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Get peace of mind for you & your family

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From
R330
p/m

Funeral Plans

select

From
R525
p/m

Health Plans*

select

From
R300
p/m

Legal Plans

select

R160
p/m

Clientèle Perks

select

* Non-medical expense cover as a result of hospitalisation.
** This is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership.

From
R330
p/m

Funeral Dignity Plan

Cover up to 13 people on 1 plan;

Pays out within just 24 hours;

R200 airtime when you claim;

Includes a Grocery and Unveiling benefit;

Double Accident benefit for the main insured only;

Enhanced Benefits: 24 hour funeral helpline.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE.

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From
R390
p/m

Ultimate Dignity Plan

Cover up to 13 people on 1 plan;

Pays out within just 24 hours;

R200 airtime when you claim;

3 Children covered at no additional cost;

Includes Grocery, Unveiling and Transport benefit;

Enhanced Benefits: 24 hour funeral helpline;

Premium Pay Back Benefit:

Pays back all your premiums. Your beneficiaries receive the full cover amount plus all the premiums for the deceased member, with a valid death claim;

Pays back 50% of your premiums in cash at the age of 65. The remaining 50% of premiums paid will be paid back to the beneficiaries upon death.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE.

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From
R525
p/m

Standard Health Plan*

Up to R250,000 annual cover;

Up to R25,000 annual Lump Sum pay out - paid if admitted* for more than 72 hours;

Up to R2,500 Daily Cash benefit;

Includes Maternity Benefit;

R50 airtime paid when you claim;

Includes cover of up to R250,000 for:
- Accidental Death;
- Accidental Disability;
- Dread Disease;

Cover up to 4 children at no additional cost;

Enhanced Benefits:
- 24 Hour emergency helpline;
- Emergency flight and ambulance services;
- Trauma Counselling;
- HIV Support.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE

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From
R573
p/m

Ultimate Health Plan*

Up to R250,000 annual cover;

Up to R25,000 annual Lump Sum pay out - paid if admitted* for more than 72 hours;

Up to R2,500 Daily Cash benefit;

Includes Maternity Benefit;

R50 airtime paid when you claim;

Includes cover of up to R250,000 for:
- Accidental Death;
- Accidental Disability;
- Dread Disease;

Cover up to 4 children at no additional cost;

Enhanced Benefits:
- 24 Hour emergency helpline;
- Emergency flight and ambulance services;
- Trauma Counselling;
- HIV Support;

Premium Pay Back Benefit:

Pays back all your premiums. Your beneficiaries receive the full cover amount plus all the premiums for the deceased member, with a valid death claim;

Pays back 50% of your premiums in cash at the age of 65. The remaining 50% of premiums paid will be paid back to the beneficiaries upon death.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE.

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From
R300
p/m

Legal Standard Plan

This is a member only plan;

Access to R300,000 worth of legal services per year – and up to R3,000,000 for life;

Cover against Civil, Criminal and Labour related matters;

Include a Bail benefit;

Includes a Retrenchment benefit;

Access to personalised legal documents and contracts;

24 hour legal emergency line;

Optional Accidental Death benefit of R30,000;

Optional Additional Extended Family cover of R40,000 Legal Cover per year.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE.

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From
R340
p/m

Legal Classic Plan

Access to R340,000 worth of legal services per year – and up to R3,400,000 for life;

The plan includes cover for you, your spouse and children up to 21 if full-time student;

Cover against Civil, Criminal and Labour related matters;

Include a Bail benefit;

Includes a Retrenchment benefit;

24 hour legal emergency line operated by qualified lawyers and legal advisors.

Access to personalised legal documents and contracts;

24 hour legal emergency line;

Optional Accidental Death Benefit of R10,000 for spouse;

Optional Additional Extended Family cover of R40,000 Legal Cover per year.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE.

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From
R385
p/m

Extended Family Legal Plan

Access of up to R670,000 worth of professional legal services per year – and up to R6,700,000 for life;

The plan includes cover for you, your spouse and children up to 21 if full-time student;

Add up to 4 extended family members for Legal Cover of R40,000 per year at no additional cost;

Cover against Civil, Criminal and Labour related matters;

Include a Bail benefit;

Includes a Retrenchment benefit;

Access to personalised legal documents and contracts;

24 hour legal emergency line;

Accidental Death Benefit for the Main Member of up to R90,000;

Optional Accidental Death Benefit of up to R90,000 for spouse.

Clientèle Royalty is here! Simply DebiCheck and pay all of your premiums and get monthly benefits for FREE

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Thank you for choosing to buy your online. We have made it easier for you to get cover at your convenience.

