Income Sure

You spend years planning your career, working hard and building your skills. You dedicate long hours to earn recognition over time and sacrifice a lot along the way. At LSG we believe your livelihood, after you have cemented your career, deserves the same attention. Insure your most important asset, Your Income

 
Application Form
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Income Sure

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    Personal Details

  • Policy Holder Protection Data (Compulsory)
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    Telephone details

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    Weekly Cashflow Protector (Weekly Benefit)

  • Weekly Cashflow Protector (Weekly Benefit) 30 day waiting period (excess) (14 days Virgin Active Instructors) for sickness 7 day for accident. Up to maximum 104 weeks excluding waiting period
  • Weekly Cashflow Protector (Weekly Benefit) 30 day waiting period (excess) (14 days Virgin Active Instructors) for sickness 7 day for accident. Up to maximum 104 weeks excluding waiting period
  • 30 day waiting period (excess) (14 days Virgin Active Instructors) 7 day waiting period for accident (excess) Up to maximum 24 months excluding waiting period
  • 30 day waiting period (excess) (14 days Virgin Active Instructors) 7 day waiting period for accident (excess) Up to maximum 24 months excluding waiting period
  • 30 day waiting period (excess) (14 days Virgin Active Instructors) 7 day waiting period for accident (excess) Up to maximum 24 months excluding waiting period This is for self-employed persons to cover business overheads and excluding the Insured Person's earnings which must be insured under the Weekly Cashflow Protector benefit
  • (All Cancers except skin cancer) Fixed benefit on diagnosis
  • Fixed benefit on birth of a child after 12 consecutive months on the policy
  • Price: R50.00
  • Price: R15.00
  • This is the total of the benefits chosen above as well as the Compulsory benefit of R50.00 and the Policy fee of R15.00
    R0.00
  • I hereby authorise LSG Insurance Services (Pty) Ltd or its authorised administrator to debit my account with the agreed monthly premium payment at:
  • NOTE: Debits cannot be raised through FNB Savings, Master Card Holders, or account numbers exceeding 13 digits
  • R0.00
    • I/we declare that after proper enquiry the statements and particulars given above are true and that I/we have not miss-stated or suppressed any material fact.
    • I/we agree that this Proposal Form, together with any other material information supplied by me/us shall form the basis of any contract of insurance affected thereon.
    • I/we undertake to inform underwriters of any material alteration to these facts occurring before the completion of the contract.
    • I/We understand that submitting this electronic declaration form will from the basis of this contract.
    •  I/We understand that the Binding Fee included in the premium relates to services provided and hereby consent to such fee.
    Copy of policy wording available on request.

LSG Income Sure rates