Terms and Conditions

1+ Plans:
The maximum entry age for an Insured and /or nominated family dependents is under 65 / 70 / 75 / 80 / 85 years (depending on the selected option).
Cover for all nominated family members remains in place provided the premium remains payable (Children and extended family members included).
Unmarried mentally / physically disabled Children who are totally and completely dependent on the Principal Member will be covered as long as the policy is in force.
Cover will be provided for a maximum of 5 / 9 / 13 nominated family members (e.g., Spouse, additional Spouses, Children, Dependent Children, Extended Family).
Once the Principal Member’s cover ceases, the policy can be taken over by a nominated family member on the Policy within 30 (thirty) Days.
Only RSA residents and SADC citizens legally residing in RSA can be covered.
The Insurer reserves the right to cancel the policy with 31 (thirty-one) Days’ notice at any stage for whatsoever reason.
The Insurer will not change or Vary the Premium rate during the first 12 (twelve) months after the Commencement Date of the Policy unless there are reasonable actuarial grounds to change or Vary the Premium rate or when the Variation will be to the benefit of the Principal Member. After the first 12 (twelve) months, the Insurer reserves the right to review and change the premium and cover annually.
Any changes to the Premium rate will be notified to the Principal Member 31 (thirty-one) Days prior to the change taking effect. Such notification will provide appropriate details of the reasons for the change to the Premium rate and will afford the Principal Member with reasonable steps, such as an option to terminate the policy or to reduce the policy benefit or to enter into an alternate policy, to mitigate the impact of the increase on the Principal Member. The Premium rates may be amended or changed based on the following factors: past and future expected economic factors (for example, but not limited to, interest rates, tax and inflation), past and future claims experience, past and future expected lapse experience, past and future expected mortality experience, expected future reinsurance, any regulatory and legislative changes impacting this Policy or any other factor impacting the Premium that the Insurer deems material at the time.

Nominated Family Benefits
Brothers, sisters, parents and parents-in-law can be covered as part of the 5 / 9 / 13 nominated family members. Maximum entry age: under 65 / 70 / 75 / 80 / 85 years (depending on the selected option). Extended Maximum entry age: under 84 years for Extended’s (max 4 can be added). Premiums for the basic benefit are quoted as a fixed Rand amount per month. Policy is a grouped policy and is annually renewable. The nominated family member can cease membership while the Principal Member remains a member, but the Nominated Family Member cannot be readmitted.

Family Plans:
The maximum entry age for Principal Member and Spouse is 95 years. Cover for Children (biological or legally dependent on the Principal Member) will cease on the day before their 22nd birthday. Children aged 22 or older will be covered up to age 26 if they are studying full-time at a recognised school or tertiary institution (subject to annual proof). Unmarried mentally/physically disabled Children who are totally dependent on the Principal Member will be covered for as long as the policy is in force.
Cover will be provided for one (1) Spouse and for a maximum of five (5) Children at the stated premium. Should a Child be born to the Principal Member, the Principal Member has 60 (sixty) Days to update his application/nomination form. If the documentation is not updated the Child will not be covered for benefits. If the Principal Member ceases to be a member of the funeral scheme (dies, withdraws or retires) cover will cease immediately for the Principal Member and all their Dependants. Should the Spouse elect to take over the policy of an existing Principal Member due to death, this must be done within 30 (thirty) Days of the death and application/nomination form and monthly membership schedule must be updated accordingly. In the event of divorce, cover for the former Spouse ceases from the date of court order. A new Spouse may be nominated.
Only RSA residents and SADC citizens legally residing in RSA can be covered. Benefit split: Principal Member and Spouse same cover; Child 14–22 same as Principal; age 6–13 = 50%; Stillborn – 5 years = 25%.
The Insurer reserves the right to cancel the policy with 31 Days’ notice for any reason whatsoever.
Premium and cover change rules apply as above.

