Appointment of a Group Life Insurer

Tender Summary:

RFP 37/2019

See details below or the tender documentation

Tender Closed on: 2020-05-04 11:00

South African Revenue Service Tenders

Bid Number: RFP 37/2019
Bid Description: Appointment of a Group Life Insurer
Name of Institution: South African Revenue Services
Place where goods, works or services are required: Gauteng
 


Date Published:  26 March 2020
Closing Date / Time: 21 May 2020
Enquiries:
Contact Person: Andre Taljaard
Email: [email protected]
Telephone number:
FAX Number:


Where bid documents can be obtained:
Website: www.sars.gov.za
Physical Address:

Where bids should be delivered:
Physical Address: Linton House; 570 Fehrsen Street; Brooklyn Bridge; Brooklyn; Pretoria; 0181


Briefing Session
A compulsory / Optional briefing session will be held on:
Date: no briefing session
Time:
Venue:


Special Conditions:


 


Bidders must complete the confidential and Non-disclosure Agreement and send it to this email : [email protected] in order to receivve the SARS Group Life Claims Experience


 


Bidders should regularly check SARS website for any updates



{TENDER_DOCUMENTS_TEXT_START}SBD1
PART A
INVITATION TO BID
YOU ARE HEREBY INVITED TO BID FOR REQUIREMENTS OF THE (NAME OF DEPARTMENT/ PUBLIC ENTITY)
BID NUMBER: RFP 37/2019
CLOSING DATE:
04 MAY 2020
CLOSING TIME:
DESCRIPTION APPOINTMENT OF A GROUP LIFE INSURER
BID RESPONSE DOCUMENTS MAY BE DEPOSITED IN THE BID BOX SITUATED AT (STREET ADDRESS)

11H00

570 FEHRSEN STREET
BROOKLYN BRIDGE
BROOKLYN, LINTON HOUSE
0181
BIDDING PROCEDURE ENQUIRIES MAY BE DIRECTED TO

TECHNICAL ENQUIRIES MAY BE DIRECTED TO:

CONTACT PERSON

ANDRE TALJAARD

CONTACT PERSON

ANDRE TALJAARD

TELEPHONE NUMBER

012 422 4078

TELEPHONE NUMBER

012 422 4078

FACSIMILE NUMBER
E-MAIL ADDRESS

N/A
[email protected]

FACSIMILE NUMBER
N/A
E-MAIL ADDRESS
[email protected]
SUPPLIER INFORMATION
NAME OF BIDDER
POSTAL ADDRESS
STREET ADDRESS
TELEPHONE NUMBER

CODE

NUMBER

FACSIMILE NUMBER

CODE

NUMBER

E-MAIL ADDRESS
VAT REGISTRATION
NUMBER
SUPPLIER
COMPLIANCE
STATUS

TAX
COMPLIANCE
SYSTEM PIN:

CELLPHONE NUMBER

B-BBEE STATUS
LEVEL VERIFICATION
CERTIFICATE

TICK APPLICABLE BOX]
Yes

CENTRAL
SUPPLIER
OR
DATABASE
No:
MAAA
B-BBEE STATUS LEVEL SWORN
AFFIDAVIT

[TICK APPLICABLE BOX]

No

Yes

No

[A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/ SWORN AFFIDAVIT (FOR EMES & QSEs) MUST BE SUBMITTED IN
ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE]

ARE YOU THE
ACCREDITED
REPRESENTATIVE IN
SOUTH AFRICA FOR
Yes
No
THE GOODS
/SERVICES /WORKS
[IF YES ENCLOSE PROOF]
OFFERED?
QUESTIONNAIRE TO BIDDING FOREIGN SUPPLIERS

ARE YOU A FOREIGN BASED
SUPPLIER FOR THE GOODS
/SERVICES /WORKS OFFERED?

Yes

No

[IF YES, ANSWER THE
QUESTIONNAIRE BELOW ]

IS THE ENTITY A RESIDENT OF THE REPUBLIC OF SOUTH AFRICA (RSA)?

YES

NO

DOES THE ENTITY HAVE A BRANCH IN THE RSA?

YES

NO

DOES THE ENTITY HAVE A PERMANENT ESTABLISHMENT IN THE RSA?

YES

NO

DOES THE ENTITY HAVE ANY SOURCE OF INCOME IN THE RSA?

YES

NO

IS THE ENTITY LIABLE IN THE RSA FOR ANY FORM OF TAXATION?
YES
NO
IF THE ANSWER IS “NO” TO ALL OF THE ABOVE, THEN IT IS NOT A REQUIREMENT TO REGISTER FOR A TAX COMPLIANCE STATUS
SYSTEM PIN CODE FROM THE SOUTH AFRICAN REVENUE SERVICE (SARS) AND IF NOT REGISTER AS PER 2.3 BELOW.

1

SBD1
PART B
TERMS AND CONDITIONS FOR BIDDING
1. BID SUBMISSION:
1.1. BIDS MUST BE DELIVERED BY THE STIPULATED TIME TO THE CORRECT ADDRESS. LATE BIDS WILL NOT BE ACCEPTED FOR
CONSIDERATION.
1.2. ALL BIDS MUST BE SUBMITTED ON THE OFFICIAL FORMS PROVIDED–(NOT TO BE RE-TYPED) OR IN THE MANNER PRESCRIBED IN
THE BID DOCUMENT.
1.3. THIS BID IS SUBJECT TO THE PREFERENTIAL PROCUREMENT POLICY FRAMEWORK ACT, 2000 AND THE PREFERENTIAL
PROCUREMENT REGULATIONS, 2017, THE GENERAL CONDITIONS OF CONTRACT (GCC) AND, IF APPLICABLE, ANY OTHER SPECIAL
CONDITIONS OF CONTRACT.
1.4. THE SUCCESSFUL BIDDER WILL BE REQUIRED TO FILL IN AND SIGN A WRITTEN CONTRACT FORM (SBD7).
2.
2.1

TAX COMPLIANCE REQUIREMENTS
BIDDERS MUST ENSURE COMPLIANCE WITH THEIR TAX OBLIGATIONS.

2.2

BIDDERS ARE REQUIRED TO SUBMIT THEIR UNIQUE PERSONAL IDENTIFICATION NUMBER (PIN) ISSUED BY SARS TO ENABLE THE
ORGAN OF STATE TO VERIFY THE TAXPAYER’S PROFILE AND TAX STATUS.

2.3

APPLICATION FOR TAX COMPLIANCE STATUS (TCS) PIN MAY BE MADE VIA E-FILING THROUGH THE SARS WEBSITE
WWW.SARS.GOV.ZA.

2.4

BIDDERS MAY ALSO SUBMIT A PRINTED TCS CERTIFICATE TOGETHER WITH THE BID.

2.5

IN BIDS WHERE CONSORTIA / JOINT VENTURES / SUB-CONTRACTORS ARE INVOLVED, EACH PARTY MUST SUBMIT A SEPARATE
TCS CERTIFICATE / PIN / CSD NUMBER.

2.6

WHERE NO TCS PIN IS AVAILABLE BUT THE BIDDER IS REGISTERED ON THE CENTRAL SUPPLIER DATABASE (CSD), A CSD
NUMBER MUST BE PROVIDED.

2.7

NO BIDS WILL BE CONSIDERED FROM PERSONS IN THE SERVICE OF THE STATE, COMPANIES WITH DIRECTORS WHO ARE
PERSONS IN THE SERVICE OF THE STATE, OR CLOSE CORPORATIONS WITH MEMBERS PERSONS IN THE SERVICE OF THE
STATE.”

NB: FAILURE TO PROVIDE / OR COMPLY WITH ANY OF THE ABOVE PARTICULARS MAY RENDER THE BID INVALID.

SIGNATURE OF BIDDER:

……………………………………………

CAPACITY UNDER WHICH THIS BID IS SIGNED:
(Proof of authority must be submitted e.g. company resolution)

……………………………………………

DATE:

…………………………………………...

2

SBD 4
DECLARATION OF INTEREST
1.

Any legal person, including persons employed by the state¹, or persons having a kinship with
persons employed by the state, including a blood relationship, may make an offer or offers in terms
of this invitation to bid (includes an advertised competitive bid, a limited bid, a proposal or written
price quotation). In view of possible allegations of favouritism, should the resulting bid, or part
thereof, be awarded to persons employed by the state, or to persons connected with or related to
them, it is required that the bidder or his/her authorised representative declare his/her position in
relation to the evaluating/adjudicating authority where-

the bidder is employed by the state; and/or

-

the legal person on whose behalf the bidding document is signed, has a relationship with
persons/a person who are/is involved in the evaluation and or adjudication of the bid(s), or
where it is known that such a relationship exists between the person or persons for or on
whose behalf the declarant acts and persons who are involved with the evaluation and or
adjudication of the bid.

2.

In order to give effect to the above, the following questionnaire must be completed and
submitted with the bid.

2.1

Full Name of bidder or his or her representative: ………………………………………………………….

2.2

Identity Number:………………………………………………………………………………………………...

2.3

Position occupied in the Company (director, trustee, shareholder², member):
…………………………………………………………………………………………………………………….

2.4

Registration number of company, enterprise, close corporation, partnership agreement or trust:
………………………………………………………………………..………….……………………………….

2.5

Tax Reference Number: ………………………………………………………………………………………

2.6

VAT Registration Number: ………………………………………………………………………………....

2.6.1

The names of all directors / trustees / shareholders / members, their individual identity numbers, tax
reference numbers and, if applicable, employee / PERSAL numbers must be indicated in paragraph
3 below.

