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Frequently Asked Questions

Definition
of Terms
Motor
Insurance
Health
Insurance
Property
Insurance

  • How do I handle claims involving a third party?
  • If the vehicle is comprehensively insured, the owner can claim for damages to the vehicle. 

    • Notify KCB Insurance or your insurance company of the accident/damage as soon as possible. 
    • Obtain form KCB Insurance a list of approved garages where the vehicle may be taken for assessment and repairs. 
    • Submit the fully completed Motor Accident Claim Form together with all supporting documents immediately to KCB Insurance or your insurance company. 
    • Cooperate fully with Assessors or investigators appointed by your Insurance Company.
    • Do not instruct repairs unless authorized by your insurance company.
  • What is KCB Simba Health Insurance?
  • KCB Simba Health Medical Insurance is a comprehensive medical solution offering Inpatient and Outpatient benefits to individuals, families, businesses, groups and institutions. Through partnership with Madison Insurance Company Limited, KCB Insurance Agency has developed this product to meet the health needs of customers.

  • What benefits are covered under KCB Simba Health Insurance?
  • KCB Simba Health Insurance offers the following benefits:

    • High Inpatient and Outpatient limits
    • Enhanced sub-limits on pre-existing, chronic, cancer, HIV/AIDS and congenital conditions
    • Extensive provider network
    • Immunization: KEPI and baby friendly
    • Accidental death or permanent disability cover (Principal & Spouse)
    • Maternity benefit and related complications
    • Wide age bracket (birth to 70 years and up to 80 years for existing members)
    • Last expense benefit up to KES.250,000.00
  • What are the unique features of KCB Simba Health Insurance?
  • KCB Simba Health Insurance has the following unique features:

    • Covers on Individual, Family, Affinity Groups (chamas) SMEs, Family members with relatives in the Diaspora, Corporates, etc.
    • Insurance Premium Financing is available through KCB Bank.
    • Medical service providers (General Practitioners and Consultants) countrywide.
    • Smart Card Payment – no cash payments at the medical service providers.
  • What is Outpatient Cover?
  • This is the consultation of a doctor at a hospital or clinic, and treatment without the need for admission.

  • What benefits are provided under Simba Health inpatient cover?
  • Inpatient cover provides for but is not limited to the following

    • Cover options from KES.1 million to KES.10 million
    • Maternity and related complications
    • Prematurity and New-born illness
    • Chronic, Pre-existing conditions, Cancer, & HIV/AIDS and dialysis
    • Radiotherapy and Chemotherapy
    • Inpatient dental & optical
    • Organ transplant
    • Accidental death or permanent total disability
    • Emergency Road and Air Evacuation
    • Home Nursing care for critical illness
    • Prematurity and New-born illness
  • What benefits are provided under Simba Health outpatient cover?
  • Outpatient cover provides for but is not limited to the following:

    • Cover options from KES.50,000.00 to KES.300,000.00.
    • Routine outpatient consultation
    • Outpatient congenital defect and genetic disorders
    • Out-patient dental and Optical benefits
    • Health Check ups
    • Vaccines: KEPI and or baby Friendly
    • Chronic, Pre-existing conditions, Cancer, & HIV/AIDS including cost of ARVs covered up to the full out-patient cover limit
    • Travel Vaccines (Yellow Fever and Oral Polio)
  • What is the definition of chronic and recurrent ailment?
  • This is a disease/illness or injury (including a mental condition) which has at least one of the following characteristics:

    • Has no known cure or recurs.
    • Leads to permanent disability.
    • Caused by changes to your body which cannot be reversed.
    • Requires you to be specially trained or rehabilitated and
    • Needs prolonged supervision, monitoring or treatment
  • What is the definition of a pre-existing condition?
  • These are conditions that have been diagnosed & treated prior to the inception of the policy and these are usually chronic & recurrent in nature.

  • What is the definition of a congenital condition?
  • This is a condition that is present at birth and/or occurring prior to birth due to a Parents’ genetic input.

