Terms and Conditions

Full Terms and Conditions and Disclosures are included in the policy documents that are sent after sign-up. These should be read in full after you have taken out a Simply policy. You will have the right to cancel (cool-off) the policy within 30 days at no cost (you will be refunded any premiums that have already been paid). If you want to cancel after this 30-day period, your premiums will not be refunded.

Simply Financial Services

Simply Financial Services (Pty) Ltd (Simply), registration number 2011/132479/07, is an authorised financial services provider (FSP), FSP Number: 47146, licensed by the Financial Services Board (FSB) to supply long-term insurance products, categories A&B. Simply’s Compliance Officer can be contacted on compliance@simply.co.za.

The Insurer

The Insurer is Old Mutual Alternative Risk Transfer Limited (OMART), registration number 1997/008994/06, a registered long-term insurer with its offices at Mutualpark, Jan Smuts Drive, Pinelands. The Insurer is a member of the Old Mutual Group. The Insurer’s Compliance Officer can be contacted at 021 509 2191.

Cell captive arrangement

Simply is one of OMART's preference shareholders, which means Simply shares in profits and losses that result from the insurance business generated by Simply. In the insurance industry, this is called a cell captive arrangement. As OMART's representative, Simply markets and sells policies such as yours, in return for remuneration from OMART. Simply is not an intermediary and only markets and sells Simply policies.

Administration

Simply has appointed IUA Business Solutions as policy administrators, and some communications you receive from us will mention IUA. IUA can be contacted on: queries@simply.co.za or 087 625 0461.

Application process

Simply distributes OMART insurance products online and through a call centre. Sign-up for an insurance policy is done telephonically or by completing an online application. By signing up for an OMART policy through Simply, you agree to be bound by OMART and Simply’s terms and conditions. Once your application has been submitted to Simply, Simply will evaluate your application and check the personal and banking details provided to ensure that they are correct and relevant to you as an applicant. You will be able to review the application and correct any mistakes in your application. Once Simply has receive the application and accepted it on behalf of OMART, you can cancel the policy at any time by sending an email to: cancellations@simply.co.za. If you, as policyholder, cancel the policy, we will not collect any more premiums from you. The cover will continue until the next normal debit date.

The Simply contract

Your contract consists of your application, policy schedule and policy document. Simply policies are underwritten by OMART, which means that OMART is responsible for paying claims under the policy. Simply markets, distributes and looks after the insurance policies, including your own, but your agreement to pay a monthly premium in return for cover is directly with OMART.


The cover you have under the policy will be explained fully in your policy document. Be sure to read your policy document carefully, double check all the details in the document and contact us if you have any questions.

Personal Information

Simply takes the protection of your personal information very seriously. By accepting the terms and conditions, you consent to the sharing of your information knowing that this will be kept confidential.


We respect your privacy and take great care to protect the confidential information you give us; we will deal with it in a lawful manner. Simply will not share your personal information with any third party except if it is required to do so in the ordinary course of business, or where required by law. We don’t like spam and we won’t sell your details to anyone for their marketing purposes.


Simply may collect and process certain personal information for communication and administrative purposes. Collection and processing of this information will help us give you better service and create products tailored to meet your needs.

Financial Advice

Simply is an authorised FSP, marketing, distributing and servicing long term insurance contracts underwritten by OMART. Simply’s FSP license conditions stipulate that the company may not provide financial advice as defined by the Financial Advisory and Intermediary Services Act, 37 of 2002 (FAIS).

Premium payment

Simply facilitates the collection of your premium on behalf of OMART. You agree that you will pay the premium on the specified date(s) and authorise OMART to debit your bank account using the bank account information provided in your application. Premiums will be payable monthly in advance from the start date of your policy, and your obligation to pay a monthly premium will continue as long as your policy is in effect. Premiums will increase by 5% on every policy anniversary. Your premiums are guaranteed for the first year thereafter Simply may revise them, with at least 30 days’ notice.

