Terms and Conditions
Full terms and conditions and Disclosures are included in the policy documents that are sent after sign-up. These should be read in full after you have taken out a CompliMed® Gap cover policy. You will have the right to cancel the policy within 30 days of receiving the policy documentation at no cost and any premiums already paid will be refunded back to you.
CompliMed®
CompliMed® (Pty) Ltd registration number 2003/019934/07, is an authorized financial services provider (FSP 14381), licensed by the Financial Services Board to supply, amongst other categories, Short Term Personal Lines, of which accident and health policies (gap cover) forms part thereof. CompliMed® has an independent compliance officer and her details are as follows:
Louise Pardy, L Pardy and Associates, lpardy@vodamail.co.za
The Insurer
The insurer is Lombard Insurance Company Limited registration number 1990/001253/06. Lombard is an authorized financial services provider (FSP 1596) providing the risk on all CompliMed® Gap cover policies. The insurer’s compliance officer is Ms. R Platte who can be contacted on the following telephone number: 011 551 0600 or compliance@lombardins.com
The Underwriting Manager and Administrator
Turnberry Management Risk Solutions (Pty) Ltd registration number 2007/026488/07 acts as the medical gap insurance specialists for Lombard Insurance Company Limited. Turnberry is an authorized financial services provider (FSP 36571) and have appointed Mrs. S Gerald as their compliance officer who can be contacted on 011 9691649. Turnberry will also be performing all the admin functions on the CompliMed® range of Gap cover policies which will include the issuing of policies, collecting of premiums and the assessing and paying of claims. Turnberry can be contacted on the telephone number: 0861 000 508 or email: newbusiness@turnberry.co.za
Application Process
CompliMed® distributes their products via the website and sign-up of a gap cover policy is done by completing an online application. By signing up for a CompliMed® policy, you agree to abide by the terms and conditions of both Turnberry the administrator and Lombard the insurer. Once your CompliMed® online application has been submitted, the administrator Turnberry will process your application and check the personal banking details provided by you to ensure that they are correct. Once the administrator has accepted your application on behalf of the insurer a CompliMed® policy will be issued. You may cancel this policy at any stage by providing 30 days notice in writing to the administrator. You may send an email to: admin@turnberry.co.za
The CompliMed® Contract
Your Gap Cover policy consists of your online application, policy schedule and policy document. CompliMed® policies are underwritten by Lombard and administered by Turnberry. This means that Turnberry are responsible for assessing and paying claims under the policy on behalf of Lombard. CompliMed® markets and distributes their gap cover products using the website but your agreement to pay all monthly premiums are directly with Turnberry.
The cover you have under your CompliMed® policy will be explained fully in your policy document. Be sure to read your policy document carefully, double check all the details in the document, taking special attention to read and understand all relevant waiting periods and exclusions that will apply to your cover. Should you have any questions in this regard please contact CompliMed® on the email: admin@complimed.co.za
NB. This is not a medical scheme and cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership.
Personal Information
CompliMed® takes the protection of your personal information very seriously. By accepting the terms and conditions, you consent to the sharing of your information knowing that this will be kept confidential.
We respect your privacy and take great care to protect the confidential information you give us: we will deal with it in a lawful manner. CompliMed® will not share your personal information with any other third party except if it is required to do so in the ordinary course of business, or where required by law. We don’t like spam and we won’t sell your details to anyone for their marketing purposes.
CompliMed® may collect and process certain personal information for communication and administrative purposes. Collection and processing of this information will help us give you a better service and create products tailored to meet your needs.
Financial Advice
CompliMed® is an authorized financial services provider marketing Short Term Insurance products underwritten by Lombard and administered by Turnberry. CompliMed® does not offer financial advice as defined by the Financial Advisory and Intermediary Services Act (FAIS) on any products sold via the website.
Premium Payment
Turnberry the administrator facilitates the collection of your CompliMed® Gap cover premiums on behalf of Lombard the insurer. You agree that you will pay the premium on the specified date(s) and authorize Turnberry to debit your bank account information provided in your online application. Premiums will be payable monthly in advance from the start date of your policy, and your obligation to pay a monthly premium will remain as long as your policy is in effect. Turnberry may vary the premium rate under this policy at any time, by giving thirty (30) days notice written notice. All premiums related queries can be directed to the following email address: debtors@turnberry.co.za
Term
The cover on your CompliMed® policy will start as soon as your policy commencement date is reached. Your specific commencement date is noted on your policy schedule and your policy will automatically be renewed on 1 January every year, as long as you continue to pay premiums.
Cool-off Period
If you change your mind and want to cancel this policy within the first 30 days from taking it out, we will refund you any premiums you have already paid. If you decide to cancel your policy after this date, you’ll lose any premiums already paid.
Policy Reinstatement
Should your CompliMed® policy be cancelled for whatever reason, a request to reinstate the benefits must be made to the administrator Turnberry in writing. It may be reinstated at the absolute discretion and subject to the requirements of Turnberry.
Claims
Claims are processed and paid by the administrator Turnberry, in strict accordance to the terms and definitions of your CompliMed® policy. Please ensure that you read and fully understand all the waiting periods and exceptions that apply to your cover.
Non-Disclosure
If you have given false information in your application your claim may not be paid.
Debit Order
Turnberry the administrator will attempt to deduct the premiums on your CompliMed® policy in accordance with the date you selected, but should this date fall on a weekend or public holiday, they may be required to collect a premium on the first working day thereafter. The debit order reference reflected on your bank account for any premium collected will be “TMS Health.”
Replacement Policy
If this policy is replacing an existing policy please ensure that you have carefully compared the premiums, benefits and all terms and conditions of your CompliMed® policy with the policy being replaced.
You may enter a waiting period that applies to your CompliMed® policy that no longer applies to your existing policy.
Your existing policy may have different exclusions (events that are not covered) than those on your CompliMed® policy.
No waiting periods will apply to any benefits on your CompliMed® policy where such benefits are similar by definition to those being replaced (like-for-like), and where the replaced policy has been in force for at least 12 months or longer. Please be advised that proof of current cover will need to be provided when applying for a CompliMed® policy, in order to avoid any new waiting periods being applied.
