Mutual and Federal Disclosure Notice 

About your financial services provider (intermediary/broker)

• Name, address, contact details of the intermediary/broker
• Legal status of the
• Whether services are rendered ender supervision
• Whether the intermediary/broker holds more than 10% of the insurer's shares and/or
• whether the intermediary/broker received more than 30% of total remuneration from the insurer in the past year
• Whether the intermediary/broker holds any form of professional indemnity insurance
• Details of intermediary/broker's compliance procedure
• Details of intermediary/broker's compliance arrangements
• Rand amount of fess, commissions or any valuable consideration payable
• Contractual arrangement or conditions.

Your intermediary/broker must provide you with this information:

• This information must make it clear which entity accepts responsibility for the actions of the broker or representative who has advised you.
• The broker or representative must disclose whether his service to you is rendered under the supervision of another person

Your insurance broker should provide this information to you within a a reasonable time from the time you are provided with a quotation, take out a policy or amend your policy.

If your broker does not do so after you have requested it, please contact the Financial Services Board [details provided below]

• Mutual % Federal Insurance Company Limited
  75 President Street, Johannesburg, 2001
  PO Box 1120 Johannesburg 2000
  (011) 374 9111
• Contact your broker or nearest Mutual & Federal office which is indicated on the accompanying schedule
• Contact your Mutual and Federal branch
• complaince@mf.co.za
• Your policy document contains the name, class and type of policy
• You agreed to pay the premium.  The amount due, the frequency of payment and the date due are contained in the schedule
• If you do not pay the premium within 15 days of the due date, cover will be cancelled from midnight on the day before the due date

About the product supplier (insurer)

• Name, address and contact details of product supplier
• Details of how to submit a claim
• Details of the complaints resolution procedure of the product supplier
• Details of the legal compliance department
• Type of policy involved
• Manner of payment or premium, due date and consequences of non-payment.

Important Information

You must be informed of any material changes to the information provided above.
If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit your complaint to the FAIS Ombud.
Polygraph or similar tests are not obligatory and claims may not be rejected solely on the basis of a failure of such a test.
If your premium is paid by debit order, the debit order must be in favour or either the intermediary or the products supplier. It may also not be transferred without your approval.
The product supplier (insurer) must give you 30 days notice in writing of its intention to cancel your debit order.
Your product supplier (insurer) must give reasons in writing for the rejection of any claim submitted by you.
Your product supplier (insurer) must give you written notice of its intention to cancel your policy.
You are entitled to a copy of your policy free of charge.

Warning

Do not sign any blank or partially completed application form
Complete all forms in ink
Keep all documents handed to you and make notes of what is said to you
Ask for letter of representation from you advisor and do not be pressurised into buying the product
Failure to provide correct or full material information may influence and insurer on any claims arising from your contract of insurance.

FAIS Ombud

Short-term insurance Ombudsman
(For personal claims complaints/queries)

Registrar of Short-term Insurance
Financial Services Board

Mr C. Pillai
PO Box 74571 Lynnwood Ridge 0040
(012) 470 9080 through 9097
Fax (012) 348 3447
info@faisombud.co.za
www.faisombud.co.za
Mr H. van Zijl
PO Box 32334, Braamfontein, 2017
(011)726 8900
Fax (011) 726 5501
PO Box 35655 Menlo Park 0102
(012) 428 8000
Fax (012) 347 0221