¹“State” means –
(a) any national or provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance
Management Act, 1999 (Act No. 1 of 1999);
(b) any municipality or municipal entity;
(c) provincial legislature;
(d) national Assembly or the national Council of provinces; or
(e) Parliament.
²”Shareholder” means a person who owns shares in the company and is actively involved in the management of the enterprise or business and exercises control over
the enterprise.

2.7

Are you or any person connected with the bidder
presently employed by the state?

2.7.1

If so, furnish the following particulars:
Name of person / director / trustee / shareholder/ member:
Name of state institution at which you or the person
connected to the bidder is employed :
Position occupied in the state institution:

YES / NO

……....………………………………
………………………………………
………………………………………

Any other particulars:
………………………………………………………………
………………………………………………………………
………………………………………………………………
2.7.2

If you are presently employed by the state, did you obtain
the appropriate authority to undertake remunerative
work outside employment in the public sector?

2.7.2.1 If yes, did you attach proof of such authority to the bid
document?

YES / NO

YES / NO

(Note: Failure to submit proof of such authority, where
applicable, may result in the disqualification of the bid.
2.7.2.2 If no, furnish reasons for non-submission of such proof:
…………………………………………………………………….
…………………………………………………………………….
…………………………………………………………………….
2.8

2.8.1

2.9

Did you or your spouse, or any of the company’s directors /
trustees / shareholders / members or their spouses conduct
business with the state in the previous twelve months?

YES / NO

If so, furnish particulars:
…………………………………………………………………..
…………………………………………………………………..
…………………………………………………………………...

Do you, or any person connected with the bidder, have
any relationship (family, friend, other) with a person
employed by the state and who may be involved with
the evaluation and or adjudication of this bid?
2.9.1 If so, furnish particulars.
……………………………………………………………...
…………………………………………………………..….

YES / NO

………………………………………………………………
2.10 Are you, or any person connected with the bidder,
aware of any relationship (family, friend, other) between
any other bidder and any person employed by the state
who may be involved with the evaluation and or adjudication
of this bid?

YES/NO

2.10.1 If so, furnish particulars.
………………………………………………………………
………………………………………………………………
………………………………………………………………
2.11 Do you or any of the directors / trustees / shareholders / members
of the company have any interest in any other related companies
whether or not they are bidding for this contract?

YES/NO

2.11.1 If so, furnish particulars:
…………………………………………………………………………….
…………………………………………………………………………….
…………………………………………………………………………….
3

Full details of directors / trustees / members / shareholders.
Full Name

Identity
Number

Personal Income State
Employee
Tax
Reference Number / Persal
Number
Number

4

DECLARATION
I, THE UNDERSIGNED (NAME)………………………………………………………………………
CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2 and 3 ABOVE IS CORRECT.
I ACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME SHOULD THIS
DECLARATION PROVE TO BE FALSE.
…………………………………..
Signature

..……………………………………………
Date

………………………………….
Position

………………………………………………
Name of bidder

SBD 6.1
PREFERENCE POINTS CLAIM FORM IN TERMS OF THE PREFERENTIAL
PROCUREMENT REGULATIONS 2017

This preference form must form part of all bids invited. It contains general information and
serves as a claim form for preference points for Broad-Based Black Economic Empowerment
(B-BBEE) Status Level of Contribution
NB:

BEFORE COMPLETING THIS FORM, BIDDERS MUST STUDY THE GENERAL
CONDITIONS, DEFINITIONS AND DIRECTIVES APPLICABLE IN RESPECT OF BBBEE, AS PRESCRIBED IN THE PREFERENTIAL PROCUREMENT
REGULATIONS, 2017.

1.

GENERAL CONDITIONS

1.1

The following preference point systems are applicable to all bids:
-

the 80/20 system for requirements with a Rand value of up to R50 000 000 (all
applicable taxes included); and
the 90/10 system for requirements with a Rand value above R50 000 000 (all
applicable taxes included).

1.2
a) The value of this bid is estimated to exceed R50 000 000 (all applicable taxes included)
and therefore the 90/10 preference point system shall be applicable; or
b) Either the 80/20 or 90/10 preference point system will be applicable to this tender
(delete whichever is not applicable for this tender).
1.3

Points for this bid shall be awarded for:
(a) Price; and
(b) B-BBEE Status Level of Contributor.

1.4

The maximum points for this bid are allocated as follows:
POINTS
PRICE

90

B-BBEE STATUS LEVEL OF CONTRIBUTOR

10

Total points for Price and B-BBEE must not
exceed

100

1.5

Failure on the part of a bidder to submit proof of B-BBEE Status level of contributor
together with the bid, will be interpreted to mean that preference points for B-BBEE status
level of contribution are not claimed.

1.6

The purchaser reserves the right to require of a bidder, either before a bid is adjudicated
or at any time subsequently, to substantiate any claim in regard to preferences, in any
manner required by the purchaser.

2
2.

DEFINITIONS
(a) “B-BBEE” means broad-based black economic empowerment as defined in section
1 of the Broad-Based Black Economic Empowerment Act;
(b) “B-BBEE status level of contributor” means the B-BBEE status of an entity in terms
of a code of good practice on black economic empowerment, issued in terms of
section 9(1) of the Broad-Based Black Economic Empowerment Act;
(c) “bid” means a written offer in a prescribed or stipulated form in response to an
invitation by an organ of state for the provision of goods or services, through price
quotations, advertised competitive bidding processes or proposals;
(d) “Broad-Based Black Economic Empowerment Act” means the Broad-Based
Black Economic Empowerment Act, 2003 (Act No. 53 of 2003);
(e) “EME” means an Exempted Micro Enterprise in terms of a code of good practice on
black economic empowerment issued in terms of section 9 (1) of the Broad-Based
Black Economic Empowerment Act;
(f) “functionality” means the ability of a tenderer to provide goods or services in
accordance with specifications as set out in the tender documents.
(g) “prices” includes all applicable taxes less all unconditional discounts;
(h) “proof of B-BBEE status level of contributor” means:
1) B-BBEE Status level certificate issued by an authorized body or person;
2) A sworn affidavit as prescribed by the B-BBEE Codes of Good Practice;
3) Any other requirement prescribed in terms of the B-BBEE Act;
“QSE” means a qualifying small business enterprise in terms of a code of good
practice on black economic empowerment issued in terms of section 9 (1) of the
Broad-Based Black Economic Empowerment Act;

(i)

(j) “rand value” means the total estimated value of a contract in Rand, calculated at the
time of bid invitation, and includes all applicable taxes;
3.
3.1

POINTS AWARDED FOR PRICE
THE 80/20 OR 90/10 PREFERENCE POINT SYSTEMS
A maximum of 80 or 90 points is allocated for price on the following basis:
80/20
or
90/10

Pt  P min 

Ps  801 

P min 


or

Pt  P min 

Ps  901 

P min 


Where
Ps

=

Points scored for price of bid under consideration

Pt

=

Price of bid under consideration

Pmin =

Price of lowest acceptable bid

4.

POINTS AWARDED FOR B-BBEE STATUS LEVEL OF CONTRIBUTOR

4.1

In terms of Regulation 6 (2) and 7 (2) of the Preferential Procurement Regulations,
preference points must be awarded to a bidder for attaining the B-BBEE status level of
contribution in accordance with the table below:

Page 2 of 5

3

5.
5.1
6.
6.1

B-BBEE Status Level of
Contributor

Number of points

Number of points

(90/10 system)

(80/20 system)

1

10

20

2

9

18

3

6

14

4

5

12

5

4

8

6

3

6

7

2

4

8

1

2

Non-compliant
contributor

0

0

BID DECLARATION
Bidders who claim points in respect of B-BBEE Status Level of Contribution must
complete the following:
B-BBEE STATUS LEVEL
PARAGRAPHS 1.4 AND 4.1

OF

CONTRIBUTOR

B-BBEE Status Level of Contributor:

.

=

CLAIMED

IN

TERMS

OF

………(maximum of 10 or 20 points)

(Points claimed in respect of paragraph 7.1 must be in accordance with the table
reflected in paragraph 4.1 and must be substantiated by relevant proof of B-BBEE
status level of contributor.
7.
7.1

SUB-CONTRACTING
Will any portion of the contract be sub-contracted?
(Tick applicable box)
YES

7.1.1

NO

If yes, indicate:
i)
ii)
iii)
iv)

v)

What
percentage
of
the
contract
will
be
subcontracted............…………….…………%
The name of the sub-contractor…………………………………………………………..
The B-BBEE status level of the sub-contractor......................................……………..
Whether the sub-contractor is an EME or QSE
(Tick applicable box)
YES
NO
Specify, by ticking the appropriate box, if subcontracting with an enterprise in terms
of Preferential Procurement Regulations,2017:

Designated Group: An EME or QSE which is at last 51% owned
by:
Black people
Black people who are youth
Black people who are women
Black people with disabilities
Black people living in rural or underdeveloped areas or townships
Cooperative owned by black people
Page 3 of 5

EME


QSE


4
Black people who are military veterans
OR
Any EME
Any QSE

8.

DECLARATION WITH REGARD TO COMPANY/FIRM

8.1

Name
company/firm:…………………………………………………………………………….

of

8.2

VAT
number:……………………………………….…………………………………

registration

8.3

Company
number:…………….……………………….…………………………….

registration

8.4

TYPE OF COMPANY/ FIRM

Partnership/Joint Venture / Consortium

One person business/sole propriety

Close corporation

Company

(Pty) Limited
[TICK APPLICABLE BOX]

8.5

DESCRIBE PRINCIPAL BUSINESS ACTIVITIES
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……..