  • What do you mean by the term day case?
  • This is treatment which for medical reasons requires the patient to be admitted to hospital and normally requires them to occupy a hospital bed during the day but not overnight.

  • What do you refer to by the terms non-disclosure?
  • This refers to the situation where a customer fails to reveal a material fact when applying for medical insurance or any other type of insurance.

  • Who are dependents?
  • Eligible dependents include spouse(s), own children; by birth, legally adopted or foster children.

  • When does my medical cover become effective?
  • This is date shown on the policy schedule on which this policy commences provided the whole premium due is paid in full.

  • What is Inpatient Cover?
  • This is a medical situation where a member is required to be admitted and stays overnight in a hospital.

  • Which hospitals can I and my family members be attended to?
  • Hospitals shall include any of the Madison’s approved medical providers who offer care and treatment for the sick and injured.

  • What do you mean by the term members?
  • These are Eligible Persons whose Proposals have been accepted by Madison Insurance Company.

  • What do you mean by the term co-payment?
  • Co-payment (also referred to as co-pay) applies in medical insurance where the insured person pays a specified amount of out-of-pocket expenses for health-care services such as doctor visits and prescriptions drugs at the time the service is rendered, with the insurer paying the remaining costs. Insurance companies use copayments to share health care costs to prevent moral hazard. i.e. discourage customers from visiting high end medical service providers and/or discourage unnecessary doctor visits/consultation.

  • How does co-payment affect me while seeking treatment?
  • Co-payment under Simba health applies as follows:

    • KES.500.00 at Aga Khan University Hospital,
    • KES.500.00 at Nairobi Hospital
    • KES.500.00 at Karen Hospital
    • KES.500.00 at Gertrude’s Hospital
    • KES.300.00 at MP Shah Hospital
    • KES.300.00 at Mater Hospital
    • No co-payment in all other approved hospitals not listed above
  • How does co payment affect me while seeking treatment?
  • Co-payment under Simba health applies as follows:

    • KES.500.00 at Aga Khan University Hospital,
    • KES.500.00 at Nairobi Hospital
    • KES.500.00 at Karen Hospital
    • KES.500.00 at Gertrude’s Hospital
    • KES.300.00 at MP Shah Hospital
    • KES.300.00 at Mater Hospital
    • No co-payment in all other approved hospitals not listed above
  • Who is eligible to apply for Simba Health Insurance?
  • All persons plus their legal dependents from a term baby (age 38 weeks and discharged from the hospital) to the age of seventy (70) years are eligible to apply for Simba Health. The following qualifications shall apply.

    • Children above 21 years will be covered subject to proof of schooling up to 25 years.
    • Existing members can continue renewing in the scheme up to age seventy five (75) years and up to eighty (80) on provision of acceptable medical report.
    • Joining applicants above the age of 55 years will be required to submit a medical report from selected service providers at their own cost.
  • What do you mean by the term “Waiting Period”?
  • A waiting period protects the insurance company by ensuring that individuals are not able to make a large claim shortly after joining and then cancelling their policy. This kind of behavior would result in increased premiums for all members.

  • What is the applicable waiting period under Simba Health?
  • The following waiting periods apply under Simba Health:

    • No waiting period for accidental cases/transfers from other providers without lapse
    • 60 days for non-accidental surgery
    • 12 months for Maternity and related conditions
    • 6 months for pre-existing, chronic, congenital, HIV/ AIDS related conditions, gynecological surgeries and internal /external implants
    • 12 months for cancer and dialysis cases
    • Two years for organ transplant and Optical frames
    • 30 days for all other conditions not listed above
  • How do you handle the issue of reimbursement should I use cash to pay for my medical expenses?
  • Insured persons under Simba Health are encouraged to utilise their medical smart cards when seeking medical attention so as to avoid utilising their own money while seeking treatment. However, circumstances do occurs when an insured person may be forced to pay cash, for instance while seeking emergency medical assistance and the smart cards fails to read or the card may not be in the custody of the insured person at the time of seeking emergency medical assistance. During such situations, the insured person may settle the medical bill in cash and thereafter seek reimbursement from the insurance company through KCB Insurance Agency. The following rules shall apply:

    • The insured person will be reimbursed 80% of the medical expenses for service providers outside the approved provider panel based on Madison rates (i.e. subject to cost of treatment negotiated between Madison Insurance and medical service providers within their panel).
    • The insured person will be reimbursed 100% of the medical expenses for service providers within the approved provider panel of Madison Insurance subject to Madison rates.
  • What is Motor Insurance?
  • Motor Insurance covers the owner against loss or damage to the vehicle due to accidental fire, theft, accident, third party bodily injury or death, third party property loss or damage.

  • Is Motor Insurance Necessary?
  • Insurance of motor vehicles against third party risks is compulsory in Kenya and it is an offense for any person to use motor vehicle without insurance cover.

  • How does motor insurance operate?
  • When you buy motor insurance, you contribute a sum of money called premium into a common pool. The few unfortunate contributors who suffer losses are paid out of this pool and in any case nobody wishes to be involved in a loss situation in order to be paid out of the pool. The total premium contributed into the pool has to be adequate to meet all losses suffered in any one year. In addition, other costs of operating the pool including profit for the insurer needs be met by the pool. Any failure in meeting the above costs leads to a loss for the insurer.

  • What is the Level of Motor Insurance cover?
  • Generally, there are three types of cover under motor insurance.

    • Motor Third party - This cover protects you against third party losses including death, bodily injury and/or property damage.
    • Motor Third party Fire and Theft - This cover protects you against all third party risks mentioned above in addition to loss and/or damage to your vehicle due to theft and fire.
    • Motor Comprehensive - This protects you against the third party’s death, bodily injury and/ or property damage as well as loss/ damage to your vehicle due to accidental fire, theft or an accident.
  • What is the Level of Motor Insurance cover?
  • Generally, there are three types of cover under motor insurance.

    • Motor Third party - This cover protects you against third party losses including death, bodily injury and/or property damage.
    • Motor Third party Fire and Theft - This cover protects you against all third party risks mentioned above in addition to loss and/or damage to your vehicle due to theft and fire.
    • Motor Comprehensive - This protects you against the third party’s death, bodily injury and/ or property damage as well as loss/ damage to your vehicle due to accidental fire, theft or an accident.
  • Who is a third party?
  • The first party in a motor insurance contract is the vehicle owner and the second party is the insurance company. The third party is a person who suffers property damage or loss or death or bodily injury as a result of an accident involving the insured vehicle. A third party may be any person including a property owner, a pedestrian, a driver or passengers in another vehicle. Any person other than the vehicle owner, their immediate family members and their authorized driver is considered as a third party.

  • Indemnity
  • Indemnity is where the insurance company compensates the motor vehicle owner by placing them back in the same financial position as they were immediately before the loss. This means that one cannot profit from an insurance loss or claim.

  • Excess
  • Excess is the uninsured portion of the loss that the vehicle owner has to bear in an insurance claim. Excess is a percentage of the insured vehicle value and is paid to the insurance company for any repairs in case of accidental damages. In cases where the vehicle is stolen or is a write off/total loss, the excess shall be paid before the final claim payment.

    Example: If your vehicle is insured for say KES.400,000.00 (sum insured)and the excess is 5% of the sum insured, the excess amount will be KES.20,000.00.

  • How much should I insure my vehicle for?
  • The vehicle should be insured for its current market value i.e. the cost of replacing the vehicle with a similar one of same make, model, age and condition. If the amount insured is less than the market value, then the average condition shall apply

  • Can I cancel my insurance cover mid-term?
  • One may opt to cancel their insurance cover by giving written notice to your insurance company. Upon cancellation, there will be a refund of premium. However insurers may impose a penalty for the early cancellation. The original insurance certificate must be returned to the insurance company.

  • What is Average Condition?
  •  Average condition is the penalty for underinsurance.