Extended Family Benefits
Maximum 8 extended family members (parents, parents-in-law, brothers, sisters, aunts, uncles, other relatives financially dependent on the Principal Member) can be added at an additional premium per member. Option must be requested and approved at scheme level. Maximum entry age: 85 years.

Exclusions
The Insurer will not pay any benefit if death was caused by war, rebellion, civil unrest, criminal acts, or deliberate exposure to danger (except saving a life). Waiting period 6 months for natural death from Commencement Date (unless previous cover proof within 31 days). Accidental death covered immediately if first premium paid. Increasing benefit or adding members triggers a new 6-month waiting period. Children under 6 max R20 000 cover. Sum assured for Extended Family ≤ Principal Member. Extended members may cease membership but not be readmitted.

Premiums
Payable by the 7th monthly in advance. Miss 2 premiums → policy lapses. Rejoin after 2 months = new entrant (6-month waiting resets). Active on first premium receipt. Payments after 10th count for next month. Suicide excluded for 1 year. Stillborn not covered.

Funeral Benefit
Claim to be notified within 6 months of death. Submit requirements within 6 months or claim void unless extenuating circumstances. Summary only – full policy applies. Cover commences on receipt of first premium.

Fees & Disclosure
Retail premium includes admin and commission (see acceptance letter). Pioneer Funeral Administrators FSP 41507 accepts responsibility for their representatives under the FAIS Act 37 of 2002. Representatives under supervision will notify you.

Legal & Contractual Relationship with Insurer
Guardrisk Life Limited and Pioneer Funeral Administrators have a shareholder and subscription agreement allowing Pioneer to place business and share in profits/losses. Dividends at Guardrisk’s discretion. Both hold Professional Indemnity and Fidelity Covers.

Claims & Compliance Contacts:

Cooling Off Rights
You may cancel within 31 days of receipt of policy if no claim arisen – full refund of premiums.

Cancellation Rights
Principal Member may cancel any time after Cooling-Off period with 31 Days’ notice to Exodec (no refund of premiums). The Insurer may cancel at any time for any reason with 31 Days’ notice or immediately to comply with law / prevent criminal activity. No refund of legally due premiums.

Changes to Policy
Notify any changes to application details. Changes valid only once confirmed in writing as endorsement.

Applicable Laws
Insurance Act 18 of 2017, Long-term Insurance Act 52 of 1998, Policyholder Protection Rules 2017, POPI Act 4 of 2013 and other relevant SA laws.

Fraud
Fraudulent claims void all benefits and premiums. Insurer reserves rights and may take legal action.

Processing of Personal Information
All data handled per POPI Act 4 of 2013. Your information used only for identity verification and policy administration. No sale or sharing without consent. Right to complain to Guardrisk or Information Regulator.

Other Matters of Importance
You’ll be informed of material changes to Intermediary / Insurer info. Complaints → Pioneer or Guardrisk (then Ombud). Claims via Pioneer Funeral Administrators 012 542 4307 or claims@pioneerfuneral.co.za. Repudiations always explained in writing. Policy copy available free on request.

Warning
Do not sign blank forms. Keep copies and notes. Call recordings available within 7 Days. Never be pressured to buy. Incorrect info may affect claims.

Waiver of Rights
No insurer or intermediary may request you to waive rights under the Code – any waiver is null and void.

Repatriation of Mortal Remains (non-underwritten benefit)
Within RSA & neighbouring countries max R10 000 per event, annual limit R20 000. 1 family member may travel free. Includes document assistance, undertaker referral, removal (min 20 km, max R900), storage (max R1 000/7 days). Exodec Assist 0861 55 5515 quote “Pioneer Administrators Funeral Plan Policy number.”

Exodec eCoupon (Rewards Programme) (non-underwritten benefit)
Additional monthly cost; Principal Member receives eCoupons valued up to R750 per retailer per month (no roll-over). Redeemable at Shoprite, Checkers, Checkers Hyper, Pick n Pay & Dis-Chem. Combine with Shoprite/Checkers Xtra Savings loyalty offers. SMS “exodec” to 30172 for help. Not regulated under FAIS Act.