Page 111 - Policy Wording - Hollard Business Binder (2020-08-26)

3.6.1
3.6.2
3.6.3
Occupation is the main factor used in determining rates, although the cover need not be restricted to accidents of employment. The risks of leisure, other than hazardous sports, are common to all, but the risks associated with profession, trade or businesses vary according to the work performed.
It would be impossible to classify every known occupation, and while the following listings provide a broad cross-section of occupations they are, as the heading suggests, only guidelines. Should you be required to provide a quotation in respect of an occupation that is not listed, it should be matched as closely as possible to one of a similar nature appearing in the listings for rating purposes.
Occupational classes:
Stated Benefits/Group Personal Accident
3.3
3.4
3.5
Financial status
3.3.1 Careful consideration must be given to requests for high sums insured which are not in keeping with the financial status of the insured person, e.g. R1 000 000 for a farm labourer.
3.3.2 The TTD weekly benefits should be commensurate with the earnings of the insured person, i.e. 100% of weekly earnings up to a maximum of say R1 000.
3.3.3 An exception may be made in cases where the Insured would in addition to having to meet normal expenses have to engage substitute labour or have to source a replacement out of South Africa.
3.3.4 It is not unusual to request a copy of the payslip or at least an indication of annual earnings.
Abnormal risks which may arise from:
3.4.1 occupational hazards;
3.4.2 sports activities (non-professional);
3.4.3 road or air travel;
3.4.4 physical conditions;
3.4.5 social habits;
3.4.6 living conditions;
3.4.7 exposure to assault.
Special underwriting which may require the Company to decline the risk or to impose special underwriting action such as:
3.5.1 limitation of the death and disability benefits;
3.5.2 exclusion of the first period of payment in respect of the weekly benefits (e.g. 14 days);
3.5.3 restriction of period for which the weekly benefits are paid (e.g. up to 26 weeks);
3.5.4 premium loading;
3.5.5 application of a lower age limit for expiry of cover;
3.5.6 exclusion of assault risks;
3.5.7 exclusion of death or disablement arising from certain types of work;
3.5.8 exclusion of effects of certain physical disabilities;
3.5.9 exclusion of certain activities (e.g. participation in certain sports).
These exclusions would be over and above the normal exclusions as per the Hollard Business Policy wording.
Occupational classes
3.6
Class 1
a) professional
b) clerical
c) office worker
d) supervisory, involved in training
Class 2
a) light trades or light manual labour
b) not exposed to any specific hazards
c) farmers
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Commercial Underwriting Mandates and Guidelines – Binder – Version 2 2020