that may not be covered.

Business owners who neglect to inform their insurers of changes risk denied claims, policy voidance, and even lawsuits.

Applicants must fully disclose all relevant information during underwriting, even if it was divulged in past applications.

From misrepresented investment products to overlooked policy details, the cases show how advisers can better serve clients by providing clear, timely, and relevant information.

Medical schemes cannot cancel membership based solely on the non-disclosure of a diagnostic procedure that does not lead to the diagnosis of a serious medical condition.