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STATUTORY NOTICE TO SHORT TERM INSURANCE POLICY HOLDERS IMPORTANT

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STATUTORY NOTICE TO SHORT TERM INSURANCE POLICY HOLDERS IMPORTANT Powered By Docstoc
					                                            STATUTORY NOTICE TO SHORT TERM INSURANCE POLICY HOLDERS
                                                              IMPORTANT – PLEASE READ CAREFULLY
                                                         DISCLOSURE AND OTHER LEGAL REQUIREMENTS
                                               (This Notice does not form part of the Insurance Contract nor any other document)

                      As a short-term insurance policyholder, or prospective policyholder, you have the right to the following information:
                                                                  1. YOUR INTERMEDIARY
                                                                     (INSURANCE BROKER )
Company name:          X’s sure - 1 stop underwriting shop department


Legal status of the intermediary and the disclosure of any shareholding that the provider may have in excess of 10% of the relevant product supplier’s
shares, or has any equivalent substantial financial interest in the product supplier, or received more than 30% of remuneration, including commission, from
the product supplier, during the preceding 12 month period:


Financial Advisory and Intermediary Services (FAIS) Registration Number is X’sure
Without in any way limiting and subject to the other provisions of the Services Agreement/Mandate, X’s sure – 1 stop underwriting shop department accepts
responsibility for the lawful actions of their Representatives (as defined in the Financial Advisory and Intermediary Services Act) in rendering financial services within
the course and scope of their employment.
Claims Procedure:                 Completed claims forms and all required documents to be submitted to X’S Sure (Pty) Ltd, PO Box 2128, JUKSKEI PARK, 2153
                                  Complaints relating to any advice given to you by your broker may be done by completing the complaints form from X’S Sure’s website
Complaints Procedure:
                                  (www.X’S Sure.co.za) or written email/faxed to complaints@xssure.co.za or 011 462 3242
Compliance Officer:               The Compliance Officer is and can be contacted on 011 – 669 1000
Policy Wording:                   A copy of the policy wording can be obtained from www.xssure.co.za or from X’S Sure offices at 0861 977873.

                                   2.   DETAILS OF THE INSURER OF: ExcessSure, TyreSure, ScratchSure and GeyserSure

                         Guardrisk Allied Products and Services (Pty) Ltd Registration number 2007/016202/07 is a subsidiary of Guardrisk Holdings Ltd
      Company name:      Registration number 1999/01808 and is mandated by Guardrisk Insurance Limited to act as an underwriting management agency for all
                         financial products that are sold to clients on its behalf.
   Physical Address:     90 Rivonia Road, SANDTON, 2146                                   Postal Address:            P.O. Box 781692, SANDTON, 2146
   Telephone Number:     011 669 3001                                                     Facsimile Number:          011 669 2240
   FAIS Registration:   Guardrisk Allied Products and Services (Pty) Ltd is an authorised financial services provider in terms of FAIS Act, FSP No.10411
   Compliance Officer:             011 669 1039, Fax + 2711- 669- 2792, e-mail compliance@guardrisk.co.za
                                                     3. DETAILS ABOUT THE ADMINISTRATOR
     Company Name       X’s Sure (Pty) Ltd
     Postal Address     P O Box 2128, Jukskei Park, 2153                 Physical Address          Hammets Crossing Office Park, Block 813, Ground Floor, cnr
                                                                                                   Witkoppen- & Market street, FOURWAYS,2060
   Telephone Number     +27-0861 977873                                  Fax Number                +27-11-462 3242
    FAIS Registration   X’S Sure (PTY) Ltd is an authorised financial services provider in terms of the FAIS Act, FSP No.21101
   Compliance Officer   The Compliance Officer can be contacted on Tel +27-0861 977873, Fax +27-11-462 3242, e-mail compliance@xssure.co.za
   Claims Procedure:    Completed claims forms and all required documents to be submitted to X’S Sure (Pty) Ltd, PO Box 2128, JUKSKEI PARK, 2153
   Type of Policy      ExcessSure, TyreSure, ScratchSure and GeyserSure – Please refer to policy schedules.
                                                                         4 PREMIUMS
                                                          (DETAILS OF THE PREMIUMS PAYABLE)
Due Date of Payment:                                 The premium and all accompanying charges are detailed on your policy schedule as well as the type of policy
Consequence of Non-Payment:                          If the premium is not received as aforesaid, the onus will be on the client to ensure that the monthly premium
                                                     is met by the financial institution and if you fail to pay any monthly or annual premium within 15 days of the
                                                     due date, no claim shall be payable to you and cover will be cancelled.
Method of Payment:                                   Monthly – premiums to be paid by debit order on the first working day of each month.
                                                              5. OTHER MATTERS OF IMPORTANCE
i      You will be informed of any material changes to the information about the intermediary and/or insurer provided above.
ii     If any of the information reflected above was given to you orally, this disclosure notice serves to provide you with the information in writing within 30 days. If
       any complaint to the intermediary or insurer is not resolved to you satisfaction, you may submit the complaint to the FAIS Ombudsman at P.O. Box 74571
       LYNNWOOD RIDGE 0040 or any other complaint to the Ombudsman of the Short Term Insurance.
iii    Poligraph 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.
iv     The insurer and not the Intermediary must give reasons for repudiating your claim.
v      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.
vi     You will always be entitled to a copy of your policy at no extra charge.




                                                                              6. WARNING
i      Do not sign any blank or partially completed application form.
ii     Complete all forms in ink.
iii    Keep notes of what is said to you and all documents handed to you.
iv     Don’t be pressurised to buy the product.
v      Incorrect or non-disclosure by you of relevant facts may influence an Insurer on any claims arising from your contract of insurance.
       For complaints on claims that are not satisfactory resolve by the product          For complaints to the intermediary or insurer that are not resolved to your
       supplier contact:                                                                  satisfaction, please conctact:
            7. PARTICULARS OF THE SHORT-TERM INSURANCE                                       8. PARTICULARS OF THE REGISTRAR OF SHORT – TERM
                                    OMBUDSMAN                                                                             INSURANCE
       Postal Address:             PO Box 32334                                           Postal Address:                Financial Services Board
                                   BRAAMFONTEIN, 2017                                                                    PO Box 35655, MENLO PARK, 0102
       Telephone Number:           +27-11-726-8900                                        Telephone Number:              +27-12-428-8000
       Facsimile Number:           +27-11-726-5501                                        Facsimile Number:              +27-12-347-0221