8.6

COMPANY CLASSIFICATION

Manufacturer

Supplier

Professional service provider

Other service providers, e.g. transporter, etc.
[TICK APPLICABLE BOX]

8.7

Total number of years the company/firm has been in business:……………………………

8.8

I/we, the undersigned, who is / are duly authorised to do so on behalf of the
company/firm, certify that the points claimed, based on the B-BBE status level of
contributor indicated in paragraphs 1.4 and 6.1 of the foregoing certificate, qualifies the
company/ firm for the preference(s) shown and I / we acknowledge that:
i) The information furnished is true and correct;
ii) The preference points claimed are in accordance with the General Conditions as
indicated in paragraph 1 of this form;
iii) In the event of a contract being awarded as a result of points claimed as shown in
paragraphs 1.4 and 6.1, the contractor may be required to furnish documentary
proof to the satisfaction of the purchaser that the claims are correct;
iv) If the B-BBEE status level of contributor has been claimed or obtained on a
Page 4 of 5

5
fraudulent basis or any of the conditions of contract have not been fulfilled, the
purchaser may, in addition to any other remedy it may have –
(a)

disqualify the person from the bidding process;

(b)

recover costs, losses or damages it has incurred or suffered as a
result of that person’s conduct;

(c)

cancel the contract and claim any damages which it has suffered as
a result of having to make less favourable arrangements due to such
cancellation;

(d)

recommend that the bidder or contractor, its shareholders and
directors, or only the shareholders and directors who acted on a
fraudulent basis, be restricted by the National Treasury from
obtaining business from any organ of state for a period not
exceeding 10 years, after the audi alteram partem (hear the other
side) rule has been applied; and

(e)

forward the matter for criminal prosecution.

WITNESSES
1.

……………………………………..

2.

…………………………………….

……………………………………….
SIGNATURE(S) OF BIDDERS(S)
DATE:

…………………………………..

ADDRESS

…………………………………..
…………………………………..
…………………………………..

Page 5 of 5

SBD 8
DECLARATION OF BIDDER’S PAST SUPPLY CHAIN MANAGEMENT
PRACTICES
1

This Standard Bidding Document must form part of all bids invited.

2

It serves as a declaration to be used by institutions in ensuring that when goods
and services are being procured, all reasonable steps are taken to combat the
abuse of the supply chain management system.

3

The bid of any bidder may be disregarded if that bidder, or any of its directors
havea. abused the institution’s supply chain management system;
b. committed fraud or any other improper conduct in relation to such system; or
c. failed to perform on any previous contract.

4

In order to give effect to the above, the following questionnaire must be
completed and submitted with the bid.

Item Question
Is the bidder or any of its directors listed on the National Treasury’s Database of
4.1

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Restricted Suppliers as companies or persons prohibited from doing business with the
public sector?
(Companies or persons who are listed on this Database were informed in writing
of this restriction by the Accounting Officer/Authority of the institution that
imposed the restriction after the audi alteram partem rule was applied).
The Database of Restricted Suppliers now resides on the National Treasury’s
website(www.treasury.gov.za) and can be accessed by clicking on its link at the
bottom of the home page.

4.1.1 If so, furnish particulars:

4.2

Is the bidder or any of its directors listed on the Register for Tender Defaulters in
terms of section 29 of the Prevention and Combating of Corrupt Activities Act (No 12
of 2004)?
The Register for Tender Defaulters can be accessed on the National Treasury’s
website (www.treasury.gov.za) by clicking on its link at the bottom of the home
page.

4.2.1 If so, furnish particulars:

4.3

Was the bidder or any of its directors convicted by a court of law (including a court
outside of the Republic of South Africa) for fraud or corruption during the past five
years?

4.3.1 If so, furnish particulars:

4.4

Was any contract between the bidder and any organ of state terminated during the past
five years on account of failure to perform on or comply with the contract?

4.4.1 If so, furnish particulars:

SBD 8
CERTIFICATION
I, THE UNDERSIGNED (FULL NAME)…………………………………………………
CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION
FORM IS TRUE AND CORRECT.
I ACCEPT THAT, IN ADDITION TO CANCELLATION OF A CONTRACT,
ACTION MAY BE TAKEN AGAINST ME SHOULD THIS DECLARATION
PROVE TO BE FALSE.
………………………………………...
Signature

…………………………..
Date

……………………………………….
Position

…………………………..
Name of Bidder

SBD 9
CERTIFICATE OF INDEPENDENT BID DETERMINATION
1
2

This Standard Bidding Document (SBD) must form part of all bids¹ invited.
Section 4 (1) (b) (iii) of the Competition Act No. 89 of 1998, as amended, prohibits an
agreement between, or concerted practice by, firms, or a decision by an association of
firms, if it is between parties in a horizontal relationship and if it involves collusive
bidding (or bid rigging).² Collusive bidding is a pe se prohibition meaning that it cannot
be justified under any grounds.

3

4

Treasury Regulation 16A9 prescribes that accounting officers and accounting authorities
must take all reasonable steps to prevent abuse of the supply chain management
system and authorizes accounting officers and accounting authorities to:
a.

disregard the bid of any bidder if that bidder, or any of its directors have abused
the institution’s supply chain management system and or committed fraud or any
other improper conduct in relation to such system.

b.

cancel a contract awarded to a supplier of goods and services if the supplier
committed any corrupt or fraudulent act during the bidding process or the
execution of that contract.

This SBD serves as a certificate of declaration that would be used by institutions to
ensure that, when bids are considered, reasonable steps are taken to prevent any form
of bid-rigging.

5

In order to give effect to the above, the attached Certificate of Bid Determination (SBD 9)
must be completed and submitted with the bid:

¹ Includes price quotations, advertised competitive bids, limited bids and proposals.
² Bid rigging (or collusive bidding) occurs when businesses, that would otherwise be expected to compete, secretly conspire to raise prices or
lower the quality of goods and / or services for purchasers who wish to acquire goods and / or services through a bidding process. Bid
rigging is, therefore, an agreement between competitors not to compete.

1

SBD 9

CERTIFICATE OF INDEPENDENT BID DETERMINATION
I, the undersigned, in submitting the accompanying bid:

________________________________________________________________________
(Bid Number and Description)

in response to the invitation for the bid made by:

______________________________________________________________________________
(Name of Institution)

do hereby make the following statements that I certify to be true and complete in every respect :

I certify, on behalf of:_______________________________________________________that:
(Name of Bidder)
1. I have read and I understand the contents of this Certificate;
2. I understand that the accompanying bid will be disqualified if this Certificate is found not
to be true and complete in every respect;
3. I am authorized by the bidder to sign this Certificate, and to submit the accompanying
bid, on behalf of the bidder;
4. Each person whose signature appears on the accompanying bid has been authorized by
the bidder to determine the terms of, and to sign the bid, on behalf of the bidder;
5. For the purposes of this Certificate and the accompanying bid, I understand that the
word “competitor” shall include any individual or organization, other than the bidder,
whether or not affiliated with the bidder, who:

(a)

has been requested to submit a bid in response to this bid invitation;

(b)

could potentially submit a bid in response to this bid invitation, based on
their qualifications, abilities or experience; and

(c)

provides the same goods and services as the bidder and/or is in the same
line of business as the bidder

2

SBD 9

6. The bidder has arrived at the accompanying bid independently from, and without
consultation, communication, agreement or arrangement with any competitor. However
communication between partners in a joint venture or consortium³ will not be construed
as collusive bidding.
7.

In particular, without limiting the generality of paragraphs 6 above, there has been no
consultation, communication, agreement or arrangement with any competitor regarding:
(a)

prices;

(b)

geographical area where product or service will be rendered (market
allocation)

(c)

methods, factors or formulas used to calculate prices;

(d)

the intention or decision to submit or not to submit, a bid;

(e)

the submission of a bid which does not meet the specifications and
conditions of the bid; or

(f)

bidding with the intention not to win the bid.

8. In addition, there have been no consultations, communications, agreements or
arrangements with any competitor regarding the quality, quantity, specifications and
conditions or delivery particulars of the products or services to which this bid invitation
relates.
9. The terms of the accompanying bid have not been, and will not be, disclosed by the
bidder, directly or indirectly, to any competitor, prior to the date and time of the official
bid opening or of the awarding of the contract.

³ Joint venture or Consortium means an association of persons for the purpose of combining their expertise, property, capital, efforts, skill
and knowledge in an activity for the execution of a contract.

3

SBD 9

10. I am aware that, in addition and without prejudice to any other remedy provided to
combat any restrictive practices related to bids and contracts, bids that are suspicious
will be reported to the Competition Commission for investigation and possible imposition
of administrative penalties in terms of section 59 of the Competition Act No 89 of 1998
and or may be reported to the National Prosecuting Authority (NPA) for criminal
investigation and or may be restricted from conducting business with the public sector
for a period not exceeding ten (10) years in terms of the Prevention and Combating of
Corrupt Activities Act No 12 of 2004 or any other applicable legislation.

…………………………………………………

…………………………………

Signature

Date

………………………………………………….

…………………………………

Position

Name of Bidder

4

SUPPLIER COST AND RISK ASSESSMENT QUESTIONNAIRE
Each party to a consortium / joint venture / sub-contractors must complete a separate questionnaire.

A.

