Page 108 - Hollard Private Portfolio - Version 3.5

106 Hollard Private Portfolio – Version 3.5 – 7 May 2024
Personal accident
If the injury results in death, we will be entitled to have a post-mortem examination undertaken. This will be done at our
own expense.
Disappearance
If an insured person disappears during the period of insurance, we will assume their death and will pay out the death
benefit. The following conditions apply to this benefit:
○ We will assume an insured person’s death if the evidence suggests that the most likely conclusion is that they
have died because of bodily injury sustained in an accident.
○ We will make the decision to pay the disappearance benefit within 12 months after the date of disappearance.
○ If an insured person is found to be alive after we have paid the disappearance benefit, the person who received
the death benefit amount must pay it back.
Permanent disability benefit
If an insured person sustains bodily injury because of an accident, we will pay a percentage of the sum insured.
○ The sum insured is shown in your policy schedule.
○ The percentage we will pay is based on the nature of the injury as shown in the Disability table which you can
find on the last page of this cover section.
○ If an insured person is permanently disabled, but the nature of the injury is not shown in the Disability table,
then we will pay a percentage which (in our opinion) is consistent with the percentages shown in the Disability
table.
Exposure
We will pay if you are injured as result of exposure to the elements after an accident or an accident of the vehicle you
are travelling in. Injury here includes the effects of thirst and starvation. 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.
Bereavement benefit
In the event of an accident giving rise to a death claim, we will pay the benefit stated in your policy schedule as a
contribution towards bereavement expenses.
Emergency transportation costs
If an insured person sustains bodily injury because of an accident, we will pay the costs and expenses necessary for
emergency transportation of an injured insured person to the closest suitable medical facility.
Hospital benefit
This benefit pays a daily allowance for any non-medical expenses if an insured person requires hospitalisation after
sustaining bodily injury in an accident.
○ We will pay the amount shown in your policy schedule for each day in hospital, up to the maximum amount
shown in your policy schedule for a 12 month period.
○ Hospitalisation means that an insured person is admitted to a registered medical facility for a continuous period
of at least 24 hours.
This benefit does not provide the benefits of a medical scheme and is not a substitute for medical scheme membership.
Life support machinery
If an insured person sustains bodily injury because of an accident, we will pay the cost of life support machinery or
equipment needed. We will not pay for any costs that are covered by a medical aid.