How It Works.

 

Members of a  group deposit a common amount of after tax money into an account set up for the purpose of giving a common gift amount from that account to a member of the group who has suffered an accident or injury that has incapacitated them.

 

This is done in accordance with the groups constitution.  

 

After a presentation to the Group, their acceptance and then a vote in favour of the agreement to allow SICK N ACCIDENT to run the Group Sick Pool as per the Group's Constitution, the process is as follows:

SICK N ACCIDENT manages the Group's Pool according to the Group Constitution and the Contract of Agreement (annexed to the Constitution)

 

The Constitution contains details on:

 

. Eligibility

. Excess period

. Coverage

. Privacy – Complying with the National Privacy Principles.

. Method of confirming individual members claim validity

. Verification of Condition

. Claiming

. Recurrent Injuries

. Additional Assistance

. Subscription

. Value of Pool

. Payment of Benefits

. Administration of Pool

. Liability of Individual Members

. Exclusions to benefits

. Additional Benefits

. Benefits not covered

. Cessation of Membership

. Winding up of Pool

 

The Contract of Agreement contains:

 

. Signatures of representatives of the parties to the agreement confirming their roles in the running of the Pool

. SNA agreement to manage the Pool as per the Group Constitution

. Methods employed to verify:

. Validity of membership numbers,

. Individual members financial status in Pool

. Pool Viability

. Pool Life Insurance status

. Claims status

. Level of Group participation

. Level of Employer participation

. Details of payment for services to SNA

 

The Group will provide a full list of members with the following information on each member, full name, DoB and classification.

This is the only personal information SNA require on each member until they make a claim.

 

SICK N ACCIDENT P/L has been set up for only one function.

The whole business and its operation is tailored around the Pool system.

This means that the basic process for each Group is the same.