Life Insurance
7 Things That Can Make The Claims Process Frustrating for You
7 Things That Can Make The Claims Process Frustrating for You
21 Feb 2023

The claims process - is it just another elaborate scheme for insurers to find ways not to pay out recipients? The short answer is no, insurers do not have a scheme to prevent recipients from receiving funds owed to them, but it is set in place to ensure that the right people end up with the payout.

The claims process is put in place to help beneficiaries of policies to place a claim with ease to receive the funds owed to them. However, there can be a few things that you can do that can make the process frustrating, or even worse, cause a claim to be denied. Here is what you need to know.


Guilty of non-disclosure

Applying for life insurance with false information is known as non-disclosure. Should your insurer find that you have submitted any false information, a claim can be denied. It is always better to answer any questions you are asked truthfully to help your loved ones avoid unnecessary stress.


Claim event arising abroad

Most insurers will cover you for a claim that has occurred outside the borders of South Africa. However, there are a list of countries that insurers will not cover due to the danger they pose to your life. Should the policyholder decide to go to one of these countries, and pass away while there, your insurer could deny the claim.


Participating in riots

If the main policy holder dies due to participating in riots, insurrection, civil commotion, military or hostile action their insurer can deny the claim. Participating in any activity where you knowingly put yourself in harms way, which increases your chances of dying can cause an insurer to deny a claim.


Housebreaking and crime

Should a policy holder commit a crime such as breaking into a house, murder, assault, robbery, kidnapping, or a crime involving sexual acts, their claim will be denied.


Taking drugs

Taking drugs that have not been prescribed by a medical professional and puts your health at risk will not be covered by an insurer. It is crucial to disclose all medical information with your insurer when applying for life insurance. Always remember to update your insurer of medical or health changes that can affect your life.


Participating in risky lifestyle choices

Doing things such as excessive drinking or activities such as drifting can cause insurers to deny a claim.


Participating in dangerous hobbies

Participating in any activity that can result in you sustaining bodily harm or increase your chances of dying are also reasons to have your claim denied.


Suicide exclusions

Most life insurers have a waiting period for deaths caused by suicide. The waiting period is usually 24 months. Should the policy holder die within this period, their claim can be denied.


These exclusions are usually explained to the policyholder when they are about to take out a policy. You will also receive a document that lists the terms and conditions that come with a policy to ensure that you understand what you are taking out. 

Need more information on MiWayLife? Read about our life insurance product, or get a life insurance quote in 30 seconds. Alternatively, call us on 0860 64 54 33 .
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Terms and conditions apply. Eligibility, cover and benefits are determined on individual risk profile. MiWayLife is an authorised FSP (No. 45741) and its product offering is underwritten by Sanlam Life Insurance Limited, a registered long-term insurer. MiWayLife is a division of Sanlam Life Insurance Limited - Reg No. 1998/021121/06