Life cover nominations still valid despite administrative slip
A signed nomination received during the policyholder’s lifetime satisfied the contractual requirements despite an incorrect policy number.
#insuranceclaims
When insurance claims are declined: how exclusions work
A complaint reviewed by the National Financial Ombud Scheme highlights how exclusions linked to unlawful conduct are assessed.
Under fire: the risks reshaping short-term insurance in SA
Interconnected hazards are altering claims patterns and capital pressures for insurers – shifting priorities for brokers and corporate risk teams, says PSG Insure.
Tracking failures could void theft cover as year-end vehicle crime rises
Discovery Insure warns that inactive or faulty tracking devices may leave motorists without hijacking or theft protection.
Ombud clears up big misconception about claims rejected for drunk driving
Insurers may reject claims where corroborating evidence places a driver at a pub, shows alcohol purchases, or records behaviour consistent with intoxication.
Umboneleli Womngcwabo unyusa izigwebo ezilishumi elinambini (12) ze-FAIS Ombud ngokuchasene nayo
I-FSCA yarhoxisa ilayisenisi ye-Luvuyo’ kwinyanga yeThupha emva kokuba uthotho lwezigqibo lufumanise ukuba le nkampani ayiphumelelanga ukuhlawula amabango kwaye yasebenza ngaphandle kombhali ongaphantsi.
Income protection leads Bidvest claims as clients face higher short-term risks
According to Bidvest Life’s 2024 Claims Report, younger clients and women accounted for most income protection claims – signalling where advisers’ risk focus may need to shift.
Funeral provider racks up 12 FAIS Ombud rulings against it
The FSCA revoked Luvuyo’s licence in August after a string of determinations found the firm failed to pay claims and operated without an underwriter.
Laser scar therapy can be a recoverable medical expense
The High Court’s ruling clarifies that clinically necessary cosmetic interventions can be recognised as legitimate past medical expenses in personal injury claims.
Road risks climb: Why clients can’t afford to skimp on car insurance
South Africa ranks 4th worst in the world for road safety, with rising accident claims underscoring the need for appropriate protection.
R9.2m RAF claim crashes over tailgating and lack of proof
A High Court ruling shows that failing to keep a safe following distance – and failing to back up your story with solid evidence – can cost you your case as well as your claim.
Luvuyo Burial hit with three more Ombud rulings over unpaid funeral claims
The funeral provider has faced repeated determinations this year after failing to settle valid claims.
Facing the future: how insurance is evolving to tackle uncertainty
Santam’s Thabiso Rulashe on how insurers are adapting to stay resilient – and profitable – in an era of rising risks.
Life insurers pay out R39.5bn, with 95.6% of death claims honoured
Policies subject to underwriting had the highest payout rates in 2024, reflecting lower fraud and non-disclosure and the value of comprehensive risk assessment.
Actuaries forge new path for life and health insurers to quantify climate risk
The first Mortality and Morbidity Impact Assessment Framework guides insurers through a structured approach to evaluate long-term climate-driven health risks.
Neglecting maintenance? Your insurance claim could be denied
Neglecting routine home or vehicle maintenance could cost thousands in rejected insurance claims – as policyholders found out in 2024, according to the NFO.
Insurers using tech to beat scammers at their own game
Beyond one-off fakes, syndicates are exploiting AI to reuse damage photos and cloned invoices across multiple claims.
