YOUR POLICY BENEFITS Sample Clauses

The "YOUR POLICY BENEFITS" clause defines the specific advantages, coverages, or services that the policyholder is entitled to under the insurance agreement. It typically outlines what types of incidents, losses, or situations are covered, such as medical expenses, property damage, or liability protection, and may detail any limits or conditions attached to these benefits. By clearly listing what the policyholder can claim, this clause ensures transparency and helps prevent misunderstandings about the scope of coverage, thereby providing clarity and setting expectations for both parties.
YOUR POLICY BENEFITS. 4.1. The Insurer will pay Your claim(s) subject to the terms, conditions, exclusions and benefit limits; in consideration of, and conditional upon: 4.1.1. the prior payment of the premium/s by You or on Your behalf and receipt thereof by Us or on Our behalf; 4.1.2. You having agreed that any proposal/application or other information supplied by You, or on Your behalf of, including any recorded phone calls made to or received by You, e.g. sales calls, together with the terms and conditions as contained in this Policy, will be the basis of this Agreement of Insurance; 4.1.3. where the insurance is varied or extended, the insurance provided by such additional benefit, special clause, variation and extension or endorsement is subject to the terms, conditions, exclusions and limitations of this Policy in so far as they can apply; and 4.1.4. compliance by You with all the terms, conditions, limitations and exclusions contained in this Policy, which is a condition precedent to the Insurer’s liability under the Policy. Any breach shall entitle the Insurer to cancel or reject any claim made under this Policy.
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YOUR POLICY BENEFITS. 8.1. We agree to pay Your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by You or on Your behalf and receipt of the premium thereof by us or on our behalf; ii. any proposal/application or other information supplied by, or on behalf of You, including any recorded phone calls made to or received by You e.g. sales calls, will be the basis of this agreement of insurance and must be true and complete or benefits may not be paid (see 10.1.6 below); iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of this Policy; iv. compliance by You with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to our liability under the policy. Any breach entitles the Insurer to cancel the policy or reject any claim/s made; and v. we will only provide cover for people whose names and birth dates You have given us. They must be South African citizens or have residential rights in South Africa. You, the main member, Your spouse (whose names and date of birth You have given us) and for whom the applicable premium/s has been paid (insured person/s). We will pay on the death of You, Your spouse from any cause not excluded under this Policy. R20,000.00 (Twenty Thousand Rand) Waiting periods apply (see 9.3. below). You can also choose to cover up to 5 Children under the age of 21 who are related to you through blood or a legally recognised relationship, and you are their primary caregiver and they are financially dependent on you (whose names and dates of birth You have given us) at an additional premium (refer to point 6 above). We will pay on the death of Your Child from any cause not excluded under this Policy. Waiting periods apply (see 9.3. below). Child 0 – 11 months R2,000.00 (Two thousand Rand) Child 1 – 5 years R4,000.00 (Four thousand Rand) Child 6 – 13 years R6,000.00 (Six thousand Rand) Child 14 – 21 years R8,000.00 (Eight thousand Rand 1). Examples include diabetes, hypertension (high blood pressure), epilepsy and cancer, amongst others. For illustration only: 1. Hypertension (High blood pressure) can lead to death as a result of a stroke/ heart attack and other consequences.
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YOUR POLICY BENEFITS. 8.1. We agree to pay Your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by You or on Your behalf and receipt of the premium thereof by us or on our behalf; ii. any proposal/application or other information supplied by, or on behalf of You, including any recorded phone calls made to or received by You e.g. sales calls, will be the basis of this agreement of insurance and must be true and complete or benefits may not be paid (see
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YOUR POLICY BENEFITS. We agree to pay your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by you or on your behalf and receipt thereof by us or on behalf of us; ii. You having agreed that any proposal/application or other information supplied by, or on behalf of you, including any recorded phone calls made to or received by you e.g. sales calls, will be the basis of this agreement of insurance; iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of the Policy in so far as they can apply; and iv. compliance by you with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to Our liability under the policy. Any breach shall entitle the Insurer to reject any claim/s made in respect of the risk insured. You, the main member (insured person). We will pay on Your death from any cause not excluded under this Policy. R20 000.00 (Twenty Thousand Rand) Waiting periods apply (see 4.3. below).
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YOUR POLICY BENEFITS. 8.1. We agree to pay your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by you or on your behalf and receipt of the premium thereof by us or on our behalf; ii. any proposal/application or other information supplied by, or on behalf of you, including any recorded phone calls made to or iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of this Policy; iv. compliance by you with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to our liability under the policy. Any breach entitles the Insurer to cancel the policy or reject any claim/s made; and v. we will only provide cover for people whose names and birth dates you have given us. They must be South African citizens or have residential rights in South Africa. You, the main member, your spouse (whose names and date of birth you have given us) and for whom the applicable premium/s has been paid (insured person/s). We will pay on the death of you, your spouse from any cause not excluded under this Policy. Waiting periods apply (see 9.3 below). R10,000.00 (Ten Thousand Rand) (Natural and Accidental Death).
