Kganya Botswana Pukwana ya Kganya Payment Book
25 BLIL may, in writing, notify the Policyholder that the Assured Life will be examined by a doctor selected by and at the cost of BLIL to independently determine the cause and/or extent of the purported Permanent Disability incurred in the Accident. The onus of proof shall be on the Policyholder that: • the Policyholder was a Policyholder in Good Standing; • a child is a Dependant; • the Permanent Disability is included in Table A of the Annexure; • such disability is a Permanent Disability likely to continue for the rest of the Assured Life’s life. Where more than one Claim is made in respect of the same Accident and the same Assured Life, Kganya Botswana will determine the Policyholder entitled to the Personal Accident Benefit. 8.4 Claims Payment Subject to terms and conditions, BLIL undertakes to pay a Personal Accident Benefit: • to a Policyholder; • in respect of Permanent Disability; • incurred by an Assured Life in an Accident; • where the Date of Accident is on or after the Commencement Date. Any Personal Accident Benefit payable will be paid on the date a Claim is admitted or approved by BLIL. 8.5 Alterations ZCC Botswana and BLIL will determine the Personal Accident Benefit payable from time to time by specifying: • the Permanent Disabilities; • the Base Amount for each Permanent Disability; and • the Percentage of Base Amount, Minimum Amount Payable and Maximum Amount Payable. The amount of the Benefits will be set out in a revised Annexure and distributed by Kganya Botswana to Church Branch Committee Members for onward distribution to Policyholders. PERSONAL ACCIDENT BENEFITS
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