Body Repatriation Benefit

This benefit is offered as part of the Family Funeral cover ONLY, and is only automatically included in policies sold after 26/06/2017. In summary it provides:

  • Assistance in locating the deceased’s body if required
  • Overnight accommodation for the next-of-kin in order to identify the body (up to R500)
  • Repatriation of mortal remains from within the borders of South Africa to a place of burial also within the borders of South Africa
  • Referral to a pathologist if an autopsy is required
  • Referral to a reputable undertaker, and assistance with funeral arrangements
  • Advice on how to apply for death certificate
  • Referral to counselling services for support and advice
The benefit is limited to services to the total value of R15,000 per policy, per policy year, regardless of how many lives are claimed for in that year. The benefit is not exchangeable for cash.. The same limitations and exclusions that apply to claims on the main benefit also apply to the repatriation benefit.

Term

The cover will begin as soon as your policy is issued (even if you have not yet paid your first premium). You will be informed when the cover is live. Your policy will automatically be renewed each year and will continue as long as you continue to pay premiums. In the case of Family Funeral plans, children are only covered until they turn 21. You must inform Simply should you or any family member covered spend more than 90 days outside of South Africa within a calendar year, and we reserve the right to discontinue your cover if this is the case.

Cool-off Period

If you change your mind and want to cancel this policy within 30 days of taking it out, we will refund any premiums you have paid. If you want to cancel after this date, you’ll lose any premiums you’ve paid.

Policy Reinstatement

You are permitted to reinstate lapsed policies within 3 months of your first missed premium. However Simply and OMART reserve the right to limit the number of allowed reinstatements to 5 over the term of the policy.

Claims (applies to Standard Policy)

Until you have paid 6 monthly premiums, you and your family (if applicable) will only be covered for claims as a result of an accident that occurs after the policy is issued. If you die due to natural causes, all the premiums paid will be refunded. If your spouse or child die of natural causes during this waiting period, the funeral benefit will not be paid, but the policy will continue.

Claims (applies to Accidental-Only Policy)

This policy only covers you for claims arising from an accident that occurs after the policy is issued. This means that it only pays out on death or disability that is caused by a sudden and unexpected event that happens at a clear time and place. An accident is usually something violent - something external and outside your control that happens TO you. If you die as a result of illness, you are NOT covered.

Simply Cash Back

If you have chosen Simply Cash Back, you will pay an additional premium, and be entitled to receive 50% of the total premiums you pay back as a lump sum benefit every 5 years. The benefit is only payable if you pay all your premiums and there are no claims during the period. The benefit payable is equal to 50% of premiums paid in the previous 5 years, so it is not cumulative. If you have missed premiums, you will need to pay 60 premiums (i.e. 5 years worth of premiums) before you are eligible for the benefit. You can cancel this benefit at any time, but you will not get back any of the contributions you’ve already paid. If you cancel one of the benefits in your package, or there is a claim on one of the benefits, but you keep the others, you will remain eligible to receive the cash back benefit on the other benefits as long as they remain active.

Non-Disclosure

If you have given false information in your application, or not told us about any medical conditions you have, your claim will not be paid.

Debit order

We will attempt to deduct your premium on the debit order date you’ve selected, but we may track your bank account and deduct on another day.

Replacement Policy

If this policy is replacing an existing policy, please make sure that you have carefully compared the premiums, benefits and terms and conditions of this Simply policy against the policy it is replacing. You may pay fees and commissions twice, although these are all embedded in the premiums you are charged in both policies.


You may pay fees and commissions twice, although these are all already in the premiums you are charged in both policies.


If you have a standard policy, you will enter a waiting period, which could no longer apply in your existing policy. During this waiting period you will only be covered for accidental death.


Your existing policy premium may increase at a different rate, or may have a different guarantee period than this Simply policy.


Your existing policy may have different exclusions (events that are not covered) than your Simply policy.


If you have chosen to take out our Accidental-Only policy, and your existing policy covers you for all causes of death, you must consider this carefully before replacing it with a policy that provides a more limited cover.

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