Terms & Conditions
Full Terms and Conditions and Disclosures are included in the policy documents that are sent after sign-up for the product you have selected. These should be read in full after you have taken out a Simply policy. You will have the right to cancel the policy within 31 days at no cost (you will be refunded any premiums that have already been paid).
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 email@example.com.
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.
Simply distributes OMART insurance products online, through its own call centre, and through third party intermediaries. 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 firstname.lastname@example.org. 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 SIMPLY 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.
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.
Simply is an authorized financial services provider (FSP) marketing, distributing and servicing long-term insurance products underwritten by OMART. Simply does not provide financial advice as defined by the Financial Advisory and Intermediary Services Act (FAIS). The Simply insurance calculator offers you an opportunity to consider your financial commitments and what future obligations your loved ones might have. This does not constitute advice.
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 (where applicable). 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 for Family and Domestic Cover will increase by 5% on every policy anniversary. Premiums for Staff Cover will be revised annually based on the risk profile of the members of the group at the date of renewal. 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. It is also NOT available on the Staff Cover product. 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.
The cover will start as soon as your application has been completed,unless your first premium is due to be collected more than 30 days from the application date, in which case cover will start 30 days before Simply receives your first premium. Your policy will automatically be renewed each year and will continue as long premiums continue to be paid. Lives covered under Simply’s Group products are only covered as long as they remain actively at work, and the Group Disability Cover is only available until the employee turns 65.
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.
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.
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, the life insured and their family (if applicable) will only be covered for claims as a result of accidental causes. If their 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 the main life insured 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.
If the policyholder and/or the lives covered under the policy have given false information in the application, or not told us about any medical conditions they have, claims will not be paid.
Where the premium is payable by 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.
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 enter a waiting period under this policy, 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.
Further terms and conditions apply. View our detailed policy documents here: