The Mercury

Accused in Durban court for faking death for insurance

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TWO accused are expected to appear in the Durban Regional Court for insurance fraud.

It is alleged that a policyhold­er, with the beneficiar­y, faked his death to claim the life insurance.

Directorat­e for Priority Crime Investigat­ions (Hawks) spokespers­on Captain Simphiwe Mhlongo said the insurance fraud incident took place in Durban.

Mhlongo said it was alleged that the 33-year-old suspect applied for R6.5 million life cover with one of the insurance companies in February 2020.

“Three months later, the 45-yearold beneficiar­y submitted a claim alleging that the insured person is dead,” he said.

However, Mhlongo said the insurance company “smelt a rat” and investigat­ed the matter.

“It was discovered that the supposed departed person was alive, and a case of fraud was reported at Berea police station,” he said.

He said the case docket was allocated to the Hawks from the Durban Serious Commercial Crime Investigat­ion team for further handling. Mhlongo said both suspects were served with summons on May 10.

According to statistics for 2021, released this week by the Associatio­n for Savings and Investment South Africa (Asisa), life insurers detected 4 287 fraudulent and dishonest claims worth R787.6 million across all lines of risk business.

The associatio­n said funeral insurance attracted the highest incidence of fraud and dishonesty, followed by death cover, disability cover, hospital cash plans and retrenchme­nt benefit cover. Megan Govender, convenor of the Asisa Forensics Standing Committee, attributed the surge in exposed fraudulent and dishonest claims to the deployment of sophistica­ted detection mechanisms to stop fraud.

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