Page 107 - Hollard Private Portfolio - Version 3.5

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Hollard Private Portfolio – Version 3.5 – 7 May 2024
Personal accident
Key terms to understand
Accident An incident an insured person could not foresee, that happens unexpectedly and
unintentionally at an identifiable time and place, and results in death or bodily injury.
This includes motor vehicle accidents and hijackings.
Bodily injury Physical injury to an insured person’s body caused by accidental, external and visible
means. This includes injury caused by starvation, thirst and exposure to the elements.
Bodily injury includes an illness that was caused solely and directly by medical or surgical
treatment following accidental bodily injury. This does not include any pre-existing
illness, medical condition, disability or injury that existed at any time before the cover
start date.
Dependents Family members of you or your partner who rely on you for the bulk of their financial
support (such as money, shelter, clothes and food) even if they are not living with you.
Family members must live within the Republic of South Africa and include children,
grandchildren, parents, grandparents, siblings, uncles, aunts, nieces and nephews.
Insured persons You, your partner, your dependents and your regular domestic employee.
Medical practitioner A person who is legally licensed and qualified to practise medicine and surgery as required
by the laws of the Republic of South Africa. This person may not be the policyholder, an
insured person or any member of their family.
Partner A person who is your spouse, permanent life partner or civil union partner.
You The definition of ‘you’ only refers to a policyholder who is a natural person.
Conditions for cover
○ Policyholder: The Personal accident cover does not apply to a policyholder that is a juristic entity.
○ Age limit: An insured person must be six months or older, but not older than 80 years at the date of an accident.
○ Period of insurance: We cover accidents which happen during the period of insurance.
○ Time limit: We only cover the death, disability or bodily injury of an insured person if it happens within
24 months from the date of the accident.
○ Territorial limits: We cover an insured person anywhere in the world, but your permanent home must be within
the borders of South Africa.
How much we pay
We pay out the exact amount of cover that you chose when you signed up for this policy, so any claim is settled simply
by referring to the schedule of compensation below:
Schedule of compensation
○ death − sum insured stated in your schedule.
○ medical benefit − sum insured stated in your schedule.
○ disability − as stated in the disability table.
What we cover you for
We will automatically cover an insured person for the following benefits up to the limits shown in your policy schedule.
Bodily injury
We cover you for bodily injury sustained anywhere in the world that results in:
○ death within 24 months
○ permanent disability within 24 months
○ injury that requires medical treatment.
The bodily injury must have been sustained directly as a result of an event that was clearly violent and accidental.