Failing to disclose medical records or illness could see your life policy booted

In recent weeks, an article was published on Fin24 where a life policy claim was declined owing to a client's non-disclosure of a pre-existing medical condition.

Widow Renei Kruger's claim from her murdered husband's life policy was eventually honoured by Old Mutual. This after the insurance company had initially rejected it because he had supposedly not declared a pre-existing diabetic condition.

Sumari and Roger Hendricks joined 702 host Azania Mosaka to discuss repudiated claims. Hendricks had the same experience as Kruger following her father's death. As a result, she established her own insurance company that would deal with such claims.

Hendricks says her father committed suicide. When they submitted his claim, Momentum asked for permission to obtain his medical aid claim history and contacted every doctor that he has ever been to. Doctors were asked to write reports on the reasons for consultations.

"One doctor that my father saw (only once) said that he should watch his sugar and should come back in a few weeks to retest. My father never went back and he simply adjusted his eating habits going forward", says Hendricks.

Some brokers/advisers that I have spoken to, inform their clients to only disclose their medical history for the past five years and nothing more.

Sumari Hendricks, Director at DiscloseAll

When you lodge a claim with the insurance company, the very first thing they ask for is permission to pull your medical aid claims history from your medical aid provider. As soon as this information is available to them, they go through each and every single entry, sometimes as far back as fifteen years (depending on how long you have been with your medical aid provider). They then further request medical reports (PMA reports) from every doctor on your medical history.

Sumari Hendricks, Director at DiscloseAll

If there is a doctor/specialist in your medical history and you have forgotten to mention this doctor/specialist on your disclosure to the insurance company at inception, they have the right to repudiate your claim, if this is a material non-disclosure, explains Hendricks.

It all comes down to the insurance company determining the risk of the client at the inception of the policy. If they have all the information on a client they can make a clear decision on whether they are going to accept the client's risk, load it, or decline it.

Sumari Hendricks, Director at DiscloseAll

To hear the rest of the interview, listen below:


Recommended

by NEWSROOM AI

702 welcomes all comments that are constructive, contribute to discussions in a meaningful manner and take stories forward.

However, we will NOT condone the following:

  • Racism (including offensive comments based on ethnicity and nationality)
  • Sexism
  • Homophobia
  • Religious intolerance
  • Cyber bullying
  • Hate speech
  • Derogatory language
  • Comments inciting violence.

We ask that your comments remain relevant to the articles they appear on and do not include general banter or conversation as this dilutes the effectiveness of the comments section.

We strive to make the 702 community a safe and welcoming space for all.

702 reserves the right to: 1) remove any comments that do not follow the above guidelines; and, 2) ban users who repeatedly infringe the rules.

Should you find any comments upsetting or offensive you can also flag them and we will assess it against our guidelines.

702 is constantly reviewing its comments policy in order to create an environment conducive to constructive conversations.

Read More
[WATCH] Grammy award-winning group Ladysmith Black Mambazo perform in studio

[WATCH] Grammy award-winning group Ladysmith Black Mambazo perform in studio

The group joined Azania for #702Unplugged and gave listeners a small taste of what to expect at the very first 702 #DayOfTheDads.

[WATCH] O reng? Christo Thurston talks Twitter fame, SA languages, food and more

[WATCH] O reng? Christo Thurston talks Twitter fame, SA languages, food and more

Azania Mosaka chats with Christo Thurston, an education advocate and self-professed foodie, who has gained notoriety on Twitter.

Radio powerhouse joins 702

Radio powerhouse joins 702

Richard Nwamba will host a new African music show between 16h00 and 18h00 every Saturday.

Sibulele Sibaca on speaking at the prestigious Life Ball Aids charity event

Sibulele Sibaca on speaking at the prestigious Life Ball Aids charity event

Sibulele Sibaca lost her parents to HIV/Aids when she was sixteen, she shares her story and more about the global charity event.

UJ weekend of Jazz set to bring back the spirit of Pan-Africanism

UJ weekend of Jazz set to bring back the spirit of Pan-Africanism

To celebrate Africa Day, the University of Johannesburg will host a weekend of Jazz.

Last chance to enter Walk The Talk and have #702Unplugged visit your office

Last chance to enter Walk The Talk and have #702Unplugged visit your office

Primedia's brand marketing manager Alexia Poulos says this year's MTN Walk The Talk will be even bigger and better.

Popular articles
Finally, a history book that celebrates the Khoisan

Finally, a history book that celebrates the Khoisan

Author of Bastaards or Humans, Dr Ruben Richards chats to John Maytham about this groundbreaking history book.

[LISTEN] Father shares how he shot the man who raped his daughter

[LISTEN] Father shares how he shot the man who raped his daughter

Johannesburg father, Chris says he had just come back from work when he walked in on an employee raping his 17 year old daughter.

Why the PAC wants South Africa renamed Azania

Why the PAC wants South Africa renamed Azania

Pan Africanist Congress's Narius Moloto explains why it supports the name Azania, a word which he says has Arabic origins.

UPDATE: Chilling WhatsApp from Marli van Breda's ex-boyfriend read out in court

UPDATE: Chilling WhatsApp from Marli van Breda's ex-boyfriend read out in court

Marli van Breda's ex took the stand in the trial of triple murder accused Henri van Breda.

Competition Commission investigates five companies to stamp out price-fixing

Competition Commission investigates five companies to stamp out price-fixing

Commission says investigation into food and agro processing companies is important because of high levels of inequality in SA.

3 easy questions could bag you R2000!

3 easy questions could bag you R2000!

WIN R2000! But only if you can prove you're a whiz of the MTN Biz Quiz by answering the following three questions...

Blesserfinder: Matching you with a sugar daddy near you

Blesserfinder: Matching you with a sugar daddy near you

Is social trend Blesserfinder, where girls are allegedly matching up with rich 'benefactors' in exchange for sex, a real thing?