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Mr Kevin Creasey
Mainsail Financial Services
P O Box 43735
Fish Hoek
7974
Dear Kevin
Metropolitan Employee Benefits would like to advise that the review of the premium rate
effective 1 January 2010 has been completed.
The rate review was based on an analysis of the Fund’s claims experience, as well as factors
likely to have an impact on mortality and morbidity in future. The factors taken into account
include:
- Demographic changes in the membership structure
- Increased exposure to the AIDS pandemic
- Geographic spread of the membership
- The greater access to HIV/AIDS treatment
A recent analysis of the above scheme’s claims experiences has highlighted a significant
deterioration in the Group Life Assurance. (We have conducted a detailed analysis of the
overall experience of the Fund as well as an analysis of the death claim rates and notification
trends.) The death claim rates are unstable and on an upward trend. The average age at
death still shows a downward trend and at least, this could be a result of worsening Aids
mortality experience. For more discussion about the impact of Aids on the fund’s mortality,
please contact Nathea Nicolay at (021)917-3090.
In terms of amounts, 26 death claims were incurred during the period 1 January 2008 to 30
September 2009 totalling to R 3 431 008. This does not include reserves for late notification
(IBNR) that we estimate it to total R 422 500. The total net premium for this period is only R 2
969 376, therefore the total expected loss suffered by Metropolitan is R 884 132.
In light of this experience, we feel the current Group Life Assurance premium rate is
insufficient to cover the expected future running costs of the scheme. We therefore regret to
inform you that we hereby give notice in terms of clause 12 of the policy contract of a
premium rate increase with effect from 1 January 2010.
We understand the fire outbreak that fund had to go through, in which at least 11 employees
died. We would like to assure the fund that we have factored it into our rate, so that the new
rate is not influenced negatively by the once off event. Although the ratio of claims to premium
was 130% on average the last two years, we are not increasing our rate by 30% but are
proposing a 12.5% increase. This increase as explained above is due to poor Aids mortality.
Revised rate that is effective 1 January 2010 is detailed in the table below:
The above rate excludes broker commission and is guaranteed for one year.
Should this data change in future (for example, there is an unexpected influx of claims in
respect of past periods), to the extent that it is material to the assessment of the rates, we
reserve the right to change the rates provided in this letter retrospectively from the effective
date of change.
Please don’t hesitate to contact me if you have any questions regarding the above.
Yours sincerely
Vincent Nkwambi
Risk Solutions: Actuarial Services
Tel: (021) 940 6444
Fax: (021) 917 3574
E-mail: vnkwambi@metropolitan.co.za
QUERIES/COMPLAINTS
Should there be any queries or complaints that cannot be raised via the
above-mentioned Account Executive, one of the following telephone numbers
can be used :
COMPLIANT OFFICER
The Compliant Office will ensure that Metropolitan’s practices are in accordance with
the Policyholder Protection Rules.
STATUTORY NOTICE TO LONG-TERM INSURANCE POLICYHOLDERS
IMPORTANT – PLEASE READ CAREFULLY
1. (This notice does not form part of the Insurance Contract)As a long-term insurance
policyholder, or prospective policyholder, you have the right to the following
information: The intermediary (insurance broker or representative) dealing with you
must at the earliest reasonable opportunity disclose:
(The intermediary must be able to produce proof of contractual relationship with and
accreditation by the insurers concerned).
2. Your right to know the impact of the decision you elect to make:
(a) The intermediary or insurer dealing with you must inform you of:
o The premium you may be paying.
o The nature and extent of benefits you may receive.
(b) If the benefits are linked to the performance of certain assets:
o How much of the premium will go towards the benefit?
o To what portfolio will your benefits be linked?
(c) The possible impact of this purchase on your finances.
(d) The possible impact of this purchase on your other policies (affordability).
(e) The possible impact of this purchase on your investment portfolio
(affordability).
(f) The flexibility of changes you may make to the proposed contract.
(g) The contract terms of the product you intend to purchase.
(It is very important that you are quite sure that the product or transaction meets your
needs and that you feel you have all the information you need to make a decision.)
You may not be advised to cancel a policy to enable you to purchase a new policy or
amend an existing policy, unless:
(a) The intermediary identifies the policy as a replacement policy.
(b) The implications of cancellation of the policy are disclosed to you such as:
o The influence on your benefits under the old policy.
o The additional costs incurred with the replacement.
(a) The insurer which issued the original policy will contact you, you are advised to discuss the
matter with its representative.
The insurer will forward you documentation confirming policy details as discussed in
paragraph 2 of this Notice, which will also include:
(The insurer may disclose the above information on a generic basis with additional
policyholder specific disclosure).
In most cases, you have a right to cancel a policy within 30 days after receipt of the
summary contemplated in Section 48 from the insurer. The same applies to certain
changes you may make to a policy. The insurer is obliged to confirm to you whether you
have this right and to explain how to exercise it. Please bear in mind that you may not
exercise if you have already claimed under the policy or if the event, which the policy
insures you against, has already happened. If the policy has an investment component,
you will carry any investment loss.
6. Serious warning
o It is very important that you are quite sure that the product or transaction meets your
needs and that you feel you have all the information you need before making a decision.
o It is recommended that you discuss with the intermediary or insurer the possible impact
of the proposed transaction on your finances, your other policies or your broader
investment portfolio. You should also ask for information about the flexibility of any
proposed policy.
o Where paper forms are required, it is advisable to sign them only once they are fully
completed. Feel free to make notes regarding verbal information, and to ask for written
confirmation or copies of documents.
o Remember that you may contact either the Long-term Insurance Ombudsman or the
registrar of Long-term Insurance, whose details are set out below, if you have any
concerns regarding a product sold to you or advice given to you.
7. Particulars of Long-term Insurance Ombudsman
PO Box 45007
CLAREMONT
7735
Tel: (021) 674 0330
Fax: (021) 674 0951
I/ We agree to accept the benefits, premiums and terms and conditions set out in this
proposal.
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On behalf of employer/ Fund
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Name (in block letters)
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Capacity