Call: 0860 103 236

For up to date information about the pandemic visit www.sacoronavirus.co.za

Please select an appropriate category from the list below or search for topics and cases using the search tool. Please type in the "CR" prefix when searching by case codes.

Sub Categories

CR351 Exclusions / Causation Pre-existing condition exclusion clause

CR351 Exclusions / Causation Pre-existing condition exclusion clause – dispute as to proximate cause of death – whether pre-existing conditions directly or indirectly caused death, or whether death was caused by cancer which emerged after cover commenced Background 1. The insured had a credit insurance policy since 2008, with death and disability cover for the […]

Read More

CR320 Causation. See also exceptions, exclusions and waiting periods.

CR320 Causation. See also exceptions, exclusions and waiting periods. Exclusion clause – lumbosacral spinal exclusion imposed – not stated to apply where condition results indirectly from it – claim not therefore excluded. The complainant was covered under two policies for illness and disability. She subsequently injured her thoracic spine after a fall at work and […]

Read More

CR176 Causation – exclusion – death resulting from pre-existing condition excluded

CR176 Causation – exclusion – death resulting from pre-existing condition excluded – whether death was caused by the insured’s pre-existing condition or by an intervening cause Background The insured bought a motor vehicle and took out a policy providing life and disability cover. The policy issued to the insured excluded cover for death arising directly […]

Read More

CR175 Causation – exclusion

CR175 Causation – exclusion – benefits not payable during “sickness attributable to pregnancy” – whether infection by a bacterium most probably introduced during procedures related to pregnancy is a basis for reliance on the particular exclusion? Background The sad circumstances of this matter were that the complainant was pregnant with twins when it was determined […]

Read More

Subscribe to our Newsletter