  • Can I sell my vehicle with the insurance certificate?
  • The insurance certificate will be invalid immediately the vehicle has been sold to another person. The new owner will need to take a new insurance cover for the vehicle. One may cancel the policy and apply for refund of the unused insurance from your insurer.

  • What does a Certificate of Motor Insurance refer to?
  • This is a document prepared by the insurance company in a form prescribed by law and is to be displayed on the vehicle as required by law as evidence that the owner of the vehicle has taken out insurance.

  • What risks are not covered in standard motor insurance?
  • Motor insurance will not cover the following;

    • Motor vehicle owner’s own death or bodily injury. The vehicle owner can consider taking up personal accident policy insurance to cover this risk.
    • Damage to tires only unless the vehicle is damaged at the same time.
    • Consequential loss, depreciation, wear and tear, rust and corrosion, mechanical or electronic breakdowns, equipment or computer malfunction.
    • Loss or damage occurring outside the geographical area.
    • Loss or damage caused by or due to cheating.
    • Loss or damage accessioned whilst the vehicle is being driven by an authorized driver.
    • Driving whilst under the influence of alcohol.
    • Loss or damage or liability caused by the vehicle being used for an unlawful purpose.
  • What should I do when I am involved in a motor accident?
  • If one is involved in a motor accident, the general rules that need to be observed include:

    1.    Obtaining the following details related to the accident:

    • Names and addresses of all drivers and passengers involved in the accident.
    • Registration numbers make and model of each vehicle involved in the accident.
    • Details of the driving license, insurance policy and certificate of the third party driver(s).
    • Names and addresses of as many witnesses as possible.

      2.    Taking safe actions to prevent further damages and injuries such as calling the police and moving the vehicle to safe custody.
      3.    Report the loss to the police as soon as possible but not later than 24 hours of the accident.
      4.    Notify KCB Insurance or your insurance company of the loss as soon as possible and follow this with a written notification.
      5.    Send all supporting documents including Police Abstract Report, driver’s license, driver’s statement of the loss immediately to KCB Insurance or your insurance company.
  • How do I make a claim for damage to the vehicle?
  • 1. If the vehicle is comprehensively insured, the owner can claim for damages to the vehicle.
    2. Notify KCB Insurance or your insurance company of the accident/damage as soon as possible.
    3. Obtain form KCB Insurance a list of approved garages where the vehicle may be taken for assessment and repairs.
    4. Submit the fully completed Motor Accident Claim Form together with all supporting documents immediately to KCB Insurance or your insurance company.
    5. Cooperate fully with Assessors or investigators appointed by your Insurance Company.
    6. Do not instruct repairs unless authorized by your insurance company.

  • How do I handle claims involving a third party?
  • 1. At all times ensure that any third party or potential third party claim is reported to the insurance company as soon as possible through KCB Insurance.
    2. Never admit liability to the third party and /or any other party.
    3. Refer all third parties enquiries or those of their representatives to KCB Insurance or your insurance company.
    4. All demand letters or court summons should be forwarded unanswered to the insurance company through KCB Insurance to enable the insurance company immediately take over the claim.
    5. Submit the fully completed Motor Accident Claim Form together with all supporting documents including Police Abstract Report immediately to KCB Insurance or your insurance company.
    6. Cooperate fully with the assessor or investigator appointed by your Insurance Company.
    7. Cooperate fully with the advocate appointed by the insurance company in case of court case and ensure attendance of all court hearing as may be instructed by the advocate.

  • Does third party insurance cover damage to my vehicle?
  • One cannot claim for vehicle repair costs from the insurance company if they have a third party only insurance cover. In this case the vehicle owner may need to claim from the insurance company of the other vehicle with which they were involved in the accident. This is assuming that other vehicle driver was blamed for the accident by the traffic police. However, since you are a third party to this insurance company, you should observe some conditions:

    a. To notify your own insurer of the loss.

    b. To notify the insurance company against which you are claiming as a third party.

    c. To follow the instructions given by both insurance companies and submit all supporting documents they may call for.

  • How do I handle claims involving theft of my vehicle?
  • 1. Immediately report to the theft incident to the police so that they may commence investigations.