GENERAL INFORMATION
i. The information provided in this questionnaire will be treated as confidential and will not be disclosed to any
third party
ii. The information will be used only for the purpose of assessing your company in terms of our Procurement
Policy.
iii. SARS reserves the right to request additional information or documents, or to perform audit procedures to
substantiate or verify any of the answers provided in the question.
iv. A copy of the completed questionnaire must be signed on behalf of your business by a duly authorised
signatory.
v. Certified copies of requested documents are to be submitted as part of this information pack
vi. B1 to be completed only by companies listed on the JSE

B.
B1.

Non – Financial Risk Assessment
Indicate with detailed explanations whether your company conforms to the King II recommendations for good
Corporate Governance with respect to the following:

1. Application of the Code
2. Board and Directors
3. Risk Management
4. Internal Audit
5. Integrated Sustainability Reporting
6. Auditing and Accounting
7. Relations with Shareowners
8. Communication
B2.

Indicate your company’s top management experience (Tick the relevant box)

AVERAGE YEARS

LESS THAN TWO
YEARS

2 – 5 YEARS

5 – 10 YEARS

10 YEARS AND
ABOVE

Experience
B3.

Has your Company, Directors or Shareholders ever been restricted from doing business with the
Government?

If Yes: What was the period of the restriction?

Reasons for the restriction:

B4.

Have any of the contracts awarded to your company ever been terminated / cancelled before period of
expiry?

If Yes: What were the reasons?

B5.

Does your company have existing, previous or pending legal disputes/issues with SARS or any other
institution?
NATURE OF DISPUTE

B6.

2.
3.
4.
5.

VERDICT

NATURE OF AWARD

YEAR
AWARDED

CONTACT
PERSON

TEL NO.

Who are your company’s five (5) key suppliers?
SUPPLIER NAME

1.

YEAR

Indicate the service excellence awards that your company has received in the last three years.

NAME OF AWARDING
ORGANISATION/COMPANY

B7.

ESTIMATED VALUE
INVOLVED

COUNTRY

% PURCHASES AS A PROPORTION OF
TOTAL PURCHASES

B8.

What Percentage (%) of your business is dependant upon SARS?

C.

Financial Risk Assessment

A COPY OF YOUR FINANCIAL STATEMENT SHOULD BE ATTACHED

C1.

Were the Financial statements prepared on a Going Concern Basis?

C2.

Indicate percentage (%) annual turnover/ revenue composition
PAST YEAR

PAST 2 YEARS

PAST 3 YEARS

Public sector (incl. State
Owned Enterprises)
Private sector

C3.

Complete names of your company’s five (5) key customers in terms of indicated average business
conducted as a percentage of your total debtors’ book.
CUSTOMER NAME

0 -20%

21 – 40%

41 – 60%

1.
2.
3.
4.
5.

C4.

What are your company’s debtors spread? Complete table below.

% OF DEBTORS
Current
30 days
60 days
90 days
120 + days

61 – 80%

80% AND
ABOVE

C5.

What are your company’s five key products/services? Indicate their contributions to your company’s
revenues.

PRODUCT/SERVICE

C6.

PAST YEAR %
CONTRIBUTION

PAST 2 YEARS %
CONTRIBUTION

PAST 3 YEARS
%CONTRIBUTION

What are your company’s creditors’ spread? Complete table below.
% OF CREDITORS

Current
30 days
60 days
90 days
120 + days
C7.

Indicate whether there are any major debts/bonds/contingent (guarantees) liabilities falling due or
becoming fully payable.
DUE TO WHOM

NATURE OF DEBT

VALUE

DATE PAYABLE

1.
2.
3.

DECLARATION

I

________________________________________,

hereby

declare,

in

my

capacity

as

_______________________ and duly authorised thereto, that the information provided in the above
questionnaire is to my knowledge factually correct.

Signed at ______________________ this ________ day of ________________________________ 20______

____________________
Signature

Effective Date 1 April 2018

South African Revenue Service
Suid-Afrikaanse Inkomstediens
Uphiko Iwezimali Ezingenayo eNingizimu Afrika
Tirelomatlotlo ya Afrika-Borwa

OATH/AFFIRMATION OF SECRECY

I, (Full names and surname)…………………………………………………………………………………………….
Date of Birth……………………………………………..Identity number………………………………………………
Persal No (if applicable)……………………………
Hereby swear/solemnly declare*that:
(a)

I have read and I am familiar with the applicable secrecy and confidentiality provisions of Chapter 6 of
the Tax Administration Act, 2011 and section 4 of the Customs and Excise Act, 1964;

(b)

In carrying out the provisions of any Act or portions thereof administered by the Commissioner for South
African Revenue Service (SARS) under the SARS Act, 1997 (hereafter referred to as the “tax Acts”) or
any other law in terms of which I have access to taxpayer information or SARS confidential
information, as defined in section 1 of the Tax Administration Act or information relating to any person,
firm or businesses contemplated in section 4(3) of the Customs and Excise Act (hereafter referred to as
“trader information”) , I will:
i)
ii)
iii)

Preserve the secrecy of taxpayer information and not disclose taxpayer information to a person
who is not a SARS official;
Not disclose SARS confidential information to a person who is not a SARS official, or to a
SARS official who is not authorised to have access to the information, and
Not disclose trader information that may come to my knowledge in the performance of any duty or
power under the provisions of any tax Acts, except to the extent that disclosure is permitted by
law.

(c)

I understand that I must take this oath/make this affirmation before commencing duties or exercising any
powers under the tax Acts as a result of which I have access to taxpayer information or trader
information or SARS confidential information unless this oath/affirmation is a renewal of a previous
oath taken/affirmation made by me;

(d)

In executing my duties for and/or on behalf of SARS I will preserve and aid in preserving secrecy with
regard to all matters or information of any nature that may come to my knowledge in the performance of
any duty or power under the provisions of the tax Acts;

(e)

I understand that I may not disclose or allow access in any manner, including electronic or otherwise, to
any unauthorised person, the taxpayer information or trader information or SARS confidential
information to which I have access or that has or may come to my knowledge as a result of the
performance of any duty or power under the tax Acts or any other law in terms of which I have access to
such information in my capacity as a current or former:
i)
ii)
iii)
iv)

(f)

Employee of the SARS;
Consultant or contractor engaged or contracted by SARS;
Person employed or subcontractor engaged or contracted by a person contemplated in (e)(ii); or
Office holder, employee, consultant or contractor of a person referred to in section 70 of the Tax
Administration Act who performs any function referred to in that section, except to the extent that
disclosure is permitted by law.

To the extent that I am a person referred to in paragraph (e) above, I have read and I am familiar with
this SARS Oath or Declaration of Secrecy Policy and the SARS Distribution and Sharing of
Information Policy, and will only copy, transport, disseminate or email any data which constitutes

Internal / External Annex - Internal Template
GC-TM-11

Revision: 1

Page 1 of 2

Effective Date 1 April 2018
taxpayer information or trader information or SARS confidential information, in accordance with such
policies;
(g)

Accept that it is my obligation to determine whether any amendments have been made to the law
referred to in paragraph (a) or policies referred to in paragraph (f) and that it is my obligation to
familiarise myself on a regular basis with the latest amendments to these laws or approved versions of
these policies; and

(h)

I am fully aware of the serious consequences that may follow on any breach or contravention of the
abovementioned provisions and instructions and that I may be:
i)
ii)
iii)
iv)

(j)

Criminally prosecuted for commencing duties or exercising any powers under the tax Acts before
taking the prescribed oath or affirmation;
Criminally prosecuted for any unlawful disclosure of taxpayer information, trader information or
SARS confidential information;
Subject to internal disciplinary action or damages for breach of contract; and
Civilly liable for any claim of damages arising from the unlawful disclosure of information subject to
secrecy.

I understand that this obligation extends beyond my employement or contractual agreement with SARS.

Signature..................................................
(Must be signed in the presence of a Justice of the Peace, Magistrate or Commissioner of Oaths)
Date…………………………………………..Place…………………………………………..
1. I certify that prior to the administering the prescribed oath/affirmation*, I put the following questions to the
deponent and write down his/her answers thereto his/her presence:
i)
ii)
iii)

Do you know and understand the contents of the above statement?
Do you have any objection to taking the prescribed oath/affirmation?
Do you regard the prescribed oath/affirmation a binding on your conscience?

Answer…………...
Answer…………..
Answer…………..

2. I certify that the deponent acknowledges that he/she*knows and understands the contents of this statement
which was sworn to/affirmed*and signed by the deponent in my presence.
Signed: Justice of the Peace/Magistrate/Commissioner of Oaths*…………………………………………………..
Full first names and surname:……………………………………………………………………………………………
Designation/Rank………………………………………………………………………………………………………….
Date……………………………………………Place…………………………………………………………………….

* Delete whichever is not applicable

Internal / External Annex - Internal Template
GC-TM-11

Revision: 1

Page 2 of 2

CLARIFICATION

Unique Identifier
Revision
0
Effective Date
November 2015
Page
1 of 1
Tactical Procurement

Date:
Enquiries:
Tel:
Fax:

2020/02/19
M Prinsloo
017 799 3211
017 799 3259

Dear Sir / Madam
THE SUPPLY AND DELIVERY OF LARGE BORE RESILIENT SEALED BUTTERFLY VALVES
ENQUIRY NO: MPGXC005989
MAJUBA POWER STATION
Herewith clarification from a tendering supplier, together with Eskom’s response:

1. For large bored resilient seated butterfly valve, in order to quote a right price, could you kindly
confirm below?
 Valve size
 Wafer type or double flange type
 Ductile iron body, Ductile iron disc, EPDm seat
 DIN PN10 or ANSI 150Lb
1. Eskom’s Response:
The requested information is defined in the scope of work documents (standards). 240-63154109
(metal seated, 240-63154109 (resilient seal), and the site specific documents 374-MAJ-ADDBD00179-7 (resilient) and 374-MAJ-FBBZ4-AS0000-1.

