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Death benefit claim

Death can occur because of natural or unnatural causes.

Natural causes refer to internal factors such as medical conditions, illnesses or diseases.

Unnatural causes refer to external factors such as trauma from an accident.

If a valid death claim is admitted, the claim amount will be paid to the following people in the following order:
  • The cessionary (if any)
  • The beneficiary for proceeds (if any)
  • The policyholder, if different to the insured life
  • The deceased estate, if the insured life and policyholder is the same person

Death benefit claim requirements

  • A copy of the death certificate (BI-5).
  • A copy of the deceased insured life’s identity document or birth certificate (if younger than 18 years).
  • A copy of the notice of death / still birth (DHA-1663) obtainable from the doctor who declared the death.
  • The death claim form (CLAIM001E) completed and signed by the claimant or authorised representative of the claimant.
  • If death is due to unnatural causes, the unnatural death claim form (CLAIM003E) is also required and must be completed by the Investigating Police Officer.
  • The medical certificate for death claim form (CLAIM002E)(required only if the benefit started less than 3 years from the claim event date).
  • The POPIA consent form (CLAIM026) completed and signed by the claimant or authorised representative of the claimant.
  • Proof of banking details, in the name of the claimant (natural person, minor, deceased estate, legal entity), not older than three months on a bank letterhead or that has a bank stamp on it.

Please note that that we may require additional information to assess and potentially finalise the claim.

The claimant is responsible for the costs of obtaining the supporting documentation and medical information.

To submit the requirements please email: [email protected]

Contact details to submit a
death benefit claim


[email protected]

Fax: +27 12 675 3947

Types of Life Insurance claims

Funeral Benefit
claim

Lump sum Disability and
Impairment Benefit claim

Critical Illness Benefit
claim

Income Protection
claim

Retirement Annuity
claim

Terminal Illness Benefit
claim

Contact Momentum Life Insurance




Business hours are Monday to Friday from 08:00 to 17:00. We're closed on weekends and public holidays.



Business hours are Monday to Friday from 08:00 to 17:00. We're closed on weekends and public holidays.


[email protected]

[email protected]

[email protected]

Please use the applicable email address above for your relevant claim type. If you send your claim documents to the incorrect email, your claim handling could be delayed.

International number:

+27 11 505 1552

Our business hours are Monday to Friday from 08:00 to 17:00. We’re closed on weekends and public holidays.

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