Am I covered for coronavirus (COVID-19)?
This is how we handle coronavirus on each of our products.
There is a 6-month waiting period for natural death, which means that if an insured person dies of coronavirus in the first 6 months of being added to a policy, we won’t pay out.
If the person dies of coronavirus after the 6-month waiting period is over, then their death is covered. That means we will pay out as long as the claim is not fraudulent and doesn’t exceed the R100,000 limit that applies across Sanlam Life products.
The usual exclusions (such as excluded countries) will still apply.
If you bought a policy before this all started, you’re covered.
For underwritten life insurance, there is no waiting period for natural death or illness. That means that if, when you bought cover, you hadn’t yet been diagnosed with coronavirus, or hadn’t yet made an appointment to check out some coronavirus-like symptoms, then you would be covered for death or disability by coronavirus from the day your policy is issued.
If you apply for underwritten insurance, you’ll be asked specifically about your coronavirus history. We rely on our clients to be honest with us when they take out a policy.
Depending on your answers in the application process, we might decline to offer you comprehensive cover and will offer you accidental-only cover and funeral cover.
If you have accidental-only cover, you aren’t covered for COVID-19 or any other natural condition.
The usual exclusions (such as excluded countries) will still apply. Please always check your policy document for specific details that apply to your own policy.
If you were honest during your application and bought comprehensive cover, then this is how it works per product:
Life Cover and Death Income Protection
You're covered for death by coronavirus.
Critical Illness Cover
If you get so sick that you end up in the ICU for over a week, you would be able to claim for 50% of your cover amount.
Our “catch-all” clause covers you for 100% of your payout amount if you need frail care or home care. So if you became so ill from a coronavirus complication that you were left permanently bedridden, you would be covered.
Income Protection, Disability Cover
If you get sick or become disabled and can’t go to work, we will cover you if you are so sick that you can’t earn an income for 21 days or more.
Also, we would consider your claim if you were in contact with someone with COVID-19 and were then advised by a doctor or government to go into quarantine, and lost income as a result, for more than 21 days. In that case, we will require that doctor to complete a special COVID-19 form in addition to the usual claims forms.
Sanlam Indie products that protect your income are designed to protect you from illness and disability that you are diagnosed with. So if you can’t earn an income because of a nation-wide shutdown, but are not infected yourself, that is not something that you can claim for on income protection products in general.
For the most up-to-date information about the status of coronavirus in South Africa, visit the Department of Health’s dedicated site: https://sacoronavirus.co.za/.