2. Our OEM supplier is overseas and therefore prefers to supply the full assembly valves and actuators
in order to delivery assembled and tested valves from overseas. Will this be acceptable?
2. Eskom’s Response:
Refer to item 3.12 of the Invitation to tender. This is designated material, and a 70% threshold
applies in line with the DTI requirements.
A tenderer that fails to meet the minimum stipulated threshold for local production and content, will
be disqualified.

GROUP TECHNOLOGY & COMMERCIAL DIVISION
TACTICAL PROCUREMENT
MAJUBA POWER STATION
PRIVATE BAG 9001 VOLKSRUST, MPUMALANGA, 2470 SA
TEL: 017 799 3211 WWW.ESKOM.CO.ZA

ESKOM HOLDINGS SOC LIMITED REG NO 2002/015527/06

-2-

3. Can you please assist us with the existing flange drilling on DN2000 valves as this is a requirement
on the General arrangement drawing that we need to submit with the tender returnables.
3. Eskom’s Response:
Refer attached files 81539 and 81540.
4. C&I termination drawing included in tender documents.

Yours faithfully,
M Prinsloo
Official Procurement

ANNEXURE A2: TECHNICAL EVALUATION CRITERIA
NOTES:
1. Current benefit offering will continue under the existing terms (warts and all), all new cover will comply with the minimum requirements.

TECHNICAL EVALUATION CRITERION
BENEFIT STRUCTURE & ADDITIONAL
INFORMATION

COMMENTS
CURRENT BENEFIT OFFERING

GUIDELINE

WEIGHT

1. Unapproved Group Life Cover

"Medical Proof Free" Cover Limit (includes:
Core, Voluntary and Accident cover)

Maximum Benefit with Voluntary flexi cover
,Terminal Illness and Accident

R18 000 000.00

No maximum amount

R18 000 000 and more = 35
R15 000 000 to R 17 999 999 = 25
R10 000 000 to R 14 999 999 = 15
Less than R10m = 0
No maximum = 10
R30 000 000 and more = 5
Below R30 000 000 = 0

35

10

2. Dismemberment Benefit/Accidental Disability Benefit

None

Conversion Option included = 10
Conversion Option excluded = 0

10

None

Conversion Option included = 10
Conversion Option excluded = 0

10

Conversion Option included = 5
Conversion Option excluded = 0

5

None

Conversion Option included = 5
Conversion Option excluded = 0

5

None

Conversion Option included = 5
Conversion Option excluded = 0

5

Extended age for benefits

70

up to age 70 = 5
Up to age 65 = 0

5

Conversion Option included

None

Conversion Option included = 5
Conversion Option excluded = 0

5

None

Conversion Option included = 10
Conversion Option excluded = 0

10

Conversion Option included

3. Terminal Illness
Conversion Option included

4. Lifestyle Cover/Dread Disease/Critical Illness
Conversion Option included

None

5. Lump sum Disability/Permanent Total Disability
Conversion Option included
6. Flex Cover
Conversion Option included
7. Spouse's Life cover

8. Family Funeral cover

Conversion Option included
TOTAL POINTS

100

SCORE

ANNEXURE A3: BIDDER COMPLIANCE CHECKLIST
BIDDERS NAME: ______________________________________

Example of how to complete the compliance checklist:
Reference
Section

Mandatory Requirement

Compliant

No.
8.3.1

Minimum B-BBEE Status
Level 3

8.3.2

Certificate/ License with
Financial Sector Conduct
Authority (FSCA)

8.3.3

Mandatory Benefits
Requirements

Non -

page in

Comments

Compliant

Submission
Pg.




EXAMPLE
Pg.



Pg.

Bidder to state reason for
non-compliance

Please refer to section 9.3 to complete this form. The form must be submitted in File 1, Exhibit 2

No. Mandatory Requirements

Compliant

Non-

Reference

Compliant

page in
Submission

1.

1.1

2.

Minimum B-BBEE Status Level 3

Bidder has submitted a valid B-BBEE certificate or sworn
affidavit with minimum B-BBEE status level 3

Certificate/ Licence with FSCA

Bidder has submitted valid proof of an Authorised Financial
2.1

3.

3.1

Service Provider (FSP) by the Financial Sector Conduct
Authority (FSCA)

Mandatory Benefits Requirements

The bidder has fully completed the mandatory benefits
requirements form (Annexure A1)

4.

4.1

Response to Technical Evaluation

The bidder has attached response to :Annexure A2 Technical
Evaluation

RFP 37/2019: Appointment of a Group Life Insurer

Comments

NEC3 Term Service Contract (TSC3)

Between ESKOM HOLDINGS SOC Ltd
(Reg No. 2002/015527/30)
and [Insert at award stage]
(Reg No. ___________ )
for THE PROVISION OF SO3 & PRECIPS MAINTENANCE
SERVICES AT KOMATI POWER STATION FOR A
PERIOD OF 36 MONTHS

Contents:
Part C1 Agreements & Contract Data
Part C2 Pricing Data
Part C3 Scope of Work

CONTRACT No. MPGXC006014

ESKOM HOLDINGS SOC Ltd

CONTRACT NUMBER: MPGXC006014

THE PROVISION OF SO3 & PRECIPS MAINTENANCE SERVICES AT KOMATI POWER STATION

PART C1:

AGREEMENTS & CONTRACT DATA

Contents:
C1.1 Form of Offer and Acceptance
C1.2a Contract Data provided by the Employer
C1.2b Contract Data provided by the Contractor

CONTRACT

- II -

TSC3 COVER PAGES

Group Life Member Booklet:
Internal Guide
FOR THE PERIOD: 2019/2020

Underwritten by Alexander Forbes Life: Group Risk
Alexander Forbes Life Limited is a Licensed Financial Services Provider FAIS FSP No:1178

This booklet provides a general summary of the products Alexander Forbes Life offers. If there is a
discrepancy between the information contained herein and the provisions of the Policy with the Service
Provider, the Policy with the Service Provider will prevail.
CONTENTS
1.
2.

SUMMARY OF BENEFITS

PAGE
2

COMPULSORY BENEFITS ..................................................................................................4

2.1.

Group Life Cover .................................................................................................................4

2.2.

Education Benefit ................................................................................................................6

2.3.

Family Funeral Cover .........................................................................................................8

2.4.

Accidental Death Cover ................................................................................................... 10

2.5.

Dismemberment Cover .................................................................................................... 11

2.6.

Lump Sum Disability Cover ............................................................................................. 13

2.7.

Lifestyle Cover ................................................................................................................. 15

3.

VOLUNTARY BENEFITS ................................................................................................... 20

3.1

Flex Cover Benefit ........................................................................................................... 21

3.2

Spouse’s Life Cover ........................................................................................................ 24

3.3

Extended Family Funeral Cover ...................................................................................... 26

4.

FAMILY FUNERAL ASSISTANCE BENEFIT .................................................................... 29

5.

CONTINUATION OPTION.................................................................................................. 30

6.

CONTACT INFORMATION ................................................................................................ 32

Page | 1

1.

SUMMARY OF BENEFITS
All SARS employees and trainees qualify for risk benefits provided by the employer, designed to
insure you and protect your family in the event of unfortunate death or long-term illness, while in
service.
There are two types of benefits offered by SARS:
o
o

Compulsory Benefits, paid by the employer on your behalf
Voluntary Benefits, paid by you through payroll if you choose the benefit
Compulsory Benefits
All SARS employees and trainees
automatically become members of the
Compulsory Benefits portfolio on employment
at SARS.
These benefits provide employees with cover
in the event of either their death or
disablement whilst in the employment of
SARS.

Voluntary Benefits

In addition to the above, SARS also provides
Voluntary Benefits to its employees who wish
to exercise this option.

The Voluntary Benefits include the following
choices:

Compulsory benefits include:
Death in Service

Page | 2

Death in Service

o

Group Life Cover:
a lump sum death benefit, based on a
multiple of the employee’s annual
Guaranteed Total Package(GTP),
becomes payable to the employee’s
nominated beneficiary(ies) in the event of
the employee’s death.

o

Group Life Cover:
employees may choose to add additional
multiple/s of annual Guaranteed Total
Package (GTP), that will be payable
together with the lump sum death benefit
(i.e. Core), to the employee’s nominated
beneficiary(ies) in the event of the
employee’s death.

o

Education Benefit:
an annual benefit that indemnifies the
class fees that would have been paid by
the employee had the employee not
passed away.

o

Spouse’s Life cover:
employees may choose to add a multiple/s
of annual Guaranteed Total Package
(GTP) that will become payable in the
event of the passing away of the
employee’s spouse

o

Family funeral cover:
a lump sum funeral benefit payable, should
the employee or a member of the
employee’s immediate family pass away, to
assist the employee and the employee’s
family with the funeral costs.

o

Extended Family funeral cover:
employees may choose to cover extended
family members for funeral cover, to assist
the employee and the employee’s family
with the funeral costs.

o

Accidental Death Cover:
in the event of the employee’s death, as a
result of an accident an additional lump
sum benefit becomes payable to the
employee’s nominated beneficiary(ies),
over and above the group life cover.

Becoming disabled while in Service
o

Lump Sum Disability Cover:
a lump sum payable on admission of a
disability claim.

o

Dismemberment Cover:
a lump sum payable in the event of the loss
of use of one or more limbs as a result of
an accident.

o

Lifestyle Cover:
a lump sum to help with the cost of
changing the way one lives with a major
(critical) illness or injury.

