Skip to content
Call Us Today! +27 (0)11 100 1999|info@rodelsa.co.za
FacebookTwitterInstagramBlogger
Rodel Administration Services Logo Rodel Administration Services Logo
  • Home
  • Who is Rodel
  • Brokers
  • Rodel 4U
    • General Products
    • Rodel 4U | Apex
    • Rodel 4U | Assist
    • Rodel 4U | Excess Solutions
    • Rodel 4U | Lavish
    • Rodel 4U | Legacy
    • Rodel 4U | Netstar
    • Rodel 4U | Over 55
    • Rodel 4U | Phishield
    • Rodel 4U | RSI Smarthome
  • Forms
  • Rodel4U 24hr Assist
Rodel4U legacy online applicationadmin2019-09-12T17:07:57+02:00

Rodel4U Legacy Online Application

Step 1 of 6 - Policy Selection

16%

  • Kindly complete the Rodel 4U Legacy Accidental Death application form.

  • Please insert your referral code if applicable.

  • Policy Selection

  • If applicant is not life insured

    Please fill in your details below.
    *Pricing is subject to review after a period of 1 year.
    *Pricing is subject to review after a period of 1 year.

  • Please proceed to the next section.

  • Main Member Information:

  • Date Format: DD dash MM dash YYYY

  • Please proceed to the next section.

  • Banking Details of the person who will pay for the policy. By inserting this detail you are authorizing Rodel to debit the account for the premium selected.

    Kindly note that if the premium will be paid by a 3rd party, we reserve the right to verify the authority to deduct premiums from the account holder.
  • Date Format: DD dash MM dash YYYY
    The Date you want the the monthly debit order to go off.
  • Date Format: DD dash MM dash YYYY
    The day on which you get paid.
    Rodel Agents are ready and waiting to contact you if you would prefer not to fill in your banking details online, or do not have them on hand during your application process. All calls are recorded for our mutual protection.

  • Please proceed to the next section.

  • I hereby nominate the following beneficiary for the purpose of the Death Benefit that may be claimed on the Death of the Main Member.

    If the nominated beneficiary is under the age of 18 there may be delays in the claims process.

  • Please proceed to the next section.

  • Particulars of Insured Dependants

    Kindly note that only direct biological and legally adopted children will be covered, up until the age of 18, or under the age of 25 and a full time student at an Educational Institution. By law we may not provide policy benefits of more than R20 000 to an unborn, or of a minor dependent before he or she attains the age of six years, or more than R50 000 if the minor is older than 6 years but not 14 years yet.
  • Please note, you have selected the Individual Cover option. Should you wish to add dependents, you will need to go back to the beginning and select the Family Cover option and the relevant Premium you wish to pay.

  • Please proceed to the next section.

  • Package Selection (Only one option can be excercised

  • Choose one of the packages for a description to be displayed.

  • Package 1: Total value R5 000 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A headstone and base in any 1 of the 3 colour options
    • Customized engraving
    • Delivery (RSA)
    • Installation

  • Package 2: Total value R8 500 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A headstone and base in any 1 of the 3 colour options
    • Customized engraving
    • Curbing
    • White pebbles
    • Delivery (RSA)
    • Installation

  • Package 3: Total value R12 000 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A headstone and base in any 1 of the 3 colour options
    • Customized engraving
    • Curbing
    • Full length slab
    • Pebbles
    • Delivery (RSA)
    • Installation

  • Package 4: Total value R18 500 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A portrait bust
    • Pedestal
    • Customized Engraving
    • Delivery (RSA)
    • Installation

  • Package 5: Total value R25 000 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A portrait bust
    • Pedestal
    • A headstone and base in any 1 of the 3 colour options
    • Customized engraving
    • Curbing
    • White pebbles
    • Delivery (RSA)
    • Installation

  • Package 6: Total value R32 500 includes the following accessories. The balance of the cover amount will be paid as a cash benefit to your beneficiary.

    • A portrait bust
    • Pedestal
    • A headstone and base in any 1 of the 3 colour options
    • Customized engraving
    • Curbing
    • Full length slab
    • Delivery (RSA)
    • Installation

  • Please note that extra accessories will be quoted at an additional cost at claim stage.

  • For example: In Loving Memory.

  • Rodel Administration Services (PTY) LTD is a registered financial services provider FSP 5431. Proud member of the Financial Intermediaries Association of South Africa (FIA). Rodel 4U Legal and Rodel 4U Legacy products are underwritten by Guardrisk Insurance Company Limited (FSP75)
  • This field is for validation purposes and should be left unchanged.
© Copyright 2019 Rodel Administration Services (PTY) LTD is a registered financial services provider FSP 5431. Proud member of the Financial Intermediaries Association of South Africa (FIA). Rodel 4U Legal and Rodel 4U Legacy products are underwritten by Guardrisk Insurance Company Limited (FSP75)
FacebookTwitterInstagramBlogger
Go to Top