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Long Term Insurance Act, 1998 (Act No. 52 of 1998)

Rules

Policyholder Protection Rules (Long-term Insurance), 2017

Chapter 3 : Products

Rule 6 : Determining premiums

 

6.1 A premium payable under a policy must reasonably balance the interests of the insurer and the reasonable benefit expectations of a policyholder or member, and be based on assumptions that are realistic and that the insurer reasonably believes are likely to be met over the term of the policy.

 

6.2 An insurer may not charge a policyholder or member any fee or charge in addition to the premium payable under the policy.

 

6.3 The fee referred to in rule 6.2 does not include a fee or charge—
(a) deducted from the policy's investment value or policy benefits, where the deduction is explicitly provided for in the policy; or
(b) that is permitted in terms of legislation.

 

6.4 Any fee referred to in rule 6.3 must be clearly and prominently disclosed to the policyholder or member in accordance with rule 10.15 and before the policy is entered into.

 

6.5 This rule only applies to new policies and changes to the premium or fee structure of existing policies.