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Claims

At Sanlam, we don’t just deal with claims, we do so with diligence.

We find reasons to pay, not the other way around. Because that’s how we honour our commitment and your claim.

COVID-19 Claims

Depending on the specific benefit you have, Sanlam will cover you for any illness, impairment or disability where these conditions are caused as a result of complications linked to infection by any bacteria or virus. The virus can be COVID-19 or another virus. This includes claims for temporary or permanent inability to work, severe illness or even death. For our Sickness and Temporary Disability Income benefits, when claiming for sick leave or temporary inability to work as the result of COVID-19, we will require you, your doctor or employer to complete a special COVID-19 form to fast track these claims.

 

 

 

Death Claimshttp://www.sanlam.co.za/claims/Pages/death-claims.aspxDeath ClaimsForms to be completed when the deceased had an individual savings or life policy with Sanlam and the proceeds of the policy(ies) must be claimed by the next-of-kin or executor.http://www.sanlam.co.za/CoZaBannerImages/DeathClaims.jpg?RenditionID=5, /CoZaBannerImages/DeathClaims.jpg?RenditionID=5
Funeral Claimshttp://www.sanlam.co.za/claims/Pages/funeral-claims.aspxFuneral ClaimsForms to be completed when claiming the funeral benefit on a Funeral Cover policy(One Family Supporter, Funeral Help Plan, Standard Family Funeral Cover or Waiver Family Funeral Cover).http://www.sanlam.co.za/CoZaBannerImages/FuneralClaims.jpg?RenditionID=5, /CoZaBannerImages/FuneralClaims.jpg?RenditionID=5
Benefit Claimshttp://www.sanlam.co.za/claims/Pages/benefit-claims.aspxBenefit ClaimsThere are various benefits that you can claim for eg. Disability, Trauma, Accident, Impairment, Sickness or Income Protector benefits. Find the claim form for the specific benefit that you wish to claim for.http://www.sanlam.co.za/CoZaBannerImages/BenefitClaims.jpg?RenditionID=5, /CoZaBannerImages/BenefitClaims.jpg?RenditionID=5

Pay Outs 2019

For many years, we’ve gone over and above the norm to take excellent care of our clients. Our commitment to doing more than what’s expected of us is just one of the things that makes us Wealthsmiths™.

When the unexpected happens, you can expect more from us.

In 2019 we paid more than 99% of Death claims, 78% of Disability claims, 71% of Severe Illness claims, 94% of Sickness claims and 91% of Income Protector claims.

What we don’t pay for:

  • Claims that don’t meet the claim criteria
  • Non-disclosure

*Accidental and Funeral included.

2019

In 2019 we paid for all valid claims.

A third of all death claims admitted were for women and two thirds for men.

Most of the severe illness claims were admitted for cancer, of which 33% for breast cancer (women) and 19% were for prostate cancer (men).

Most of the Income Protector claims for men were admitted for accidents and injury and most of the claims for women were for musculoskeletal diseases.

Most sickness claims were paid in respect of clients between 26 and 45 years old.

Major Causes

Statistically, the causes for claims are as follows:

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