Membership / Amendments of Medical Aid Records
Status of your registered dependants?
It is important that registrations or de-registration
of dependants be reported at the time office/HR department at your earliest.
All the relevant documentation e.g. birth certificates, marriage certificate,
divorce papers, death certificate, proof of further tertiary study etc
needs to be supplied to the time office/HR department who has to forward
the information to the Scheme. Please follow up and ensure that the necessary
amendments have been received and processed by WCMAS. Information about
you and your dependants must be true, correct and complete at all times.
Newborn or newly adopted child
A member must register a new-born or newly
adopted child within 30 days of the date of birth or adoption of the child.
Increased contributions shall then be due as from the first day of the
month following the birth or adoption and benefits will accrue as from
the date of birth or adoption.
* Failure to register your new-born or newly adopted child timeously
may result in waiting periods and condition specific exclusions being
A member must apply within 30 days of the
date of marriage to register his/her spouse as a dependant unless the
spouse is registered on another medical aid. Increased contributions
shall then be due as from the date of marriage and benefits will accrue
as from the date of marriage.
* Failure to register your spouse timeously may result in waiting
periods and condition specific exclusions being imposed.
Common-Law-Spouse / Traditional Marriage
A member may apply to have his/her partner
registered as a dependant and must produce satisfactory proof to the
Board of Trustees of the committed relationship and mutual dependency.
You will also be required to provide a doctor's certificate stating
the dependants current state of health together with a membership
certificate of a previous medical aid.
* Waiting periods and condition specific conditions may
*General and Condition Specific Waiting Periods
Members are reminded that as per the Scheme
Rules, general waiting periods and pre-existing condition exclusions
may be applied to new dependants registered who were not a member of a
medical aid previously, except for new-born babies and marriages.
Students over 21
A member may apply for continuation of
membership for his/her child who is over the age of 21 but is not
yet 26 years of age, who is a full-time student at a tertiary-,
training- or education institution constituted in terms of the
South African Qualifications Authority Act. Please note that proof
of university or college enrolment must be provided annually in
order for these dependants to receive benefits. Applications must
be renewed annually at the beginning of each year for as long as
the student studies. Should proof of enrolments not reach us timeously,
the dependant's membership could be cancelled.
A member who resigns from the service of
an employer shall on the date of such termination cease to be a
member and all rights to benefits shall therefore cease except for
claims in respect of services rendered up until the resignation date.
All members are advised that in terms
of the WCMAS Scheme Rules, a member must de-register his/her spouse
should they divorce. Even if the settlement agreement stipulates
that the member must provide medical aid cover for his ex-spouse,
they may not remain a dependant of the member. The member must
then ensure that they take out alternative medical aid cover
for their ex-spouse. Failure to comply with this Rule will be viewed
as defrauding the Scheme.