SAQA All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.
SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED UNIT STANDARD: 

Identify and explain trends and issues in the Long-term insurance market that present an abnormal risk 
SAQA US ID UNIT STANDARD TITLE
119264  Identify and explain trends and issues in the Long-term insurance market that present an abnormal risk 
ORIGINATOR
SGB Insurance and Investment 
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-  
FIELD SUBFIELD
Field 03 - Business, Commerce and Management Studies Finance, Economics and Accounting 
ABET BAND UNIT STANDARD TYPE PRE-2009 NQF LEVEL NQF LEVEL CREDITS
Undefined  Regular  Level 4  NQF Level 04 
REGISTRATION STATUS REGISTRATION START DATE REGISTRATION END DATE SAQA DECISION NUMBER
Reregistered  2018-07-01  2023-06-30  SAQA 06120/18 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2024-06-30   2027-06-30  

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.  

This unit standard does not replace any other unit standard and is not replaced by any other unit standard. 

PURPOSE OF THE UNIT STANDARD 
This unit standard is useful for underwriters, claims assessors, intermediaries, learners in marketing, call centers and service centers, reinsurers and learners who communicate with customers or who give financial advice. It is intended for learners who are established on a career path in Long-term insurance and who are required to adjust applications of common solutions and to motivate the change.

The qualifying learner is capable of:
  • Recognising instances of non-disclosure as a potential business risk.
  • Analysing self-reported ailments to interpret the potential risk.
  • Analysing an application for Long-term cover to anticipate fraud.
  • Explaining the role of the intermediary in identifying potential risk. 

  • LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING 
  • Communication at NQF Level 3.
  • Mathematical Literacy at NQF Level 3.
  • Computer Literacy at NQF Level 3. 

  • UNIT STANDARD RANGE 
  • Techniques used in making a decision include, but are not limited to: Meetings, the use of private investigators; interviews and medical lie-detecting techniques.
  • Subjective self-reported ailments and disorders that may be exaggerated.
  • Quality of proof includes, but is not limited to: Credibility of evidence and source. 

  • Specific Outcomes and Assessment Criteria: 

    SPECIFIC OUTCOME 1 
    Recognise instances of non-disclosure as a potential business risk. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    The effect of non-disclosure on risk is explained with reference to the relationship between non-disclosure and the cause of a claim. 

    ASSESSMENT CRITERION 2 
    Benefits that would be excluded as a result of non-disclosure are identified for three case studies. 

    ASSESSMENT CRITERION 3 
    A policy wording is analysed to determine actions to be taken in cases of non-disclosure. 

    ASSESSMENT CRITERION 4 
    Evidence required in cases of non-disclosure is identified for three case studies. 

    ASSESSMENT CRITERION 5 
    Possible materiality for non-disclosure is explained with reference to medical ailments, consultations, outcomes and diagnosis. 

    ASSESSMENT CRITERION 6 
    The concept of a reasonable person is explained with examples. 

    SPECIFIC OUTCOME 2 
    Analyse self-reported ailments to interpret the potential risk. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    Common self-reported ailments that could result in fraudulent claims are identified with examples. 

    ASSESSMENT CRITERION 2 
    The implications of self-reported ailments at underwriting stage are explained with reference to potential fraud. 

    ASSESSMENT CRITERION 3 
    Difficulties relating to the measurement of self-reported ailments in assessing a claim are explained with reference to valid evidence and the amount of payment. 

    SPECIFIC OUTCOME 3 
    Analyse an application for Long-term cover to anticipate fraud. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    The concepts of intentional and unintentional fraud are explained with examples. 

    ASSESSMENT CRITERION 2 
    Possible signs of intent to commit fraud are identified for three case studies. 

    ASSESSMENT CRITERION 3 
    The concept of quality of proof is explained with examples and an indication is given of levels of evidence required in each case. 

    ASSESSMENT CRITERION 4 
    Techniques that may be used in making a decision to prosecute an issue are explained with examples for a civil and a criminal case. 

    ASSESSMENT CRITERION 5 
    Resources required to prove and prosecute a case are identified and an indication is given of the financial consequences of a decision to prosecute. 

    SPECIFIC OUTCOME 4 
    Explain the role of the intermediary in identifying potential risk. 