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YOUR POLICY BENEFITS. We agree to pay your claim/s subject to the terms, conditions, exclusions and cover limits, in consideration of, and conditional upon: i. the prior payment of the premium/s by you or on your behalf and receipt thereof by us or on behalf of us; ii. You having agreed that any proposal/application or other information supplied by, or on behalf of you, including any recorded phone calls made to or received by you e.g. sales calls, will be the basis of this agreement of insurance; iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of the Policy in so far as they can apply; and iv. compliance by you with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to Our liability under the policy. Any breach shall entitle the Insurer to reject any claim/s made in respect of the risk insured. You, the main We will pay an insured person the daily amount stated under the Benefit Limits following their admission to hospital for a full day (that is 24 hours in a row) as a direct result of an injury caused by an accident (accidental injury). “An insured person will be member, and for covered for R1,000 per day, whom the applicable for up to 100 days, for premium has been each day spent in hospital paid (insured directly as a result of an person/s). accidental injury, subject to a maximum benefit limit of R100,000 per insured event.” No waiting periods apply (refer to Clause 4.3 below). You can also choose to cover up to 5 children under the age of 21 who are financially dependent on you (whose names and dates of birth You have given us). You can also choose to cover up to 3 additional dependants who are financially dependent on you (whose names and dates of birth You have given us).
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YOUR POLICY BENEFITS. 8.1. We agree to pay your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by you or on your behalf and receipt of the premium thereof by us or on our behalf; ii. any proposal/application or other information supplied by, or on behalf of you, including any recorded phone calls made to or received by you e.g. sales calls, will be the basis of this agreement of insurance and must be true and complete or benefits may not be paid (see 10.1.6 below); iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of this Policy; iv. compliance by you with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to our liability under the policy. Any breach entitles the Insurer to cancel the policy or reject any claim/s made; and v. we will only provide cover for people whose names and birth dates you have given us. They must be South African citizens or have residential rights in South Africa. You, the main member, your spouse (whose names and date of birth you have given us) and for whom the applicable premium/s has been paid (insured person/s). We will pay on the death of you, your spouse from any cause not excluded under this Policy. Waiting periods apply (see 9.3 below). R10,000.00 (Ten Thousand Rand) (Natural and Accidental Death).
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YOUR POLICY BENEFITS. We agree to pay your claim/s subject to the terms, conditions, exclusions and cover limits; in consideration of, and conditional upon: i. the prior payment of the premium/s by you or on your behalf and receipt thereof by us or on behalf of us; ii. You having agreed that any proposal/application or other information supplied by, or on behalf of you, including any recorded phone calls made to or received by you e.g. sales calls, will be the basis of this agreement of insurance; iii. where the insurance is varied or extended, the insurance provided by such Additional Benefit, Special Clause, Variation and Extension or endorsement is subject to the terms, conditions, exclusions and limitations of the Policy in so far as they can apply; and iv. compliance by you with all the terms, conditions, limitations and exclusions contained in this policy, which is a condition precedent to Our liability under the policy. Any breach shall entitle the Insurer to reject any claim/s made in respect of the risk insured. You, the main member, Your spouse (whose names and dates of birth You have given us) and for whom the applicable premium/s has been paid (insured person/s). We will pay on the death of You and/or Your spouse from any cause not excluded under this Policy. R40 000.00 (Forty Thousand Rand) Waiting periods apply (see 4.3. below) Up to 5 Children under the age of 21 who are financially dependent on you (whose names and dates of birth You have given us). We will pay on the death of Your Child from any cause not excluded under this Policy. Waiting periods apply (see 4.3. below) Child 0 – 11 months R4 000.00 (Four Thousand Rand) Child 1 – 5 years R8 000.00 (Eight Thousand Rand) Child 6 – 13 years R12 000.00 (Twelve Thousand Rand) Child 14 – 21 years R16 000.00 (Sixteen Thousand Rand) You can also choose to cover up to 3 additional dependants who are financially dependent on you whose names and dates of birth You have given us; at an additional premium (refer point 2 above). We will pay on death of the named dependant from any cause not excluded under this Policy. R40 000.00 (Forty Thousand Rand) Waiting periods apply (see 4.3 below)
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YOUR POLICY BENEFITS. Heart attack benefit If during the time this Policy is in force and after the Waiting Period: ■ You experience symptoms that may be related to Heart Attack of Specified Severity and ■ a Medical Practitioner subsequently confirms that You suffer from Heart Attack of Specified Severity. We will pay the Heart Attack Benefit equal to the sum insured or total premium paid, whichever is higher, stated in the Policy Illustration. Death benefit If You die while this Policy is in force, We will pay the Death Benefit equal to the sum insured stated in the Policy Schedule.
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Related to YOUR POLICY BENEFITS

  • Death Benefits Upon the Executive’s death during the Contract Period, the Executive’s estate shall not be entitled to any further benefits under this Agreement.

