MiSure Exotic Bird Insurance

Cover your exotic bird with affordable bird insurance that protects them in the event of accidents, health problems, and helps with routine care.

For R197 per month per bird

Cover Includes:

Annual limit - R35 000
Illness cover - R6 000 per event (30 day waiting period from inception)
Accidental cover - R10 000 per event (Covered 48hrs from inception)
Excess is the first amount payable in the event of a claim.
The excess for this policy is 10% for every claim with a minimum of R250.
Pre-approval will be required should a planned procedure be taking place, should you not request pre-approval there will be an additional excess of 25% of each claim.

Hidden

Referral Vet

Your Personal Details

Title

Name

Surname

Phone No

Email Address

ID Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Pets Details

Pets Name

Date of Birth

Breed

Gender

Color of Bird

Pellet Brand

What do you feed your bird?

Seeds

Vegetables

Fruits

Other

Terms & Conditions

Policies always start from the 1st of the following month
I request and authorise Renasa Insurance Co Ltd to draw against the above mentioned account, the amount necessary for payment of the monthly premium, as and when, required. This amount will debit every month until this arrangement is cancelled in writing by either party.
I accept that, if the debit date falls on a weekend, I will be debited on the subsequent working day. If no debit date is selected
P.UMA reserves the right to select the last working day of each month
PUMA – An Authorised Financial Services Provider (FSP No. 44387)
Renasa Insurance Company Ltd – An Authorised Financial Services Provider (FSP No. 15491)

Policy Amount - R197pm(Required)

I declare and understand that this policy will debit an amount of R197pm

Deduction Authority(Required)

I consent to the deduction

I hereby authorise Renasa Insurance Co Ltd to affect the soonest monthly deduction of the Grand Total (current and/or arrears including amendments that may be made in terms of master policy) and an annual increase if applicable from my salary, current bank account or any future bank account I might have, and to continue such deductions until written notice of cancellation is received.

Client Validation by Electronic Signature

Declaration(Required)

I agree to these terms

I hereby confirm that all details supplied above are true and correct to the best of my knowledge. NB: Any false disclosure could result in the policy being made void. This policy will be rendered on 1 June each year. You will be informed of any changes 30 days prior to renewal.

By signing below, I hereby accept all terms and conditions related to this policy and authorise the premium to be debited off my account.

By completing this application form, you consent to us obtaining any veterinary histories required from your treating vets in order for us to underwrite the risk.

All your information will be treated in the strictest confidence at all times.

Client Signature(Required)

Bank Details

Name of Account Holder

Bank Name

Account Type

Branch

Branch Code

Account No

Debit Date

Disclosure - Please note that the policy will remain active for as long as the premium is paid, should the premium not be collected there will be no cover for that month. If there are two consecutive non-payments the policy will automatically cancel.
Cancellation disclosure - This policy may be cancelled at any time by either party upon giving one months written notice. The cancellation shall then be effective from the first day of the calendar month following the notice.

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