The Insurance Release Form is a critical document in South African insurance practice, used when settling insurance claims across various types of insurance coverage. This document is essential when an insurer agrees to pay a settlement amount to a claimant in exchange for being released from any further liability related to the claim. The form must comply with South African insurance regulations, including the Insurance Act 18 of 2017, the Short-term Insurance Act, and the Financial Advisory and Intermediary Services (FAIS) Act. It typically includes details of the original claim, settlement amount, payment terms, and comprehensive release language. The document is particularly important in protecting both parties' interests and ensuring legal finality to the settlement process under South African law.
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1. Parties: Identification of all parties involved, including the releasor (claimant), releasee (insurance company), and any other relevant parties
2. Background: Context of the insurance claim, including the incident date, policy number, and nature of the claim
3. Definitions: Clear definitions of key terms used in the document, including 'Release', 'Claim', 'Settlement Amount', and other relevant terms
4. Settlement Amount: Specific details of the settlement amount and payment terms
5. Release and Discharge: Core release language releasing the insurer from all claims related to the incident
6. Acknowledgments: Statements confirming the releasor understands the implications of signing the release
7. Non-Admission of Liability: Statement that the settlement payment does not constitute an admission of liability
8. Confidentiality: Terms regarding the confidentiality of the settlement and release
9. Governing Law: Specification that South African law governs the agreement
10. Signatures: Execution section including space for signatures, witnesses, and dates
1. Future Claims: Additional release language for potential future claims, used when there might be latent injuries or damages
2. Third Party Rights: Section addressing rights of third parties, used when other parties might have related claims
3. Medical Authorization: Authorization for release of medical records, included for personal injury claims
4. Property Damage Details: Specific details about property damage, used in property-related claims
5. Subrogation Rights: Section addressing subrogation rights, used when there are multiple insurers involved
6. Legal Advice Confirmation: Confirmation that the releasor has received independent legal advice, used in high-value or complex claims
1. Schedule A - Claim Details: Detailed description of the incident and resulting claims
2. Schedule B - Settlement Calculation: Breakdown of how the settlement amount was calculated
3. Schedule C - Supporting Documents: List of all supporting documents referenced in the release
4. Appendix 1 - Incident Report: Copy of the original incident report or claim form
5. Appendix 2 - Medical Records: Relevant medical records in case of personal injury claims
6. Appendix 3 - Photographic Evidence: Photographs or visual evidence of damage or injury
Relevant legal definitions
Clauses
Relevant Industries
Insurance
Financial Services
Legal Services
Healthcare
Property Management
Construction
Manufacturing
Transportation
Retail
Professional Services
Real Estate
Automotive
Relevant Teams
Legal
Claims Processing
Risk Management
Compliance
Underwriting
Customer Service
Operations
Document Management
Policy Administration
Claims Investigation
Relevant Roles
Insurance Claims Manager
Legal Counsel
Risk Manager
Compliance Officer
Claims Adjuster
Insurance Broker
Underwriting Manager
Legal Administrator
Claims Processing Officer
Insurance Agent
Policy Administrator
Risk Assessment Officer
Settlement Officer
Insurance Operations Manager
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