In 2020 , PPS paid the following in COVID-19-related claims :
R156 million paid in sickness benefits
R234 million
paid in death benefits ( excludes Profit-Share payments )
Claims by COVID-19 protocol :
80 % |
COVID-19 positive |
14 % |
quarantine medical |
4 % quarantine government / NICD 2 % person under investigation ( PUI )
In 2020 , we paid 96 % of all claims submitted across all benefits :
95 % |
of sickness claims
Reasons for claims not paid : 1 . Claim period less than the waiting period . 2 . Does not have the benefit . 3 . Did not consult a doctor .
|
100 % |
Life cover |
critical illness claims : lump-sum disability claims :
65 % Reasons for claims not paid : 72 %
1 . Does not meet criteria . 2 . Already paid for a related condition . 3 . Condition excluded .
Reasons for claims not paid : 1 . Does not meet claim requirements . 2 . Already paid for a related condition . 3 . Still performing occupational duties .
TOTAL CLAIMS * PAID IN THE LAST 10 YEARS . |
12.1 |
15.3 |
0.7 |
1.6 |
2.6 |
3.7 |
4.9 |
6.3 |
8.1 |
10.0 |
BILLION ZAR |
R15.3bn **
TOTAL CLAIMS PAID
** all health and life risk claims ( excluding short-term insurance and Profit-Share payouts )
|
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
17