None

Becoming disabled while in Service
None

Explanations of these benefits are provided in this document, as well as examples to aid
employees in understanding exactly how these benefits work.
Employees may also contact the HC&D Contact Centre E-mail: [email protected]
should employees require any further information or assistance regarding these benefits.

Page | 3

2.

COMPULSORY BENEFITS
All SARS employees and trainees automatically become members of the Compulsory Benefits
portfolio on employment at SARS.
All SARS employees will enjoy these benefits until age 65.
o

The maximum compulsory retirement age for all SARS employees is 65 years; cover can
however continue (deferred retirement) until the age of 70 years if still employed after 65.

o

Disability benefits are not available after the age of 65 years

Death in service

2.1. Group Life Cover
Definition: A benefit payable to employee’s nominated beneficiary(ies) in the event of the
employee’s death
What happens if I die while employed?
All SARS employees are covered for a death benefit of 2.2 times their Annual Guaranteed Total
Package (GTP) in terms of the Core Benefit.
Example 1:
Joe Block is an employee of the South African Revenue Service who earns R10 000.00 per month.
Joe therefore earns a guaranteed total package of R120 000.00 per annum. Joe elects his wife as his
sole beneficiary and would like to know how much core benefit cover his wife is entitled to in the event
of his death.
o

Core Group Life Cover:

2.2 X Annual guaranteed total package

o

Annual guaranteed total package:

R120 000.00

Core benefit:

2.2 X R120 000.00 =

R264 000.00

Therefore, Joe’s wife is entitled to a R264 000.00 Core Benefit in the event of Joe’s death.
How much does the cover cost me?
o
o

The premium for this benefit is paid by SARS on your behalf.
The premium is regarded as a fringe benefit to you and is therefore taxed accordingly. Your
beneficiaries will thus receive the benefit without tax being deducted.

Up till what age will I be covered?
o

You will be covered up to the normal retirement age (NRA) of 65 years.

o

Please note, however, that the death benefits are kept in force after the NRA if you are still in
the active service of the employer, until you actually retire or until the age of 70 years
(whichever occurs first).

What happens to my cover when I resign / retire from SARS?
All cover and benefits will discontinue
However, a continuation option is included on this policy and allows for the transfer of cover to an
individual policy on withdrawing or retiring from SARS (please refer point 5 of this document).
A guideline and application for a quotation can be found on the SARS HC&D portal

Page | 4

Other Important Information regarding the lump sum death benefit:
o

o

The policy allows for early payment of death benefit (which will include Flex Cover Benefit if
applicable) on the diagnoses of a terminal illness (subject to assessment of medical
evidence).
-

This provision aims to financially assist with the expenses associated with a terminal
illness. In the event of medical evidence being presented that a member (active or
existing disability claimant) is terminally ill and has less than 6 months to live, this
benefit allows for the early payment of the death benefit.

-

No further payment of premiums is required beyond the date of payment of the benefit.

The Free Cover Limit is R18 000 000 (combined for Core Benefit and Flex Cover Benefit).
This means that you will be automatically be covered up to this amount, without having to
submit medical evidence of good health. Should your total death cover (Core Benefit plus
Flex Cover Benefit) be in excess of this, the insurer will require you to provide medical
evidence of good health for the amount in excess of R18 000 000.

How does my family claim for this benefit?
Claims have to be submitted within 12 months from date of death:

Page | 5

o

In the event of your death, the benefit will be paid out to your nominated beneficiary(ies) as per
your latest updated nomination of beneficiary form.

o

If you did not submit a completed nomination of beneficiary form to your Human Capital &
Development Representative to be put on your employee file, the benefit will be distributed
according to the provisions in the Intestate Succession Act.

o

What documentation needs to accompany my claim?
Required documentation is indicated on the claim form.

2.2. Education Benefit
What happens to my child/ren’s annual school fees if I pass away?
In addition to the lump sum death benefit, the Alexander Forbes Life Education Benefit will pay
the cost of the children’s education.
In the event of your death, the benefit can be claimed to pay the actual cost for each of your
eligible children’s educations:
o

The fees will be paid directly to the learning institution (subject to certain terms & conditions as
set out in the policy)

o

The benefit may be claimed for each year of education (at the start of that year).

Eligible children include:



a biological child of the member, including a posthumous child (i.e. born after the date of the
member’s death); or



a legally adopted child of the member. The adoption, or date of application for adoption,
must be before the date of death of the member; or



a step child of the member (validated by legal marriage, and therefore excludes a life
partner’s children).

The fee(s) that can be claimed per year includes the following:
o Education fees – the actual education fees payable to an educational institution, subject to
the following limitations:
Benefit Maximums for Education Fees
(Please note: Book and residence allowances are not included)
Maximum amount per child

Maximum period

Pre-school
(Grade 0 or Grade R)

R38 000 per annum

1 year

Primary school
(Grade 1 to 7)

R75 000 per annum

7 years

Secondary school
(Grade 8 to 12)

R85 000 per annum

5 years

Local: R55 000 per annum
International: $60 000 per
annum

Duration of an
undergraduate degree, or
recognised trade diploma
or certificate.

Tertiary educations

Page | 6

o

a book allowance (tertiary education) (for prescribed books) – the actual fees incurred for
books prescribed by an educational institution, up to a maximum of 10% of the actual
education fees payable (after applying the limitations above, if applicable); and

o

university (or technicon) residence allowance – the actual fees for university or technicon
residence up to a maximum allowance of 30% of the actual education fees payable (after
applying the limitations above, if applicable).

In terms of educational institutions, this includes:
o all recognized registered South African schools; and
o

all universities, as well as universities of technology (technikons) and recognized institutions
providing for a trade (such as plumbing and electrical).

Certain international universities are also included.
How much does the cover cost me?
The premium for this benefit is paid by SARS on your behalf.
Up till what age will my child/ren be covered?
Benefit payments will terminate at the end of the year in which the member would have attained
age 70 years had he/she still been alive. Payment of this benefit is until the year the child turns
23
Frequently Asked Questions
o

Can the aggregated amount be claimed per annum, e.g. for bursary purposes?
The Alexander Forbes Life Education Benefit is not intended as a bursary.

o

Does the benefit cover boarding fees for children attending boarding schools?
No, boarding fees and any other (e.g. after-care fees) are not included for schools.

Other Important Information regarding the Alexander Forbes Life Education Benefit:
o

Certain limits may be applied when a child moves between different learning institutions,
which include moving from Primary School to High School where we will limit the fees to a
50% increase of the last year of primary school (i.e. Gr 7); no limitation will apply when
moving from a rural school to a urban public school.

o

Children attending a private school at the time of the employees’ unfortunate death, may
continue their schooling at the same institution.
If a child was attending a public / mainstream school at the time of the employee’s death, fees
in respect of a new school will be considered in line with the public / mainstream school (e.g.
in the case of a child being transferred to a private school, the fees equivalent to what was
being paid at the public school will be paid.)

o

No benefit is available in respect of home-schooling.

o

There are no maximum to the number of children that may be covered.

o

Limits are reviewed annually.

o

The benefit is only payable in respect of an eligible child where:
o

where the principal member is directly paying for the school fees; or

o

indirectly paying for the school fees through shared household expenses.

No benefit is payable in the event of the employee becoming disabled.
How does my family claim for this benefit?
Claims have to be submitted within 12 months from date of death:

Page | 7

o

In the event of your death, the benefit will pay the educational fees for each child directly to the
learning institution.

o

An Alexander Forbes Life Education Benefit Claim form must be submitted for each qualifying
child, including child/ren that is/are not yet of school-going age.

o

What documentation needs to accompany my claim?

2.3.

Required documentation is indicated on the claim form.
Family Funeral Cover
Definition: A benefit payable in the event of the death of the principal member or one of
his/her immediate family members, to assist with the funeral costs
What happens if I die while employed?
The Funeral benefit provides for a lump sum benefit, in the event of your or a family member’s
unfortunate passing away before the Normal Retirement Age (NRA), to assist your family with the
funeral costs:
Person covered:

Benefit

o

You, as the principal member (SARS employee)

R50 000

o

Your qualifying spouse (maximum 1)

R50 000

o

Your qualifying child, aged 14 and older
(but younger than 21 years)

R50 000

o

Your qualifying eligible child, aged 6 and over,
(but younger than 14 years)

R20 000

o

Your qualifying eligible child, aged 1 and older,
(but younger than 6 years)

R10 000

o

Your qualifying eligible child younger than 1 years old,
including a still-born child

R10 000

How much does the cover cost me?
The premium for this benefit is paid by SARS on your behalf.
Up till what age will I be covered?
o

You will be covered up to the normal retirement age (NRA) of 65 years.

o

Please note, however, that the benefits are kept in force after the NRA if you are still in the
active service of the employer, until you actually retire or until the age of 70 years (whichever
occurs first).
Paid-up Insurance on retirement of the employee

Page | 8

o

If the principal member (i.e. SARS employee) retires (i.e. normal age 60 or compulsory age
of 65 years), as a result of ill-health (i.e. total & permanent occupational disability), the
principal member, his / her qualifying spouse and qualifying children will remain insured; but
no further premiums will be payable in respect of them until he / she (principal member)
passes away;

o

This benefit will remain inforce until the retired employee (principal member) passes away;

o

If the principal member’s spouse passes away, the principle member and his / her qualifying
children will still be covered;

o

If the principal member’s service with the employer is terminated for any other reason,
including resignation, termination due to misconduct, death, etc., his / her benefit, as well as
the benefits in respect of his / her qualifying spouse and qualifying children, will cease.

