If the pandemic has taught us anything, it is how quickly life can change and the importance of having financial protection and planning in place so as not to leave our families in a financially vulnerable position.
One of the certain but sometimes unpredictable changes we experience is death, and while many consider the plans they have made to be sufficient, there are sometimes issues that appear only after death has occurred and when it is too late to rectify them.
Money Smart Week South Africa (MSWSA) 2021 is a campaign that will be taking place between March 22 and 28, and is intended to inspire people to become financially literate and to educate South Africans about where to obtain the right advice and information when it comes to money matters.
One of the topics that will be covered during MSWSA 2021 is the importance of life insurance, which is insurance that is meant to protect you and your family when it comes to life-changing events such as death.
One of the participants at MSWSA this year, who will cover this topic, is the ombudsman for long-term insurance.
The ombudsman for long-term insurance is a free and easy to use independent service that resolves disputes between consumers and providers of life insurance who are members of the scheme.
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When resolving complaints, the ombudsman for long-term insurance considers issues of fairness and equity as well as the law and the policy wording of the contract that exists between the insurer and the client.
According to the ombudsman for long-term insurance, there are many different kinds of funeral policies, including group policies and individual policies that either cover one life or the life of extended family members.
These policies can be sold directly to consumers by insurers through financial advisers, by banks or shops or through membership of other organisations.
Even if a funeral policy is structured to provide for a funeral service as a benefit, a funeral policy must always also provide for a sum of money to be paid as an alternative to a funeral.
There are many helpful tips and guidelines to follow when buying funeral insurance. Some of these include:
• Always make sure the person selling you funeral cover has a licence from the Financial Sector Conduct Authority (FSCA) to sell insurance. Ask the person to show you their licence.
• Make sure you know who the insurer is. Funeral policies are often administered and sold by third-party funeral administrators.
• If there is an application form, fill it in yourself. Make sure you read everything on the form, including the fine print above your signature.
• You must be sent a policy or a policy summary when your application is accepted. Read it and make sure you understand it. If not, phone and find out what it means.
• Make sure your premiums are paid every month on time. It is your responsibility, even if you are paying by debit order or stop order and always keep proof of payment. If the premium is not paid, the policy may be terminated, and a claim may be refused.
• Make sure any beneficiary nominations (where you nominate the name of the person who must receive the benefits on your death) are up to date and still reflect your wishes. When the person covered by the policy dies, the claim must be submitted as soon as possible.
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• Check in the policy how much time there is for a claim.
If the claim is late, the insurer can refuse to pay the claim; and if a claim is refused for any reason, the insurer or administrator must give you the reasons in writing. If you are not able to resolve a complaint with an insurer, then you can contact the ombudsman for long-term insurance.
Always remember that you have 30 days “cooling-off” period after you receive the policy to cancel it if you are not satisfied. Educating yourself about funeral policies and what your rights are can help to avoid being “scammed” by illegal operators. It is important that you deal with trustworthy organisations and registered financial service providers.
• Take your time and do not rush into a decision to buy a policy.
“A common complaint about funeral insurance is that the claim was declined because the deceased died during the waiting period.
“Make sure you understand the waiting period applicable to your policy, especially when adding a family member after the policy has already commenced,” said a spokesperson from the ombudsman for long-term insurance scheme.
“Also ensure you have correctly disclosed the relationship between you, the policyholder or main insured, and the family member you wish to cover.”
For more helpful tips and information visit https://www.ombud.co.za/complaints/helpful-tips
Call the ombudsman for long-term insurance scheme on 021 657 5000 or Sharecall 086 010 3236 if you have a complaint and the insurer has not resolved it to your satisfaction.