In order to complete the form please have your ID number, your income before tax and bank details available. You must be the account holder of the bank account that will be debited.

Once you have completed all the steps and purchased your your Policy documents will be emailed to you, which will have all the details of your new Policy. Simply DebiCheck and pay all of your premiums and get Clientèle Royalty for FREE.

Clientèle Royalty is a FREE loyalty programme that offers policyholders access to monthly savings & discounts on Groceries, Movies, Travel, Fashion, Entertainment, Fast Food, Education vouchers and so much more! You also stand a chance to Spin & Win for your share of R10 million in prizes.* PLUS December is on us – Simply DebiCheck and pay all of your monthly premiums & Clientèle could pay your December premium for you!* Clientèle Royalty, rewarding loyalty!

*Terms and Conditions Apply.

Please enter your email address in order to start the application or to continue on an existing application.

Name(s) *

What is the name that appears on your ID document?

Surname *

What is the surname that appears on your ID document?

Email Address *

This e-mail address will be used in all future communications.

Mobile Phone Number *

10 digit number only

By submitting your details you consent to Clientèle processing and retaining your personal information in line with our Privacy Policy which is available on: www.clientele.co.za.

Now, tell us who you are?

Name(s) *

Surname *

RSA ID Number * 13 digit number as seen on your ID book

Mobile Phone Number *

Email Address *

FICA DECLARATION

In the past year, have you, or anyone on this policy held any public position including acting as any government official or politically related position? *DPIP

yes

* DPIP explained.

A DPIP (domestic prominent influential person) is an individual who holds, including in an acting position for a period exceeding six months, or has held at any time in the preceding 12 months in South Africa a prominent public function including the following:

The President or Deputy President.
A Government Minister or Deputy Minister.
The Premier of a Province.
A Member of the Executive Council of a Province.
The Head, Accounting Officer or Chief Financial Officer of a National or Provincial Department or Government Component.
The Chairperson of a Controlling Body, the Chief Executive Officer, or a natural person who is the Accounting Authority, the Chief Financial Officer or the Chief Investment Officer of a Public Entity listed in Schedule 2 or 3 to the Public Finance Management Act.
An Executive Mayor of a Municipality.
The Municipal Manager of a Municipality.
The Chief Financial Officer of a Municipality.
The Chairperson of the Controlling Body, Chief Executive Officer, Chief Financial Officer or Chief Investment Officer of a Municipal Entity as defined in Section 1 of the Local Government: Municipal Systems Act.
A Constitutional Court Judge or any other Judge.
A Leader of a Political Party.
A Member of a Royal Family or Senior Traditional Leader.
An ambassador or high commissioner or other senior representative of a foreign government based in the Republic of South Africa
An officer of the South African National Defence Force above the rank of major-general
The position of head, or other executive directly accountable to that head, of an international organisation based in the Republic of South Africa

In the past 12 months, have you, or anyone on this policy held a position in a prominent public function in a foreign country? *FPPO

yes

* FPPO explained.

Do you have another number for us?

Optional alternative number

Your current residential address?

Postal Address* Valid P.O. Box or residential address to send your policy documents

Suburb

Town / City

Postal Code*

Tell us more about you?

This is your monthly salary before expenses

What industry do you currently work in?

What is your highest level of education achieved

How much annual cover do you want?

Please select the amount you would require to be paid out to your beneficiaries should you pass away.

ADD CLIENTÈLE REWARDS?

Add Clientèle Rewards to access significant savings on groceries, health & beauty products, bus tickets and gift vouchers.

Yes, I would like to add rewards.

No.

Please select your preferred Rewards option

ADD CLIENTÈLE BLUE REWARDS

Access significant savings on groceries, health & beauty products and gift vouchers.

ADD CLIENTÈLE SILVER REWARDS

Access significant savings on groceries, health & beauty products, gift vouchers, dining and movie tickets.

Enjoy the following benefits with Clientèle Silver Rewards:

