STATUTORY NOTICE TO SHORT TERM INSURANCE

POLICY HOLDERS IMPORTANT - PLEASE READ CAREFULLY

DISCLOSURE AND OTHER LEGAL REQUIREMENTS

(This Notice does not form part of the Insurance Contract nor any other document)

As a short-term insurance policyholder, or prospective policyholder, you have the right to the following information:

1. DETAILS OF THE INSURER

Company Name: Guardrisk Insurance Company Limited Registration number 1992/001639/06
Physical Address: 115 West Street, Sandton 2146
Postal Address: P.O. Box 781692, Sandton, 2146
Telephone Number: +27 11 669 1000
Facsimile Number: +27 11 669 1931
FAIS Registration: Guardrisk Insurance Company Limited is an authorised financial services provider in terms of FAIS Act, FSP No.75
Claims Procedure: Completed claims forms and all required documents to be submitted to Natsure Limited PO Box 14098 Hatfield Pretoria 0028
Compliance Officer: Tel: +2711 669 1039, Fax: +2711 669 2792, E-mail: compliance@guardrisk.co.za
Guardrisk Insurance Company Limited has Professional Indemnity Insurance and Fidelity Cover in force.

2. PREMIUMS (DETAILS OF THE PREMIUMS PAYABLE)

Due Date of Payment: Monthly premiums are payable on the date of the presentation of the debit order at the bank. Annual premiums on or before the inception or renewal date. Payable premiums are provided in the policy schedule.
Consequence of Non-Payment: If the premium is not received as aforesaid, you have further 15 days to pay failing which the policy will cancelled and any claim will not be covered.
Method of Payment: Premiums may be paid by debit order, EFT or by cheque on or before the Due Date. Payable Premiums are provided for in the policy schedule.

3. OTHER MATTERS OF IMPORTANCE

  1. You will be informed of any material changes to the information about the intermediary and or insurer provided above.
  2. If any of the information reflected above was given to you orally, this disclosure notice serves to provide you with the information in writing. Should you not be satisfied with the policy, you are entitled a period up to 30 days within which you may cancel your policy in writing at no cost. Cover will cease upon cancellation of the policy.
  3. If we fail to resolve your complaint relating to an advice satisfactorily, you may submit your complaint to the FAIS Ombudsman at P.O. Box 4571 Lynwood Ridge 0040 or any other complaint to the Ombudsman of the Short Term Insurance.
  4. You will always be given a reason for the repudiation of your claim.
  5. If the insurer wishes to cancel your policy, this will be done in writing, to your last known address.

4. WARNING

  1. Do not sign any blank or partially completed application form.
  2. Complete all forms in ink.
  3. Keep notes of what is said to you and all documents handed to you.
  4. Don’t be pressurised to buy the product.
For complaints on claims that are not satisfactory resolve by the product supplier contact: For complaints to the intermediary or insurer that are not resolved to your satisfaction, please contact:

5. PARTICULARS OF THE SHORT-TERM INSURANCE OMBUDSMAN

6. PARTICULARS OF THE REGISTRAR OF SHORT-TERM INSURANCE

Postal Address: Short-Term Insurance Ombudsman, PO Box 32334, Braamfontein, 2017
Telephone Number: +2711 726 8900
Facsimile Number: +2711 726 5501
Postal Address: Financial Services Board, PO Box 35655, Menlo Park, 0102
Telephone Number: +2712 428 8000
Facsimile Number: +2712 347 0221

SASRIA SOC LIMITED

Reg. No. 1979/000287/06

Postal Address: PO Box 653367, Benmore, 2010 Physical Address: 36 Fricker Road, Illovo
E-mail Address: info@sasria.co.za Website: www.sasria.co.za
Telephone Number: +2786 172 7742 Facsimile Number: +2786 172 7329
Claims Notification Procedure: In the event of a claim, all relevant documentation relating to your claim must be submitted to the Noted Insurer. Compliance Officer: SASRIA Limited PO Box 653367, Benmore, 2010