    2. Immediately notify KCB Insurance or your insurance company by telephone and where possible not later than 24 hours of discovery of the theft.

    3. Submit a duly filled Claim Form together with all other documentation called for by KCB Insurance or the insurance company.

    4. Follow the instructions given by KCB Insurance or your insurance company and cooperate fully with them during the course of investigations of the theft.

  • Do’s and Don’ts when applying for insurance
    • Disclose all material facts on the risks to be covered.
    • Answer all the questions fully and accurately.
    • Complete and sign the proposal form yourself.
    • Establish the market value of the vehicle by having it valued preferably by a duly registered Motor Assessor.
  • Don’ts
    • Leave any question in the proposal form unanswered.
    • Withhold or misrepresent any material facts (give false or untruthful) otherwise the certificate of insurance will be void and claim can be repudiated.
    • Underinsure the vehicle as you will be penalized by the application of Average in the event of a claim.
  • Why do I need home insurance?
  • Home insurance can protect not only your property but also what’s inside it, depending on whether you have buildings insurance, contents insurance or both. Buildings insurance protects the structure of your home and its permanent fixtures and fittings, such as fitted kitchens and sanitary ware. You need this type of insurance to be able to get a mortgage, and even if you own the property outright you are likely to want to ensure you have adequate financial protection for your valuable real estate. Contents insurance covers your personal possessions and valuables against accidents, theft and loss.

  • Should I buy a joint buildings and contents policy?
  • This depends on your situation, for example whether you rent or own the property, and also what you require from your home insurance. If you require both buildings and contents insurance, then buying a joint policy is likely to be the most cost-effective and convenient option.

  • What does homeowners insurance cover?
  • Homeowners insurance typically covers you for:

    • The structure of your dwelling – building
    • Other structures on your property
    • Household contents including furniture, electronic equipment, clothing, wall hangings, etc.
    • Your family’s personal belongings
    • Personal Liability
  • What protection does home insurance policy provide?
  • Homeowners Insurance protects you against perils like fire, lightning, wind, explosion, theft, vandalism and a host of other specific causes of damage or loss as specified in the policy. The policy can also be extended to cover loss of use which helps pay the additional expenses incurred if your home is damaged or destroyed by and insured peril and you have to live elsewhere temporarily.

  • How do I know how much coverage I need for my home?
  • The type and amount of coverage you need depends upon:

    • The type of home you live in (location and construction)
    • Its value
    • The value of your household contents
    • The value of your family’s personal property

    Since your family situation changes over the years as you remodel and increase the value of your home, the right amount of coverage for you will change over time. So be sure to evaluate your coverage needs on a regular basis.

  • What is the insurance definition of a building?
  • Any permanent structure on your premises is defined as a building. This includes the main residential house, outbuildings, sheds, swimming pool, walls, fences and gates. Also included in the definition are items that are fixed to or part of permanent structures such as fuel tanks, underground service pipes, cables and drains. The definition of buildings is usually contained in the policy document.

  • I’m just starting out in my first home. How much homeowners insurance do I need?
  • Part of the process of securing a mortgage on a first home is purchasing homeowners insurance. Because the bank has a financial interest in your home, they need to be sure that their investment is protected if a loss occurs. As a new homeowner, you also need to be sure that your investment is protected, including your home’s structure and your personal belongings. Of course, you should also protect your financial assets in the event that someone is accidentally injured on your property. You don’t want to find yourself responsible for costly medical bills. Personal Liability Cover protects your assets in the event of financial liability or lawsuit.

  • I don’t live in a problematic flood zone. Why would I need flood insurance?
  • Unless you live on particularly high ground, you may want to consider flood insurance. It only takes one occurrence of extended period of extreme weather/rainfall for flood to occur that causes damage to your home and property.