Grocery coupons: 50 monthly grocery coupons on selected products redeemable at Shoprite and Checkers;
Health & beauty coupons: 50 monthly health & beauty coupons on selected products redeemable at Dis-Chem. All coupons are available via the Clientèle App;
Gift vouchers: Save up to 10% on gift vouchers for stores such as Edgars, Dischem, Woolworths, Shoprite, Checkers & The Foschini Group. You can purchase your gift vouchers via the Clientèle App or call Direct Rewards, your reference number will be sent to you via SMS or email;
Dining (sit-down or delivery where applicable): Get up to R100 cash back on the second most expensive meal every time you dine at over 2,000 selected restaurants. There is no need to cook, simply order in and save!. Visit the Clientèle App to view the selected restaurant list. Visit the Clientèle App to view the restaurant list;
justGO bus tickets: Book any bus via justGO and claim your R50 justGO Bus ticket voucher today. Visit any popular South African city like Cape Town, Durban or Victoria Falls in Zimbabwe a lot cheaper courtesy of Clientèle Rewards;
Movie tickets: Enjoy up to 50% off movie tickets at selected Nu Metro Cinemas and 10% off movie tickets at selected Ster-Kinekor Cinemas. Take your cinema experience to new heights and enjoy the best blockbuster movies;
Clientele Mobile: Get up to 30% discount on airtime and data with Clientèle Mobile.. You can purchase your SIM card on the Clientèle App and visit a Clientèle kiosk at a shopping centre near you to collect and RICA your SIM card;
FREE access to Grief and Trauma Counselling Line. This counselling service is available to you 24/7. Call 0860 102 890 or dial *130*3272*38#.

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Would you like to add a spouse?

Please select "Yes" if you also want your spouse to be covered on this plan in case of death. Your spouse will be covered at no additional cost and their cover will be equal to the cover selected for yourself.

Yes, I would like to add a spouse.

No.

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Tell us more about your spouse

Name(s)*

Surname*

ID number (optional) 13 digit number as seen on your ID book

Date of Birth *

Please provide the date of birth of your spouse. Your spouse will need to be between the ages of 18 and 71 to qualify for cover.

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Would you like to add Child/Children?

Please select "Yes" if you have any children that you would like to cover on this plan. Up to children are covered at no additional cost. Each child has to be 18 years or younger.

Yes.

No.

* Yes, you can add up to Children at no additional cost.

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How many children would you like to add?

Please select how many children you want to add to the plan. You can cover up to children at no additional cost. Your child's cover will be equal to the cover selected for yourself.

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Tell us more about the child/children you want to add?

Child 1

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 2

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 3

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 4

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 5

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 6

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 7

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

Child 8

Name(s)*

Surname*

ID number (optional)

Children over 18 to 21 must be full-time students.

Date of Birth

Please enter the date of birth of the child you would like to add to your plan, as we need to know their age.

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Any other family member(s) you wish to cover?

You can add up to 8 additional members to be covered by this plan. The premium will be based on the age of each member.

Yes, (add up to 8 extended family members .)

No thank you.

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How many extended family members do you want to cover?

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Tell us more about the family member(s) you wish to cover on your plan

Extended Member 1

Name(s) *

Surname *

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 2

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 3

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 4

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 5

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 6

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 7

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

Extended Member 8

Name(s)*

Surname*

ID number (optional)

Date of Birth

Please provide the correct date of birth as this will determine your premium.

Each extended member's cover needs to be equal to or less than the cover of the main member.

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Now, let's talk about your beneficiaries

Please let us know who the cover amount need to be paid out to when you pass away. You can select as many beneficiaries as you wish, but the % allocation needs to add up to 100% of the cover amount.

Beneficiary allocation percentage must total 100% to continue.

Beneficiary 1

Name(s)*

Surname*

RSA ID Number (optional)

Date of Birth

Please advise what % of your cover amount should be allocated to this beneficiary.

Beneficiary 2

Name(s)*

Surname*

ID Number (optional)

Date of Birth *

Please advise what % of your cover amount should be allocated to this beneficiary.

Beneficiary 3

Name(s)*

Surname*

RSA ID Number (optional)

Date of Birth *

Please advise what % of your cover amount should be allocated to this beneficiary.

Beneficiary 4

Name(s)*

Surname*

RSA ID Number (optional)

Date of Birth *

Please advise what % of your cover amount should be allocated to this beneficiary.

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Are you going to be paying the monthly premiums?

Yes, (I the Main Member will be paying)

No (Someone else will be paying)

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Payer Details

Name(s)*

Surname*

RSA ID Number*

Mobile Phone Number*

Work Number (optional)

Home Number (optional)

Email Address (optional)

Postal Address (optional)

Suburb (optional)

Town / City (optional)

Postal Code (optional)

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Please provide your Bank Details to debit your account

This is the branch name of the account that will be debited for your monthly premium.

Account Number *

This is the account number of the account that will be debited for your monthly premium.

Day of the month would you need your account to be debited.

DebiCheck

Please note, you will receive a DEBICHECK SMS from your bank.

Instant DebiCheck

Please note that you will receive a DEBICHECK message on your phone shortly, requesting you to confirm your debit order information with your bank. Please wait for the bank message to be pushed to your phone which might take a few seconds to come through. Once this happens, you should follow the instructions and respond accordingly.

