Claim forms

There are 3 different claim types that a user can choose from:

Disability Claim

The following documents will be required to assess the Claim:

· Completed claim form.
· Copy of the Identity Document of the Life Insured.
· Employer declaration.
· Copy of the job description of the Life Insured.
· Copies of sick leave records.
· Medical report completed by the Medical Practitioner who treated the Life Insured.
· Copies of any Medical Specialist reports supporting the Disability.
· Proof of Life insured qualifications - copies of certificate/s, diplomas/degree/s.
· Proof of Your bank details, not older than 3 (three) months.

The Insurer reserves the right to request further documentation when deemed necessary. Once a valid claim for Permanent Disability has been paid, the Policy will cease and there will be no cover for Death or Retrenchment Benefit.

RETRENCHMENT CLAIM

The following documents will be required to assess the Claim:

· Completed claim form.
· Copy of the Identity Document of the Life Insured.
· Employer declaration.
· Copy of the employer notice of retrenchment communication.
· Copy of UI19 record.
· Copy of employment contract.
· Copies of payslips or bank statements as proof of income or loss of earnings,
· Proof of Your bank details not older than 3 (three) months.

The Insurer reserves the right to request further documentation when deemed necessary.

DEATH CLAIM

The following documents will be required to assess the Claim:

· Proof of bank details of the Insured's Estate, not older than 3 (three months).
· Completed claim form.
· Copy of the Identity Document of the deceased and the Claimant.
· Copy of the death certificate.
· Copy of notice of death form completed by the Medical Practitioner who certified the death. This is the DHAI663 form.

The following documentation may be required where applicable:

· Copy of the drivers' license of the driver of the vehicle if the death was due to a motor vehicle accident.
· Copy of the pathology/toxicology test results if the death was due to a motor vehicle accident and the deceased was the driver.
· Copy of the police report and the post-mortem/autopsy report, if the death was due to a motor vehicle accident, suicide or where the death is under investigation.
· Copy of the medical report if the death was within 12 (twelve) months from Commencement Date.

The Insurer reserves the right to request further documentation when deemed necessary.

For queries, changes in personal information and Claims, please contact Zestlife on

021 180 4220 | 0860 009 378 (Toll-free) or Info@zestlife.co.za

021 180 4220
0860 009 378
(Toll-free)
or
Info@zestlife.co.za

Zestlife is an authorised financial services provider. Zest Life Investments (Pty) Ltd Reg no. 2001/018097/07 FSP no. 37485

Underwritten by Guardrisk Life Limited, an authorised financial services provider (FSP Number 76) and a licensed life insurer.