    ASSESSMENT CRITERIA
     

    ASSESSMENT CRITERION 1 
    The importance of questioning in accurately establishing the risk is explained with reference to the role of the intermediary. 

    ASSESSMENT CRITERION 2 
    The consequences for the client in cases of non-disclosure are explained with reference to the intermediary's role in explaining a policy. 

    ASSESSMENT CRITERION 3 
    The consequences for the intermediary in instances of non-disclosure are explained with examples. 


    UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS 
  • An individual wishing to be assessed (including through RPL) against this unit standard may apply to an assessment agency, assessor or provider institution accredited by the relevant ETQA or an ETQA that has a Memorandum of Understanding with the relevant ETQA.
  • Anyone assessing a learner against this unit standard must be registered as an assessor with the relevant ETQA or with an ETQA that has a Memorandum of Understanding with the relevant ETQA.
  • Any institution offering learning that will enable achievement of this unit standard or assessing this unit standard must be accredited as a provider with the relevant ETQA, or with an ETQA that has a Memorandum of Understanding with the relevant ETQA.
  • Moderation of assessment will be conducted by the relevant ETQA according to the policies and guidelines for assessment and moderation of that ETQA, at its discretion, in terms of agreements reached about assessment and moderation between various ETQAs (including professional bodies). 

  • UNIT STANDARD ESSENTIAL EMBEDDED KNOWLEDGE 
    N/A 

    UNIT STANDARD DEVELOPMENTAL OUTCOME 
    N/A 

    UNIT STANDARD LINKAGES 
    N/A 


    Critical Cross-field Outcomes (CCFO): 

    UNIT STANDARD CCFO IDENTIFYING 
    Learners are able to identify and solve problems in which responses show that responsible decisions using critical thinking have been made in making a decision to prosecute a civil or criminal case. 

    UNIT STANDARD CCFO COLLECTING 
    Learners are able to collect, organise and critically evaluate information in asking appropriate questions to establish risk, identifying the resources needed to prosecute a case and in identifying possible signs of fraud. 

    UNIT STANDARD CCFO COMMUNICATING 
    Learners are able to communicate effectively in asking appropriate questions to expose instances of non-disclosure and in explaining the wording of a policy to a client. 

    UNIT STANDARD CCFO DEMONSTRATING 
    Learners are able to demonstrate an understanding of the world as a set of related systems by recognising consequences of non-disclosure for the client and the intermediary. 

    UNIT STANDARD ASSESSOR CRITERIA 
    N/A 

    REREGISTRATION HISTORY 
    As per the SAQA Board decision/s at that time, this unit standard was Reregistered in 2012; 2015. 

    UNIT STANDARD NOTES 
    N/A 

    QUALIFICATIONS UTILISING THIS UNIT STANDARD: 
      ID QUALIFICATION TITLE PRE-2009 NQF LEVEL NQF LEVEL STATUS END DATE PRIMARY OR DELEGATED QA FUNCTIONARY
    Core  49529   Further Education and Training Certificate: Long-Term Risk Assessment  Level 4  NQF Level 04  Reregistered  2023-06-30  INSETA 
    Elective  49649   Further Education and Training Certificate: Long-term Insurance  Level 4  NQF Level 04  Reregistered  2023-06-30  INSETA 
    Elective  66613   Further Education and Training Certificate: Wealth Management  Level 4  NQF Level 04  Reregistered  2021-06-30  As per Learning Programmes recorded against this Qual 


    PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD: 
    This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.
     
    1. African Resources & Financial Training (Pty) Ltd 
    2. ALCARI 233 CC T/A ALCARI (Eversdal)(TP) 
    3. CKP Development Agency (Pty) Ltd. 
    4. De Vries Management & Training Services cc 
    5. DSBI (Pty) Ltd 
    6. Faisit (Pty) Ltd 
    7. Intec College 
    8. Invuya Institute of Learning (Pty) Ltd 
    9. Masifunde Training Centre (Pty) Ltd 
    10. Old Mutual Life Assurance Company South Africa 
    11. Ray Strodl Consulting (Pty) Ltd 
    12. Sanlam Life Insurance Ltd 
    13. Sanlam Life Insurance Ltd. 
    14. The Institute of Health Risk Managers (Pty) Ltd 
    15. Umfolozi FET College - Central Office 



    All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.