Other Important Information regarding the family funeral benefit:
o

Eligible children under 21 years are covered while full-time students are covered up to and
including age 26. Full-time students will be covered up until the end of the year in which they
turn 26;

o

Eligible children under 21 years that are married will not be covered;

o

Age will refer to the child’s exact age;
Eligible children include:

o



a biological child of the member, including a posthumous child (i.e. born after the date
of the member’s death); or



a legally adopted child of the member. The adoption, or date of application for
adoption, must be before the date of death of the member; or



a step child of the member (validated by legal marriage, and therefore excludes a life
partner’s children).

What happens to my children who are over 21 and not studying?
These children can be covered under the Extended Family Funeral Benefit.

o

What happens if my child is dependent on me for his/her entire life?
Cover will be extended indefinitely if the Principal Member’s child is or becomes wholly, and
continuously, dependent on the principal member as a result of mental or physical infirmity
that prevents him from maintaining himself.

o

The benefit payment/s will cease when one of the following events occurs:
 the death of the principal member(SARS employee); or
 the principal member ceases to be an employee; or
 a premium not paid continuously; or
 if the scheme is dissolved.

o

Cover is granted without medical proof of insurability required.

What happens to my cover when I resign from SARS?
All cover ceases.
How do I/my family claim for this benefit?
In the event of the death of either you or your immediate family member, please contact your
Human Resources Representative to start the claims process.
Your (the employee’s) funeral benefit will be paid to the spouse or as per specific beneficiary
nomination form.
The benefit of the immediate family member will be paid to the employee.
o

What documentation needs to accompany my claim?
Required documentation is indicated on the claim form.

Frequently Asked Questions
o

How many spouses can I claim for on this benefit?
The benefit pays for one spouse claim per review period. The spouses to be insured needs to
be nominated as only one spouse are covered per review period.

o

What is the definition of a spouse?
A person to whom the principal member is legally married, and shall include the following:



Page | 9

A party to a customary union according to tribal customs or South African customary law;
or




A union recognised as a marriage under the tenets of any Asiatic religion; or
A person of the same or opposite gender living with the member in the manner of a
spouse, provided that such cohabitation has been in existence for a period of at least 6
months.

2.4. Accidental Death Cover
Definition: A benefit payable to your nominated beneficiary(ies) in the event of your death as
a result of an accident
What happens if I die, as a result of an accident, while employed?
All SARS employees are covered for an additional accidental death benefit of 1 times annual
Guaranteed Total Remuneration Package (GTP).
This benefit is payable in addition to the to the lump sum death benefit.
Example 2:
Joe Block is an employee of the South African Revenue Service who earns R10 000.00 per month. Joe
therefore earns a guaranteed total package of R120 000.00 per annum. Joe would like to know how
much core benefit cover his wife is entitled to in the event of his accidental death.
o

Accidental Death Cover:

1 X Annual Guaranteed Total Package

o

Annual Guaranteed Total Package:

R120 000.00

Accidental Death benefit: 1 X R120 000.00 =

R120 000.00

Therefore, Joe’s wife is entitled to a R120 000.00 Accidental Death Benefit in the event of Joe’s
accidental death.
Note – If Joe’s death is as a result of an accident, both the core benefit and the accidental death benefit
are payable. So, in this example Joe’s wife would be entitled to a total pay-out of R264 000.00 (core
benefit) + R120 000.00 (accidental death benefit) = R384 000.00 (total).
How much does the cover cost me?
o
o

The premium for this benefit is paid by SARS on your behalf.
The premium is regarded as a fringe benefit to you and is therefore taxed accordingly. Your
beneficiaries will thus receive the benefit without tax being deducted.

Up till what age will I be covered?
o

You will be covered up to the normal retirement age (NRA) of 65 years.

o

Please note, however, that the death benefits are kept in force after the NRA if you are still in
the active service of the employer, until you actually retire or until the age of 70 years
(whichever occurs first).
Other Important Information regarding the accidental death benefit:
o

An accident is defined as a sudden, unexpected, unusual, specific event which is not sought
out by the principal member which is occasioned by visible, violent or external means, which
occurs at an identifiable time and place, which results in Bodily Injury as defined.

o

Death must occur within 12 months of the accident date in order for the Accidental Death
Benefit to pay out.

o

The accident cover is granted without medical proof of insurability required.

How is Bodily Injury defined?
Physical bodily injury or an injury which gives rise to the deterioration of the mental state and
mental capacity of a principal member which is caused exclusively and independently of any
Page | 10

other cause by visible, violent, external or accidental means and occurs at an identifiable time
and place.

What happens to my cover when I resign from SARS?
All cover ceases.
How does my family claim for this benefit?
Claims have to be submitted within 12 months from date of death:
o

In the event of your death, the benefit will be paid out to your nominated beneficiary(ies) as per
your latest updated nomination of beneficiary form (as required for your group life cover).

o

If you did not submit a completed nomination of beneficiary form to your Human Capital &
Development Representative to be put on your employee file, the benefit will be distributed
according to the provisions in the Intestate Succession Act.

o

What documentation needs to accompany my claim?
Required documentation is indicated on the claim form.
Becoming disabled while in Service

2.5. Dismemberment Cover
Definition: A lump sum payable in the event of the total loss of use of one or more limbs as a
result of an accident as specified in the table below
What happened if I do not pass away, but experience bodily loss as a result of an accident, while
employed?
The benefit payable is calculated in line with the severity of the disablement.
A 100% pay out on this benefit is equal to 2.2 X annual guaranteed total package to a maximum
of R4 500 000.00.
Nature of Dismemberment or Paralysis:
o

At or above the wrist or ankle of one or more limbs

100%

o

Four (4) fingers

80%

o

Thumb
- Both (2) phalanges
- One (1) phalanx

o

o

o

Page | 11

Percentage of
benefit

50%
25%

Index finger
- Three (3) phalanges (i.e. whole finger)
- Two (2) phalanges
- One (1) phalanx

10%
8%
5%

Middle finger
- Three (3) phalanges (i.e. whole finger)
- Two (2) phalanges
- One (1) phalanx

8%
6%
4%

Ring finger
- Three (3) phalanges (i.e. whole finger)
- Two (2) phalanges

6%
5%

o

o

o

o

o

o

3%

One (1) phalanx

Little finger
- Three (3) phalanges (i.e. whole finger)
- Two (2) phalanges
- One (1) phalanx

4%
3%
2%

Metacarpals (in additional to fingers lost)
- First or second – per metacarpal
- Third, fourth or fifth – per metacarpal

3%
2%

Toes
- All on one foot
- Great toe, both (2) phalanges
- Great toe, one (1) phalanx
- One (1) toe (except great toe) - each

30%
7%
3%
2%

Metatarsals (in additional to toes lost)
- First or second – per metacarpal
- Third, fourth or fifth – per metacarpal

3%
2%

Nature of Loss of Faculties
- Loss of sight / hearing – both eyes / ears
- Loss of sight / hearing – one eye / ear

100%
30%
100%

Total incapacitation

How much does the cover cost me?
o
o

This benefit is payable in addition to any other benefit.
The premium for this benefit is paid by SARS on your behalf.
Example 3:
Joe Block is an employee of the South African Revenue Service who earns R10 000.00 per month.
Joe therefore earns a guaranteed total package of R120 000.00 per annum. Joe would like to know
how much core benefit cover he is entitled to in the event of experiencing bodily loss as a result of an
accident.
o

Dismemberment Cover:

2.2 X Annual guaranteed total package

o

Annual guaranteed total package:

R120 000.00

Dismemberment cover: 2.2 X R120 000.00 =

R264 000.00

Therefore, for total incapacitation, Joe is entitled to a R264 000.00 Dismemberment Cover in the
event of him experiencing bodily loss as a result of an accident.
Note – If Joe only loses all the toes of his left foot (as a result of the accident), Joe will only be entitled
to R264 000.00 x 30% (based on the scale above) = R79 200.00 Dismemberment Cover.
Up till what age will I be covered?
You will be covered up to the normal retirement age (NRA) of 65 years.

Page | 12

Other Important Information regarding the dismemberment cover:
o

An accident is defined as a sudden, unexpected, unusual, specific event which is not sought
out by the principal member which is occasioned by visible, violent or external means, which
occurs at an identifiable time and place, which results in Bodily loss within 12 month of the
accident.

o

Claims need to be lodged no later than 12 months after the date of accident or after the date
of disablement in the event of the loss of limbs (if not submitted in time, the Insurer/SARS
will not be liable for payment of the claim).

o

The Dismemberment Benefit is granted without medical proof of insurability required.

How do I claim for this benefit?
Claims have to be submitted within 12 months from date of bodily loss (i.e. dismemberment):
o

Collect the necessary documentation from your Human Capital & Development
Representative.

o

Complete documentation correctly and attach all required documentation, then return to the
Human Capital & Development Representative for submission to the insurer.

2.6. Lump Sum Disability over
Definition: A lump sum benefit payable in the event that you are totally and permanently
incapable of performing your own and any alternative occupation with any employer as a
result of a condition that arose from an injury or illness
What happens if I become disabled while employed?
The benefit is paid as a lump sum and is calculated as a multiple of your annual guaranteed total
remuneration package (GTP) (see example 1).
o The current structure is 2.2 X annual guaranteed total package to a maximum of
R10 500 000.00.
o The premium for this benefit is paid by SARS on your behalf.