  • My landlord has insurance, so why do I need renters insurance?
  • Your landlord may have insurance to cover the building, but what if there is damage to your property from fire or storms? Your landlord is not responsible for that, you are. If repairs require you to move out, do you have the money to pay for another place to stay? Renters insurance covers you against specific types of losses such as damage from lightning, fire, storms, vandalism or theft so that you can replace or repair your property in the event of an incident. Think you don’t have enough personal property to justify the cost of renters insurance? You may be surprised. Your sporting goods, electronics, computers, clothes and furnishings may be worth more than you realize.

  • Why do I need Personal Liability coverage under my homeowners?
  • Whether you live in a house, a condo or an apartment, if someone is hurt or suffers a loss in your home you could be found personally liable. In other words, you’re financially responsible for the expenses that may result.

    • It may be as simple as someone slipping in your home, in the entryway or on the stairs. Even a broken leg can result in costly medical expenses and potentially more if lost wages are involved.
    • Have a dog? Dog bites occur all too often, and you will be responsible for pain and suffering, medical expenses, and potentially lost wages.
    • If the person injured decides to sue the legal defense costs will be taken care of by this policy. Personal liability coverage is a standard extension in most home insurance policies.
  • How do I lower my homeowner’s insurance premium?
  • Most insurance companies reward customers who pay attention to safety and security and lower their risk of injury, accident, theft or other covered losses.

    Here are just a few of the things that can lower your home insurance premiums:

    • Safer building materials
    • Security systems
    • Smoke alarms
    • Sprinkler systems
    • Deadbolt locks
  • What factors can affect homeowner’s insurance premiums?
  • The following factors can affect your homeowner’s insurance premium:

    • Home Features and Characteristics — Your home’s age, type of structure, wiring, roof, garage, etc. can affect your homeowner’s insurance premium. Older homes can often cost more to insure, and those costs can differ depending on whether your home is brick, frame, and stone or has synthetic siding.
    • Location — where your home is located can change your homeowner’s insurance premium. For instance, your home insurance rate can be affected if your home is in close proximity to a petrol station or is exposed to extreme weather that may result in the risk of flooding or is in a neighborhood more prone to theft.
    • Protective Devices — Burglar alarm systems, smoke detectors, fire extinguishers, sprinkler systems and deadbolt locks can lower your homeowner’s insurance premium.
    • Personal Factors — what you do can affect your homeowners insurance premium, too. For instance, smokers may pay more for home insurance than nonsmokers. A good credit history also can lower what you pay for home insurance.
    • Claims History — if you have a history of claims on a homeowner’s insurance policy, you may pay a higher premium.
  • Am I required to have homeowners insurance if I own a home?
  • Unlike driving a car, you can legally own a home without homeowners insurance. However, if you finance your home with a mortgage, your lender most likely will require you to have home insurance coverage to protect your home in case of damage cause by unforeseen circumstances, such as fires or natural disasters. After you pay off your mortgage, you aren’t required to have home insurance. However, you should keep your home insurance policy active to avoid risking what you have invested in your home.

  • Why should I complete a home inventory?
  • When you purchase a home and a homeowner’s insurance policy, you should create an up-to-date home inventory to expedite a claim settlement if you ever need to make one. With a complete home inventory, your insurance company can verify property easier, which makes settling your claim easier.

  • How do I complete a home inventory?
  • Start your home inventory by making a list of your possessions, describing each item, and noting the make and model and where each item was purchased. Include sales receipts, purchase contracts and appraisals if you have them. Organize clothing into categories for easier reference. A few home inventory organization tips:

    • Remember to list big-ticket items like jewelry, artwork, antiques and collectibles
    • Take pictures of rooms and important individual items
    • You may also consider videotaping your home by walking through it and describing the contents throughout the house
    • Save an inventory list on your personal computer and store it on a separate disk or drive
    • Put all your photos, lists and videotape documentation in a safe deposit box
  • What is the difference between canceling and not renewing a homeowner’s insurance policy?
  • Canceling a homeowner’s insurance policy and choosing not to renew it are two very different actions an insurance company can take. Typically, insurance companies may cancel an active policy if one or all of the following occurred:

    • You fail to pay the premium
    • You commit fraud or made serious misrepresentations on your application

    Not renewing a homeowner’s insurance policy is a decision you or your insurance company can make to discontinue coverage at the end of a policy term. If your insurance company chooses not to renew your policy at the end of the policy term, they should notify you and provide an explanation.

