DISCLOSURE DOCUMENT/STATUTORY NOTICE TO SHORT-TERM INSURANCE POLICYHOLDERS
IMPORTANT – PLEASE READ CAREFULLY
DISCLOSURE AND OTHER LEGAL REQUIREMENTS
(This notice does not form part of the Insurance Contract or any other document)
As a short-term insurance policyholder, or prospective policyholder, you have the right to the following information:
About the Administrator/Financial Service Provider
Nova Risk Partners Ltd, the product provider, have contracted with Cellsure, to provide all administrative support including advice for this insurance
product offering. Cellsure is a registered short term FSP.
Please contact Cellsure on any policy or claims related queries and for any advice required. Please note that the dealerships and Vodashops are not able to
provide you with advice and do not undertake administration on the product.
1. DETAILS OF YOUR ADMINISTRATOR/FINANCIAL SERVICE 2. DETAILS OF YOUR INSURER
(a) Name, physical address and postal address and telephone number: (a) Name, physical address and postal address and telephone number:
CELLSURE (Pty) Ltd Nova Risk Partners Limited
Reg No: 1996/01191/07 Reg No: 1998/011947/06
Vat No: 4760160244 Vat No: 4640176261
Authorised Financial Services Provider No: 16950 Authorised Financial Services Provider No: 7368
Block H, Metropolitan Office Park, 82 Wessels Road, Rivonia, 2128 Ground floor, 7 Fricker Road, Illovo
P.O. Box 2537, Rivonia, 2128 P.O. Box 55674, Northlands, 2116
Tel: (011) 844 2800 Fax: (011) 844 2913/844 2917 Tel: 011 – 268 6490
e-mail address: firstname.lastname@example.org (b) Whether or not in possession of professional indemnity insurance – Yes
website: www.cellsure.co.za (c) Telephone number of compliance department of the insurer – 011 268 6495 or
Compliance Officer: C van der Walt 011 268 6490
(d) Details of how to institute a claim and/or complaint – Please contact Cellsure to
(b) Legal status and any interest in the insurer - None initiate claims and complaints. Should you not be able to resolve these, contact
(c) Detail of how to institute a claim – Refer Policy Schedule Nova on the above numbers.
(d) Rand amount of fees and commission payable – 10% administration fee to (e) Type of policy involved - Cellular/ Sim Card/ Device Insurance
Cellsure, 20% operations fee to Vodacom S.A. (Pty) Ltd. (f) Extent of premium obligations you assume as policyholder – See Policy Schedule
(e) Written mandate to act on behalf of Insurer - Yes and notice below
(g) Manner of payment of premium, due date of premiums and consequences of non-
payment – See Notice Below
3. Other matters of importance -
(a) You must be informed in the event of any material changes to the information referred to in paragraphs 1 and 2.
(b) If the information in paragraphs 1 and 2 was given orally, it must be confirmed in writing within 30 days.
(c) If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit the complaint to the Registrar of
(d) Polygraph or any lie detector test is not obligatory in the event of a claim and the failure thereof may not be the sole reason for repudiating a claim.
(e) If premium is paid by debit order:
i) it may only be in favour of one person and may not be transferred without your approval; and
ii) the insurer must inform you at least 30 days before the cancellation thereof, in writing, of its intention to cancel such debit order.
(f) The insurer and not the intermediary must give reasons for repudiating your claim.
(g) Your insurer may not cancel your insurance merely by informing your intermediary. There is an obligation to make sure the notice has been sent to you.
(h) You are entitled to a copy of the policy free of charge.
Do not sign any blank or partially completed form.
Complete all forms in ink.
Keep all documents handed to you.
Make notes as to what is said to you.
Don’t be pressurised to buy the product.
Incorrect or non-disclosure by you of relevant facts may influence an insurer on any claims arising from your contract of insurance.
Other Important Information - (You may be required to sign a copy of this document)
Premiums and your monetary obligations - You agreed to pay the premium. The amount of premium due, the frequency of payment and the date on which
payment is due are contained in the schedule. If you do not pay the premium within 15 days of the due date cover will be cancelled from midnight on the day
before the due date. Where premium is payable monthly by bank debit order or by transmission account this 15 day extension only applies from the second month
after your policy is issued.
Claims - Procedures for the submission of claims are detailed in the policy document in the section headed CLAIMS. In the event of a possible claim you must
notify CELLSURE (PTY) LTD within 30 days. The contact details of your controlling CELLSURE (PTY) LTD office is listed in all letters to you. At the time of
quoting, details of the CELLSURE (PTY) LTD office network will be provided to you upon request. In the event of a claim you will be required to supply the
Details of other insurance covering the same event.
Written details of the event unless otherwise instructed.
Information and proof in support of the claim.
Documents or details of any communication in connection with the claim.
Claims resulting from loss, theft or malicious damage must be reported to the police. You must notify CELLSURE (PTY) LTD immediately you become aware of
any impending prosecution. In the event of a claim you may become responsible for a first amount payable in respect of a claim.
Details of the first amount payable is shown in the policy and the amount is shown in the policy wording.
General - The policy wording and schedule must be read as one document. If you need advice on any aspect of your policy, first amounts payable, claims procedures
or your responsibility to pay premiums, please contact your insurance adviser or controlling CELLSURE (PTY) LTD office which is indicated on the accompanying
Particulars of Short-term Insurance Financial Services Board Particulars of the FAIS Ombudsman:
Ombudsman who is available to P.O. Box 35655 (Please note that all queries have to be submitted in writing
advise you in the event of claim Menlo Park, 0102 to the insurance company prior to any approach to the FAIS
problems which are not satisfactorily Tel: (012) 428-8000 Ombudsman)
resolved by the insurance Fax: (012) 347-0221
intermediary and/or insurer. Ground Floor
Short-Term Insurance Ombudsman Celtis House
P.O. Box 32334 Eastwood Office Park
Braamfontein, 2017 Lynnwood Ridge
Tel: (011) 726-8900 0081
Fax: (011) 726-5501 Tel: (012) 470 9080
Fax: (012) 348 0221
ADMINISTRATION AND CLAIMS: CELLSURE (PTY) LTD - TEL: (011) 844 2800 FAX: (011) 844 2913 / 844 2917
How to block your SIM CARD a/ Phone VODACOM CUSTOMER CARE ON 082 1082 b/ Contact your nearest VODACOM Dealer.