Page | 13

Other Important Information regarding the lump sum disability benefit:
o

Date of event is the date on which the Insured Person is unable to perform the material
duties of his job due to injury or illness and where after he is unable to perform the inherent
requirements of his job (i.e. date of service termination).

o

The benefit is an accelerated payment of your (Core) lump sum death benefit. There is
therefore no medical evidence of good health required. If your claim is approved (100%
total and permanent disabled) and paid out and you die shortly thereafter, no death benefit
will be payable.

o

A claim is declined if



the claim event occurs within 12 months after the cover began (e.g. with the previous
insurer or new entrant); and



the claim event is directly or indirectly attributable to any injury or illness in respect of
which the principal member sought medical advice, or about which he knew or could
reasonably be expected to have known, during the six month period preceding the
commencement of cover.

o

Claims need to be lodged no later than 12 months after the date of event or after the date of
disablement in the event of the loss of limbs (if not submitted in time, the Insurer/SARS will
not be liable for payment of the claim).

o

The Reduction in Benefits: The Lump Sum Disability Cover shall be reduced for a principal
members who is within five years of the NRA of 65. For each complete month that the
principal members exceeds the age which is five years before the NRA of 65, the Lump
Sum Disability Cover shall be reduced by (1 ÷ 60).

How much does the cover cost me?
o
o

This benefit is payable in addition to any other benefit.
The premium for this benefit is paid by SARS on your behalf.

Example 4:
Joe Block has suffered a major stroke at age 35 and is no longer able to perform his occupation or a
reasonable alternative. He applies for disability and his claim is approved and paid out. He currently
earns R120 000.00 per annum, he therefore receives a benefit of
o

Lump Sum Disability Cover:

2.2 X Annual guaranteed total package

o

Annual guaranteed total package:

R120 000.00

Lump Sum Disability benefit: 2.2 X R120 000.00 =

R264 000.00

Up till what age will I be covered?
The benefit is only payable whilst you are still a SARS employee, under the age of 65 years, with
a reduction of benefits from the age of 60.

Page | 14

Example 5:
Joe Block has suffered a major stroke at age 63, with 1,5 years (18 months) to retirement and is no
longer able to perform occupation or a reasonable alternative. He applies for disability and his claim
is approved and paid out. He currently earns R10 000.00 per month. His annual earnings is
R120 000.
His benefit is therefore limited to:
Lump Sum Disability benefit: (2.2 x R120 000.00) x 18*(1÷60) = R79 200.00
What happens to my cover when I resign from SARS?
All cover ceases. However, a continuation option is included on this policy and allows for the
transfer of cover to an individual policy on withdrawing or retiring from SARS (please refer point
5 of this document). A guideline and application for a quotation can be found on the SARS
HC&D portal

How do I claim for this benefit?
Claims have to be submitted within 12 months from date of disability:
o

Collect the necessary documentation from your Human Capital & Development
Representative.

o

Complete documentation correctly and attach all required documentation, then return to the
Human Capital & Development Representative for submission to the insurer.
Frequently Asked Question: Is payment of the disability benefit guaranteed?
o

No, payment of the claim is subject to assessment of medical evidence to determine
whether the illness/injury resulted in total and permanent occupational disablement.

o

The insurer can defer for additional information if needed.

o

Once evaluated, the insurer will determine whether your claim meets the requirements for
total and permanent occupational disablement.

o

If you submit a claim for disability in the first year of joining SARS as an employee, and your
claim is based on a condition that existed in the 6 months prior to joining SARS, your claim
may be rejected on the grounds of a pre-existing condition.

o

Intentional self-inflicted injuries are not covered.

2.7. Lifestyle Cover
Definition: A lump sum pay-out to help with the cost of changing the way one lives after a
major illness or injury and protects against the expenses that can arise during this time
What happens if I suffer a critical illness / condition while employed?
A benefit, up to a % of R100 000, is paid if the member’s condition meets the relevant contractual
definition for the insured conditions covered;
Which conditions are covered under this policy?





Page | 15

Advanced Dementia
Aplastic Anaemia
Benign Brain Tumour with malignant behavior
Cancer
Cardiomyopathy






























Coma
Coronary Artery Bypass Surgery
Heart Attack
Loss of hearing
Loss of sight one or both eyes
Loss of speech (Additional??)
Loss or loss of use of limb
Major Head Trauma
Major Organ Transplant
Motor Neurone Disease
Multiple Sclerosis
Paralysis Parkinson’s
Renal Failure
Severe Burns
Severe Crohn’s DiseaseSevere Lung Disease
Severe Ulcerative Colitis
Stroke
Accidental HIV infection
Alzheimer’s disease (covered under Advanced Dementia)
Angioplasty (covered under Coronary Artery Bypass Surgery)
Aortic artery surgery (covered under Coronary Artery Bypass Surgery)
Arrhythmia
Chronic liver failure
Heart valve surgery (covered under Coronary Artery Bypass Surgery)
Muscular dystrophy (covered under Motor Neurone Disease)
Paraplegia (covered under paralysis)
Pulmonary embolism
Sero-positive rheumatoid arthritis

How much does the cover cost me?
o
o

This benefit is payable in addition to any other benefit.
The premium for this benefit is paid by SARS on your behalf.
Example 6:
Joe Block is an employee of the South African Revenue Service who earns R10 000.00 per month.
Joe therefore earns a guaranteed total package of R120 000.00 per annum. Joe would like to know
how much core benefit cover he is entitled to in the event of experiencing bodily loss as a result of an
accident.
o

Lifestyle Cover:

R100 000.00

Note – If Joe’s condition, for example angioplasty, results in a lower % payable than 100% (please
refer Benefit percentage payable per event), Joe will only be entitled to R100 000.00 x 50% = R50
000.00 Lifestyle Cover.

Page | 16

Benefit percentage payable per Lifestyle event (please see policy document for more
detailed definitions and severities):
Lifestyle Event
Loss of sight

Cancer
Renal Failure (Requiring
Dialysis)

Coma (resulting in
permanent neurological
complications)

Coronary Artery Bypass
Surgery (with surgery to
divide breast bone)
Heart Attack (of
specified severity)

Severe Burns

Major organ transplant

Multiple Sclerosis (with
persisting symptoms)

Paralysis

Stroke

Motor Neurone Disease
(resulting in permanent
Symptoms)
Loss of speech
Loss of hearing
Loss or loss of use of
limbs
Page | 17

Severity Level
Complete and irreversible loss of sight in both eyes
Complete and irreversible loss of sight in one eye
Malignant Tumour – Stage 3 or Stage 4
Malignant Tumour – Stage 2
Malignant Tumour – Stage 1
End stage renal failure of both kidneys with permanent
dialysis needed
If, after 3 months, there is evidence of permanent
incapacitating neurological deficit. Permanent
neurological deficit must include at least one of the
following ailments: (blindness; deafness; speech
disorders; or motor paralysis involving one or more
limbs)
If the state has persisted continuously with the use of a
life support system for a period of at least 96 hours
Repair to three or more coronary arteries
Heart valve surgery
Aorta graft surgery
Repair to less than three coronary arteries
Angioplasty
Heart attack with severe permanent impairment in
function
Heart attack with mild permanent impairment in function
Mild or Moderate heart attack
If the burns cover more than 30% of the body surface
If the burns cover between 15% and 30% of the body
surface
After the transplant operation - human to human
Before the transplant operation if proof is submitted that
a transplant is needed and the member is on a valid
organ transplant waiting
The irreversible neurological deficiencies must include at
least one of the following conditions: (paralysis in limbs;
walking impairment that can be neurologically verified;
the member has to use a wheelchair)
Permanent and total loss of function of two or more
limbs as a result of injury or disease.

% of Benefit
Amount
100%
50%
100%
50%
25%
100%

100%

50%
100%
100%
100%
50%
10%
100%
75%
50%
100%
50%
100%
50%

100%

100%

Stroke with severe impairment – inability to perform 3 or
more Basic Activities of Daily Living

100%

Stroke with moderate impairment – inability to perform 3
or more Advanced Activities of Daily Living

50%

Stroke with mild impairment – inability to perform 1 or
more Advanced Activities of Daily Living

10%

Confirmed by a neurologist as progressive and resulting
in irreversible damage to the nervous system with the
inability to perform 3 or more Basic Activities of Daily
Living
Total, permanent and irreversible loss of the ability to
speak
Total deafness
Both arms, or both legs or one arm and one leg

100%

100%
100%
100%

Parkinson’s

Benign Brain Tumour

Severe Lung Disease

Severe Crohn’s Disease

Major Head Trauma

Advanced Dementia
Severe Ulcerative Colitis

Page | 18

One arm or leg
Activities of Daily Living assessment confirms the
inability of the member to perform, without assistance, 3
or more Basic Activities of Daily Living. The disease
cannot be controlled with medication and the disease
shows signs of progressive impairment
Activities of Daily Living assessment confirms the
inability of the member to perform, without assistance, 6
or more Advanced Activities of Daily Living. The disease
cannot be controlled with medication and the disease
shows signs of progressive impairment
Tumour causing severe impairment – inability to perform
3 or more Basic Activities of Daily Living
Severe lung disease or end stage lung disease, causing
chronic respiratory failure, as evidenced by all four (4) of
the following criteria:
- FEV1 test results consistently less than 1 litre
measured on three occasions 3 months apart. For
idiopathic pulmonary hypertension a systolic pulmonary
pressure of greater than 50mmHg; and
- Requiring continuous permanent supplementary
oxygen therapy for hypoxemia; and
- Arterial blood gas analyses with partial oxygen
pressures of 55mmHg or less (PaO2

Related Tenders:

The following tenders are possibly related to this tender due to tenders coming from different sources.