
CDH flags compliance risks in replacement policy advice
The law firm says recent FAIS Ombud and Tribunal decisions highlight disclosure, suitability, and record-keeping failures in replacement policy cases.

The law firm says recent FAIS Ombud and Tribunal decisions highlight disclosure, suitability, and record-keeping failures in replacement policy cases.

I-FSCA yarhoxisa ilayisenisi ye-Luvuyo’ kwinyanga yeThupha emva kokuba uthotho lwezigqibo lufumanise ukuba le nkampani ayiphumelelanga ukuhlawula amabango kwaye yasebenza ngaphandle kombhali ongaphantsi.

Failing to follow FAIS-mandated policy-renewal procedures and poor record-keeping constituted a serious regulatory breach that justified dismissal.

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.

The funeral provider has faced repeated determinations this year after failing to settle valid claims.

Luvuyo Burial and Consulting did not pay the claims in full even after the Ombud’s Office intervened.

The beneficiaries waited months to be paid their funeral policy benefits, but they received only partial pay-outs despite undertakings to the contrary.

Some insurers send SMS or email reminders, but it is the policyholder’s responsibility to ensure that an overdue premium is paid.

Microinsurers are no longer restricted to imposing a waiting period of three months for a death, disability, or health event resulting from natural causes.

The consultant should have provided the available options to the insured and left it to the insured to decide which category best suited his business.