  • What parts make up a homeowners insurance policy?
  • Although homeowner’s insurance policies differ in their actual structure, most contain the same basic components:

    • Declarations Page — usually the first page of your homeowners insurance policy, it typically contains the following summary information:
    • Name and address of the policyholder (person purchasing insurance)
    • Description of the insured property plus values to be insured
    • Cost of the insurance
    • Name of the insurance company insuring the risk
    • Contact information
  • Accident
  • Accident shall mean a sudden, unexpected, unusual, specific event occurring at a particular moment and a particular place, which event the Life Insured could not foresee, anticipate or envisage, and which results in visible, violent, external and traumatic physical injury to the body.

  • Life insured
  • Life Insured shall mean the insured parent or legal guardian in respect of whom the cover is arranged and shall have been admitted to the policy after meeting eligibility conditions and paying the applicable annual premium.

  • Annual renewal Date
  • Annual Renewal Date shall mean the date on which the education insurance policy is annually renewed and will ordinarily be the anniversary date for the insurance cover, 12 months after inception or renewal.

  • Beneficiary
  • Beneficiary shall mean the person nominated in writing and specified in the application form by the Life Insured to receive part or all of the Life Insured’s Death Benefits.

  • Dependent
  • Dependent shall mean the Spouse or Child or any other legal dependent of the Life Insured, as defined in the application form or as amended on the beneficiary nomination form.

  • Claim
  •  Claim shall mean the right to a monetary benefit by the Life Insured on condition that all the terms and conditions of this policy are complied with.

  • Cover
  • Cover shall mean the education insurance that the Insured is entitled to, in respect of the Death Benefit, Permanent Total Disability Benefit or Critical Illness, on condition that the premium is paid and is up to date.

  • Death
  • Death Benefit shall mean the monetary benefit, as specified in the policy which is payable to the Insured if an eligible Life Insured’s death claim is admitted as a valid claim by Liberty Life. 

  • Critical illness
  • Critical Illness; Where an insured person is diagnosed for the first time with a critical Illness, including Heart attack, Coronary Artery Surgery, Stroke, Cancer (All skin cancers, cancer in situ and melanoma in situ and tumors in the presence of any human immuno-deficiency virus are excluded), Kidney Failure, Aorta Surgery, Replacement of heart valve, Paraplegia or Major Organ Transplant (kidney, heart, lung, liver or pancreas).

  • Eligible life insured
  • Eligible Life Insured shall mean a Life Insured who satisfies the eligibility conditions. 

  • Eligibility conditions
  • Eligibility Conditions shall mean the conditions defined by Liberty Life and the Insured that the Life Insured must meet in order to be eligible for the Death Benefit as well as the Rider Benefits as opted for.

  • Entry Date
  • Entry Date shall mean the date that an eligible applicant’s cover under this education insurance policy commences upon meeting eligibility Conditions.

  • Grace Period
  • Grace Period shall mean the period of cover, which is afforded to the Insured of 30 days, from the date on which renewal premium falls due, where after the unpaid premium will result in the termination of the policy and the client has to re-apply afresh and be subjected to the usual waiting period. 

  • Insurer
  • Insurer shall mean Liberty Life Assurance Kenya Limited, an authorized insurance services provider who have partnered with KCB through their subsidiary KCB Insurance Agency to develop the education insurance policy.

  • Minimum entry age
  • Minimum Entry Age shall mean the minimum age at which the applicant is eligible to enroll into the education insurance scheme and in this case is 18 years.

  • Maximum entry age
  • Maximum Entry Age shall mean the maximum age at which the applicant will be eligible to enroll into the education insurance scheme and in this case is below 70 years.

  • Minimum cover
  • Maximum Cover Age shall mean the last day of the month in which the Life Insured reaches the maximum cover age specified in the policy, in this case 70 years