  • Life Insurance Benefits A. During the life of this Agreement, the basic life insurance benefit made available to Faculty members shall be calculated as 3 times base annual earnings, rounded to the next highest $1,000, but not more than $225,000. A separate additional benefit up to the amount of the life insurance will be paid for accidental death and dismemberment, or loss of sight. The amount of Life and Accidental Death and Dismemberment/Loss of Sight benefits will be reduced to 65% at age 65, and further reduced (from the original insurance amount) as follows: to 50% at age 70, and 35% at age 75. Basic life insurance and AD&D benefits will be provided with no employee contributions. B. Faculty members will be eligible to purchase the following supplemental coverage: 1. additional amounts of group term life insurance at a level of between one and three (3) times the Faculty member’s annual salary with a maximum of $600,000. The guaranteed issue level at initial enrollment will be determined by the life insurance carrier and any amounts over the guaranteed level will be subject to the underwriting requirements of the life insurance carrier. 2. group term life insurance for spouses and domestic partners at a level of between one (1) and three (3) times annual salary with a maximum of $600,000. The guaranteed issue level at initial enrollment will be determined by the life insurance carrier and any amounts over the guaranteed level will be subject to the underwriting requirements of the life insurance carrier. 3. group term life insurance for eligible dependent children at a level of $10,000.

  • Employees; Benefits Employer agrees that any and all benefits that were provided to the Employee shall continue until _________________, 20____. In addition, the Employer shall assist the Employee in the transfer, change, or termination to any employment benefits, including, but not limited to, health insurance plans, dental insurance plans, vision insurance plans, life insurance plans, disability insurance, childcare benefits, wellness programs, retirement plans, government assistance programs, and/or any other program or benefit that was readily accessible and being used by the Employee.

  • Health Benefits For the eighteen (18) month period following the Termination Date, provided that Executive is eligible for, and timely elects COBRA continuation coverage, the Company will pay on Executive’s behalf, the monthly cost of COBRA continuation coverage under the Company’s group health plan for Executive and, where applicable, her spouse and dependents, at the level in effect as of the Termination Date, adjusted for any increase in such level paid by the Company for active employees, less the employee portion of the applicable premiums that Executive would have paid had she remained employed during the such eighteen (18) month period (the COBRA continuation coverage period shall run concurrently with the eighteen (18) month period that COBRA premium payments are made on Executive’s behalf under this subsection 1(a)(ii)). The reimbursements described herein shall be paid in monthly installments, commencing on the sixtieth (60th) day following the Termination Date, provided that the first such installment payment shall include any unpaid reimbursements that would have been made during the first sixty (60) days following the Termination Date. Notwithstanding the foregoing, the Company’s payment of the monthly COBRA premiums in accordance with this subsection 1(a)(ii) shall cease immediately upon the earlier of: (A) the end of the eighteen (18) month period following the Termination Date, or (B) the date that Executive is eligible for comparable coverage with a subsequent employer. Executive agrees to notify the Company in writing immediately if subsequent employment is accepted prior to the end of the eighteen (18) month period following the Termination Date and Executive agrees to repay to the Company any COBRA premium amount paid on Executive’s behalf during such period for any period of employment during which group health coverage is available through a subsequent employer. Notwithstanding the foregoing, the Company reserves the right to restructure the foregoing COBRA premium payment arrangement in any manner necessary or appropriate to avoid fines, penalties or negative tax consequences to the Company or Executive (including, without limitation, to avoid any penalty imposed for violation of the nondiscrimination requirements under the Patient Protection and Affordable Care Act or the guidance issued thereunder), as determined by the Company in its sole and absolute discretion.

  • Company Benefits Subject to the satisfaction of the general rules for eligibility and participation under the Company’s standard employee benefit plans and practices, Executive shall be allowed to participate in the Company’s standard employee benefit plans and practices which may be in effect from time to time during the term of Executive’s employment and are provided by the Company to its employees generally. Such participation shall be governed by the applicable plan documents, and the Company reserves the right, in its discretion, to amend, modify, or discontinue any benefit plan or practice.