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Jargon Buster: What are exclusions and loadings?

Exclusions and Loadings are commonly used insurance terms. What do they mean and how do they affect insurance policies?

Applying for life insurance doesn’t have to be daunting. You might find that your cover comes with exclusions or loadings, but what does this mean? This can affect your premiums, claims process, or both. We break down what these terms exclusions and loadings mean and how it will affect you.

Exclusions

Is it all just red tape or a way to trap you? “Contrary to this myth, exclusions are added by all insurers onto their life insurance policies to protect themselves from high-risk individuals. These are events or occurrences that an insurer will not cover due to the high level of risk on your life that it poses,” says CEO of MiWayLife Craig Baker. This can affect you when it comes to placing a claim. Some of the exclusions that come with a life insurance policy are:

  • Travelling to high-risk countries that are listed on your policy such as Afghanistan, Iraq, Burundi, Syria and so forth.
  • Participating in dangerous hobbies or activities such as cliff divining, unaccompanied scuba diving, solo climbing mountaineering, motorised racing or speed contests.
  • Participating in riots, insurrection, civil commotion, or an act of terrorism.
  • Commit or attempts to commit a crime
  • Deliberately inflict an injury on yourself
  • Takes drugs or medicine that has not been prescribed to you by a doctor or drinking and driving
  • Deaths caused by suicide will not be paid within 24 months from the cover start date.

Loadings

“Your insurer will ask you a range of questions regarding your age, health, lifestyle, and occupation which is also known as the underwriting process. These questions will give your insurer insight on the chances of you claiming in the future,” comments Baker. This will affect your premiums. For example, if you are a firefighter or a construction worker the chances of you making a claim are higher compared to someone who works in an office. This could attract a loading. However, this can be removed or reduced should the cause of the loading be improved. For example, if you attract a loading because you are a smoker and quit smoking or you have been cleared for cancer.

Key differences to remember

Exclusions

  • These are risks that an insurer will not cover
  • Can prevent a claim from being paid out
  • Will not cover things such as travelling to high risk countries, participating in dangerous hobbies or activities, or deliberately inflicting injury on yourself

Loadings

  • Affected by your health, age, gender, or occupation
  • Can affect your premiums
  • Not fixed but can be removed or reduced if your situation improves

Always remember to read the terms and conditions that come with your policy. Should there be anything that you still don’t understand, you can talk to your insurer to find out more.

MiWayLife is always trying to find ways to provide life insurance to everyday South Africans, even to individuals who we previously weren’t able to cover. To find out about our combined funeral and life policy with one affordable premium, click here to leave your details and get a quote.

 

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Patrick Mumbi

Patrick Mumbi is currently the Content Administrator at Hive Digital Media. Trained as a Journalist, he carries wealth of experience having worked across the media spectrum in print, electronic and currently in the digital media space. Patrick's current responsibilities include writing commercial content and most importantly ensuring quality control is achieved on internal and external content which gets published on various platforms.
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