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CR186 Health insurance – interpretation – “expenses reasonably and necessarily incurred”.

CR186 Health insurance – interpretation – “expenses reasonably and necessarily incurred”. Agtergrond Die klaer was die houer van ‘n gesondheidspolis wat voorsiening gemaak het vir die betaling van mediese uitgawes. Daarby was ingesluit “reiskoste wat redelikerwys en noodsaaklikerwys” (“expenses reasonably and necessarily incurred”) in verband met die mediese uitgawes (soos omskryf) ten opsigte van verblyf […]

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CR143 Health Insurance – repudiation of claim on grounds of non-disclosure

CR143 Health Insurance – repudiation of claim on grounds of non-disclosure. Should the insured have disclosed a history of an eye problem particularly taking cognisance of the fact that a specific question featured in the application form? Background The contract is a health insurance policy catering for hospitalisation benefits and major medical expenses. A question […]

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