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Retirement annuity benefit claim


The retirement annuity policy provides benefits that are payable to dependents and/or nominees of the deceased according to the rules of the fund. Once we receive the required documentation, we will refer the claim to the trustees of the retirement annuity fund. They will determine to whom the proceeds are payable. We will then inform the claimant of the options available to the recipients, and of any additional requirements.

Retirement annuity benefit claim requirements

  • A copy of the death certificate (BI-5).
  • A copy of the deceased insured life’s identity document or birth certificate (if younger than 18 years).
  • A copy of the notice of death/still birth (DHA-1663) obtainable from the doctor who declared the death.
  • The application for payment of a death claim on a retirement fund form (CLAIM010) completed and signed by the claimant or authorised representative of the claimant(s). Each page must be initialled (available on request).
  • If death is due to unnatural causes, the unnatural death claim form (CLAIM003) is also required and must be completed by the Investigating Police Officer (available on request).
  • The POPIA consent form (CLAIM026) completed and signed by the claimant or authorised representative of the claimant.
  • A copy of the deceased's last will and testament.
  • A copy of the marriage certificate or proof of marriage (if applicable).
  • A copy of the divorce order and settlement agreement (if applicable).
  • A copy of the identity document/birth certificate for each potential dependant.
  • A copy of the most recent beneficiary nomination form.
  • Copies of the latest payslips of the deceased and all the potential dependents.
  • Proof of banking details, in the name of each dependant, not older than three months on a bank letterhead or that has a bank stamp on it.

We may require additional information

Contact details to submit a retirement annuity claim


[email protected]

Fax: +27 12 675 3947

Types of
Life Insurance claims

Funeral Benefit
claim

Lump sum Disability and
Impairment Benefit claim

Critical Illness Benefit
claim

Income Protection
claim

Terminal Illness Benefit
claim

Contact Momentum
life insurance

Client service and policy alterations




Business hours are Monday to Friday from 08:00 to 17:00. Closed on weekends and public holidays.

Claims



[email protected]
[email protected]
[email protected]


Please use the applicable email address above for your relevant claim type. If you send your claim documents to the incorrect email, your claim handling could be delayed.

International number

+27 11 505 1552

Business hours are Monday to Friday from 08:00 to 17:00. We’re closed on weekends and public holidays.

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