Please note: When the Premium payer is paying this policy on the life of someone else (Insured Life) a relationship to the premium payer has to be established. The premium payer will become the policy owner (applicant) and will have no cover. All proceeds will however be payable to the premium payer/applicant

The Insured amount will increase with an amount equal to two thirds of the percentage rate that the premiums increase with, this increase will not exceed a rate of 10% and will be applicable for a period of twelve months commencing on 01 July of each year

Member	Benefit Information
Spouse	Only one spouse can be covered under this benefit
Parents	The Natural parent(s), Step parent(s) or Foster parent(s) of the Insured to a maximum of two (2) or the Natural parent(s), Step parent(s) or Foster parent(s) of the spouse to a maximum of (4) if the Spouse benefit was chosen
Extended Family Members	The brothers, sisters, foster children, grandparents, second spouse of the Insured and his/her parents (if not added under Parent benefit) to a maximum of 6 members
Children	All unmarried own children, step children and legally adopted children of the Insured as well as children still to be born or to be adopted up to the age of 21 or up to the age of 26 if a full time student

STEP 1 - Complete the insured life information

Date of Birth Insured Amount R 10 000.00 R 12 500.00 R 15 000.00 R 17 500.00 R 20 000.00 R 22 500.00 R 25 000.00 R 27 500.00 R 30 000.00 R 32 500.00 R 35 000.00 R 37 500.00 R 40 000.00 R 42 500.00 R 45 000.00 R 47 500.00 R 50 000.00

STEP 2 - Add additional members add life insured Spouse Child Parent Extended

click on 'add a member' above and select the member type to add

Policy Fee R 10.00

Total Monthly Premium R 0.00