If you do not receive this message now, your bank will be sending you a DEBICHECK SMS within the next day requesting you to confirm, electronically your debit order information. The SMS will contain instructions on where to confirm the information. You should respond to the DEBICHECK request immediately via your preferred banking channel like an ATM, Banking App, Cell phone Banking or at a branch.

Please note your valuable will be on hold until you've successfully DebiChecked (authenticate) your debit order.

Delayed DebiCheck

Please note, you will receive a DEBICHECK SMS from your bank within the next day requesting you to confirm, electronically your debit order information with your bank. The SMS will contain instructions on where to confirm the information. The process is quick and easy and you should respond to the DEBICHECK request immediately via your preferred banking channel like an ATM, Banking App, Cell phone Banking or at a branch.

Please note your valuable will be on hold until you've successfully DebiChecked (authenticate) your debit order.

Authorise

I hereby authorise Clientèle to draw against my bank account the premiums payable monthly, and I request my bank to debit my account in terms of this instruction using reasonable collection methods and tracking for however many days. Should Clientèle not be successful in obtaining the premium, I authorise them to resubmit their request to my bank at any time. I authorise Clientèle to debit my account up to 10 working days before my salary day except for December when the debit could be processed up to 15 working days before my salary day. This instruction will remain in force until cancelled by me. Should the relevant total premium be adjusted by Clientèle as a general increase/decrease in premium, or should I request Clientèle to increase/decrease the premium for certain reasons, I confirm that the adjusted premium may be deducted from my bank account until such time as I cancel this authorisation. Furthermore, I hereby authorise Clientèle to perform the necessary verification, validation and correction of the debit order details, supplied by me, with my bank or other third parties to ensure that this application form can be processed. Resubmission will be applied as aforementioned. The aforementioned debit order transactions will reflect as "Clientèle" (together with your policy number) on your bank statement.

I hereby authorise Clientèle to debit my bank account.

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Insurance

Your Premium

Your Email Address

This e-mail address will be used in all future communications.

Benefits

Annual increases

The premium will increase annually by 10% and the cover amount by 6%. Annual increases occur every 12 months from the start date of your policy.

Disclosure, disclaimer, authorisation
and declaration

Download Disclaimer
I have read and agree with the terms and conditions

Dear Valued Client

Thank you for completing the application for . Please note your valuable will be on hold until you've successfully DebiChecked (authenticate) your debit order.

Your monthly
premium will be:

0

Your policy number Your Plan Number is: .

© Copyright Clientèle 2024. All rights reserved.

Clientèle Limited is a licensed controlling company of the Clientèle Insurance Group.

Life Insurance policies are underwritten by Clientèle Life Assurance Company Limited, a licensed life insurer and an authorised Financial Services Provider, FSP no. 15268. Premiums escalate by 10% and benefits escalate by 6% annually. Annual premium increases on the Health Plans are subject to the Consumer Price Index (CPI) annual inflation rate published by Statistics South Africa.

Non-life insurance policies are underwritten by Clientèle General Insurance Limited, a licensed non-life insurer and an authorised Financial Services Provider, FSP no. 34655. Premiums and benefits escalates by 10% annually.

Clientèle Royalty is a loyalty benefit provided to all loyal clients at no additional cost and is brought to you by CBC Rewards (Pty) Ltd. Rewards programmes are brought to you by CBC Rewards (Pty) Ltd.

Third parties are remunerated for their services to the brand. This website does not constitute financial advice.

Terms and conditions apply. (clientele.co.za)

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Age at claim event	Benefit (irrespective of Benefit Amount)
Below the age of 2	R2,500
2 – 5	R5,000
6 – 13	R10,000
14 – 18	100% of the Total Funeral Benefit

Age at claim event	Percentage of benefit
Up to the age of 4	50%
4-18	100%

Age at claim event	Benefit (irrespective of Benefit Amount)
Below the age of 2	R2,500
2 – 5	R5,000
6 – 13	R10,000
14 – 18	100% of the Total Funeral Benefit

Age at claim event	Percentage of benefit
Up to the age of 4	50%
4-18	100%

Choose a Clientèle product you need

Get peace of mind for you & your family

Now, tell us who you are?

FICA DECLARATION

Do you have another number for us?

Your current residential address?

Tell us more about you?

ADD CLIENTÈLE REWARDS?

Please select your preferred Rewards option

Clientèle Mobile SIM Card Delivery

Would you like to add a spouse?

Tell us more about your spouse

Would you like to add Child/Children?

Tell us more about the child/children you want to add?

Any other family member(s) you wish to cover?

Tell us more about the family member(s) you wish to cover on your plan

Are you going to be paying the monthly premiums?

Payer Details

Please provide your Bank Details to debit your account

DebiCheck

Authorise

Insurance

Non-Insurance