Page 79 - Hollard Private Portfolio - Version 3.5

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Hollard Private Portfolio – Version 3.5 – 7 May 2024
Personal liability
Paying out after a claim
Territorial limits
You are covered for liability claims which are made against you anywhere in the world, except if the liability claim is made
in the United States of America (USA), Canada or any other country which operates under the laws of the USA or Canada.
Pay-outs are always limited
When you claim for personal liability, your pay-out will always be limited to a specific amount in any 12-month period.
These amounts are chosen by you when you take out the policy, and are stated in your policy schedule.
In some cases, the pay-out may be less than the maximum stated in your policy schedule if we decide that it represents
a fair settlement. We may pay the full limit or any lesser amount for which the claim may be settled to finalise a claim.
All pay-outs are made in South Africa, in local currency.
Example
Your dog runs out into the street and bites a passer-by. He has to go to hospital, and incurs medical expenses of
R95 000. If the sum insured in your policy schedule for this kind of event is stated as R1 000 000, we will pay out the
full R95 000.
How we deal with your liability claim
○ We will take over your rights to defend yourself.
○ We will consider whether you are responsible for causing the damage, loss, bodily injury, illness or death.
○ If we do not consider you responsible, we will refute liability on your behalf and send a letter to this effect to
you, as well as to the person claiming liability against you. We will continue with your defence until the matter
is finalised.
○ If you are responsible, we will negotiate with the other person on your behalf. We will attempt to reach a
settlement for the damage, loss, injury, illness or death. If we cannot reach a settlement, or if we receive a
summons from the court, we will go to court on your behalf.
How we may settle your liability claim
○ We will pay once we have either negotiated a settlement, or once we have accepted legal liability on your
behalf.
○ We may pay the liability benefit either to you, or to the person that is claiming liability against you.
○ Once we have paid the liability benefit, we have met our responsibilities to you under this policy. We will not be
responsible for any other costs relating to that claim.
Dual insurance
If you have more than one insurance policy in place that covers you for liability for the same event, the full amount of
the claim will be split proportionally between the different policies.
○ The cover you have under each policy will determine how we split the claim amount.
○ If you claim from us, you may not also claim from the other insurer, and if you claim from the other insurer, you
may not also claim from us.
○ If you claim from us, we may settle your claim in one of the following ways:
– We may pay the full claim amount to you and recover from the other insurer the part of the claim that
they are responsible for.
– We may pay only our part of the claim to you and arrange with the other insurer to pay their part of
the claim directly to you.
○ Whichever option we decide on, we will pay back the part of the premiums received which relates to the other
insurer’s part of the claim, but only in respect of premiums received for three years prior to the date of the
claim.
○ It is the other insurer’s responsibility to refund the premiums you paid to them relating to our portion of the
claim, and you will have to contact the other insurer directly for a refund.