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LML4805 Assignment 2 (ANSWERS) Semester 1 2026 - DISTINCTION GUARANTEED

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Comprehensively structured LML4805 Assignment 2 (ANSWERS) Semester 1 2026 - DISTINCTION GUARANTEED. Prepared to a distinction standard with detailed and well-developed responses.. Question 1 Velly applies for insurance on his own life. He is unaware of the fact that he is suffering from a terminal disease. Consequently, he does not disclose this fact to the insurer. Also, on the proposal form for insurance, the insurer does not ask him any questions about his health. Would the insurer be able to avoid liability for a claim on the contract if it appears, after Velly’s death, that the insured had been suffering from such a disease at the time when he applied for the insurance cover, and that the disease was the cause of his death. (3 ½ ) Question 2

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LML4805
Assignment 2 Semester 1 2026
Unique number:
Due Date: April 2026
QUESTION 1 (2 ANSWERS PROVIDED)

In this matter, the insurer cannot rely on a positive misrepresentation. Velly did not make any
incorrect statement to the insurer because no questions about his health were asked in the
proposal form. A positive misrepresentation requires an actual false statement made by the
insured which induces the insurer to enter into the contract.1 Since no such statement exists
on these facts, the insurer has no basis to avoid liability on this ground.

The issue therefore turns on negative misrepresentation, namely non disclosure. In South
African insurance law, the insured has




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QUESTION 1 (2 ANSWERS PROVIDED)

In this matter, the insurer cannot rely on a positive misrepresentation. Velly did not
make any incorrect statement to the insurer because no questions about his health
were asked in the proposal form. A positive misrepresentation requires an actual
false statement made by the insured which induces the insurer to enter into the
contract.1 Since no such statement exists on these facts, the insurer has no basis to
avoid liability on this ground.

The issue therefore turns on negative misrepresentation, namely non disclosure. In
South African insurance law, the insured has a duty to disclose all material facts
known to him before the contract is concluded. A material fact is one that would
influence the assessment of risk. However, this duty is not unlimited. It applies only
to facts that are within the actual knowledge of the insured. A person cannot disclose
something that he does not know. In Mutual and Federal Insurance Co Ltd v
Oudtshoorn Municipality the court confirmed that materiality is determined objectively
by asking whether a reasonable person would consider the information relevant to
the risk.2 Even if the disease was material and directly caused Velly’s death, his lack
of knowledge means there was no wrongful non disclosure.

Under the Short term Insurance Act 53 of 1998, section 53 provides that a policy
cannot be avoided unless the misrepresentation or non disclosure was material. The
section further states that materiality must be assessed using the reasonable person
test.3 Applying this provision, Velly’s failure to disclose his illness does not qualify as
a material non disclosure because he was unaware of the condition. Since
knowledge is a necessary element of non disclosure, the insurer cannot rely on
section 53 to avoid the policy. The fact that the disease existed objectively is not
sufficient without proof that Velly knew or ought reasonably to have known about it.

The same position applies under the Long term Insurance Act 52 of 1998. Section 59
contains wording similar to section 53 and requires that a misrepresentation or
failure to disclose must materially affect the assessment of risk before the insurer



1
Reinecke et al General Principles of Insurance Law para 193
2
Mutual and Federal Insurance Co Ltd v Oudtshoorn Municipality 1985 1 SA 419 A
3
Short term Insurance Act 53 of 1998 s 53

Connected book
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Daleen Millard, Birgit Kuschke Insurance Law in South Africa
Publisher: 2018 ISBN: 9789403500003 Edition: Unknown

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