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CR375 Constitution / discrimination / equality Allegation of marital status discrimination

Constitution / discrimination / equality CR375 Allegation of marital status discrimination Background – the facts and argument 1. The complainant and his wife were members of a health plan (a medical scheme) associated with the insurer, and they each also had a life policy with the insurer. 2. For such persons the insurer offered a […]

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CR333 DISPUTE OF FACT Waiving of policy ownership in dispute.

CR333 DISPUTE OF FACT Waiving of policy ownership in dispute. The facts On 10 April 2006 the complainant, the VPT company (hereinafter referred to as the company), applied with the assistance of a broker for a policy for R7M on the life of Mr C, a farmer in the district to whom the company owed […]

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CR142 Disputed health insurance claim – materials used in surgical procedure not covered

CR142 Disputed health insurance claim – materials used in surgical procedure not covered Background The contract is a heath insurance policy, which provides a hospitalisation benefit and also covers the cost of medical or surgical procedures defined as such in the “Medical Association of South Africa’s Guide to Fees for Medical Services”. The procedure the […]

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CR96 Dispute of facts not resolved

CR96 Dispute of facts not resolved – parties agree to a hearing of evidence in terms of Rule 5.3 Background The complainant had through an intermediary, A, who was both his friend and a consultant with insurance company X, been introduced to an independent broker, B. Although the complainant had already made an investment with […]

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