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Terminal illness benefit claim


The insured life must be suffering from a disease which in the opinion of an appropriate consultant, and supported by Momentum's Medical Officer, is likely to lead to death within 12 months from the date of notification.

This special feature is available free of charge and gives policyholders the right to claim the full benefit amount of the death benefit and/or critical illness benefit if the insured life becomes terminally ill.

If a valid claim is admitted, the claim amount will be paid to the following people in the following order:
  • The cessionary (if any).
  • The policyholder.

Terminal illness benefit claim requirements

  • The terminal illness claim form (CLAIM027) completed by the treating specialist.
  • The POPIA consent form (CLAIM026) completed and signed by the claimant or authorised representative of the claimant.
  • A copy of the insured life’s identity document.
  • An up-to-date confidential medical report from the treating specialist, which must include the full diagnosis and prognosis.
  • Copies of all the relevant diagnostic tests/reports.
  • Proof of banking details, in the name of the claimant (natural person, minor, deceased estate, legal entity), not older than 3 months on a bank letterhead or that has a bank stamp on it.

And the following additional requirements (whichever is applicable):

If the claimant is a natural person

  • Verification documents (green bar-coded, smart ID card, valid driver's licence or valid passport)

If the claimant is a cessionary

  • Verification documents - authorised representative (Green bar-coded, smart ID card, valid driver's licence or valid passport)
  • A written instruction from the cessionary confirming the bank account to use for the claim payment as well as proof thereof in the form of a bank statement not older than three months on a bank letterhead or that has a bank stamp on it
  • Payment to a bank or cessionary claim form (CLAIM029E)

If the claimant is a trust

  • Verification documents - trust beneficiary (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Verification documents - all active trustees (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Verification documents - founder of the trust (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Trust deed or founding document
  • A letter from the Master's Office confirming registration of the trust

If the claimant is a private company

  • Verification documents of managers (Chief Executive Officer/Managing Director), (green bar-coded, smart ID cart, valid driver's licence or valid passport)
  • Verification documents of all directors and all shareholders with at least 25% interest (green bar-coded, smart ID cart, valid driver's licence or valid passport)
  • Copy of the certificate of incorporation (private company documents)
  • A copy of the shareholder's register or a certified copy of the organisational structure and explanation of ownership

If the claimant is a closed corporation

  • Verification documents of all active members (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Copy of the certificate of incorporation (CK documents)
  • A copy of the shareholder's register or a certified copy of the organisational structure and explanation of ownership

If the claimant is a partnership

  • Verification of identity of all partners in the partnership (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Verification documents of persons who exercise executive control over partnership (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Copy of the partnership agreement

If the claimant is a listed company

  • The FICA 010 checklist to be completed and signed

If the claimant is a foreign company

  • IDs of managers for its affairs in RSA (Chief Executive Officer/Managing Director)(valid passport, United Nations certified travel document/passport, valid travel document, refugee document (valid for 2 years only)) OR (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Verification documents of all directors and shareholders with at least 25% interest (valid passport, United Nations certified travel document/passport, valid travel document, refugee document (valid for 2 years only)) OR (green bar-coded, smart ID card, valid driver's licence or valid passport)
  • Copy of the certificate of incorporation (foreign company documents)
  • A copy of the shareholder's register or a certified copy of the organisational structure and explanation of ownership

If the claimant is a foreign national

  • Verification documents (United Nations certified travel document/passport, valid passport, valid travel document, refugee document (valid for 2 years only))
  • A copy of the claimant's naturalisation certificate, if born in South Africa
  • Written confirmation if the claimant never lived in South Africa and was not a South African resident
  • Form MP336 (b) (an application to the South African Reserve Bank for foreign capital allowance) completed in full and signed by the claimant who has emigrated (CLAIM013E)
  • Indemnity form completed by the foreign claimant (CLAIM025E)
  • The name of the bank and branch where the claimant banked in South Africa before departure

We may require additional information for medical requirements and legal entities.

Contact details to submit a terminal illness benefit 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

Retirement
annuity claim

Contact Momentum
Life Insurance claims

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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