chapter 4 Flashcards

(56 cards)

1
Q

In sales, what is a product FEATURE vs a BENEFIT?

A

Feature = what the product is/does. Benefit = what it does FOR the client (solves their problem).

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2
Q

In insurance broking, what do clients usually express: features or benefits?

A

Benefits – they say what outcome they want, not the policy features that deliver it.

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3
Q

In insurance, what are BENEFITS vs FEATURES?

A

Benefits = client wants (e.g. ‘cover if we are sued’). Features = policy details that meet that want (e.g. public liability cover, limits, clauses).

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4
Q

Why must a broker translate client ‘benefits’ into policy ‘features’?

A

To choose the right policy, limits, conditions and extensions that actually deliver the outcome the client wants.

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5
Q

Why be cautious when clients use insurance jargon (e.g. ‘I need PL cover’)?

A

They may misuse terms – you must check what they REALLY want and need, not assume their wording is correct.

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6
Q

What should a broker do when a client states their insurance request in vague terms?

A

Ask probing questions to clarify the risk, exposures, priorities, budget and existing covers.

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7
Q

According to ICOBS 5.3.1R, what must a firm ensure about its advice?

A

It must take reasonable care to ensure the suitability of its advice for the customer’s demands and needs.

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8
Q

When assessing if a policy meets a customer’s demands and needs, what THREE things must a broker consider?

A

1) Sufficient cover level? 2) Cost? 3) Are exclusions, excesses, limits and conditions appropriate.

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9
Q

Why is it important to identify any existing insurance when assessing demands and needs?

A

To avoid gaps or overlaps and ensure the whole risk is properly covered.

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10
Q

What is the purpose of a demands and needs assessment?

A

To identify what the client requires from their insurance so you can recommend suitable cover.

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11
Q

What is the purpose of a STATEMENT of demands and needs / suitability statement?

A

To record the client’s demands and needs and show how your recommended policy meets them.

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12
Q

When must a statement of demands and needs be provided?

A

Before conclusion of the contract, on paper or other durable medium, clearly and free of charge.

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13
Q

Why must the level of detail in a demands and needs statement reflect policy complexity?

A

Simple covers need brief explanation; complex covers need more detail so the client can understand suitability.

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14
Q

What should a suitability / demands and needs statement link together?

A

Client’s demands and needs ↔ policy chosen ↔ reasons why it is suitable.

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15
Q

Why must brokers explain the insurance in plain language?

A

Clients often do not understand insurance jargon; clear language is needed so they can make informed decisions.

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16
Q

What key things should a broker explain about a policy?

A

Scope of cover, key exclusions, limits, excesses, conditions, duration, cancellation rights and claims procedures.

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17
Q

Why should brokers check a client’s understanding after explaining cover?

A

To confirm the client really understands what is and is not covered, reducing mis-buying and later disputes.

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18
Q

How do client needs differ between small simple risks and large complex risks?

A

Small clients focus on basic cover and price; large corporates need advice on risk management, programme design and alternative risk financing.

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19
Q

Why must a broker locate the client on the ‘simple–complex’ service scale?

A

So the broker can tailor the depth of advice and services (from basic placement to full risk consultancy).

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20
Q

After agreeing services with a client, what must the broker always do?

A

Confirm in writing what has been agreed – scope, responsibilities and service levels.

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21
Q

What FOUR main elements do written agreements with clients usually cover?

A

1) Regulatory information. 2) Terms of business agreement (TOBA). 3) Service level agreement / service standards. 4) Broker’s remuneration.

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22
Q

Why have brokers moved towards formal written agreements with clients?

A

To meet FCA information requirements and clearly document the contract and services.

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23
Q

What regulatory information must a broker give BEFORE the client commits to buy?

A

FCA regulation confirmation, FCA registration number and how to check it, authorised activities, cooling‑off rights for consumers, complaints process, FOS/FSCS availability.

24
Q

What is a TOBA (Terms of Business Agreement) between broker and client?

A

A formal contract setting out services, remuneration, payment terms, duties and key legal terms of the broker–client relationship.

25
Why do many firms have separate TOBAs for consumers and commercial clients?
Because duties, disclosure rules and wording differ between consumer and commercial insurance.
26
What typical items does a client TOBA include about services and remuneration?
Services the broker will perform; how they are paid (fee and/or commission); that commission is usually earned in full at inception.
27
What typical items does a TOBA include about premium payment and client duties?
Premium payment terms; client’s duty not to misrepresent (consumers) or to make a fair presentation (commercial); responsibility for checking information.
28
What key legal terms are usually included in a TOBA?
Duration and termination; governing law; limitation of liability; confidentiality; how conflicts of interest and complaints are handled.
29
What does ‘client money’ usually refer to in a TOBA?
Premiums and claims monies held by the broker on the client’s behalf and how these are protected and used.
30
Why is confidentiality mentioned in broker–client TOBAs?
To confirm the broker will keep client information confidential and only share it where necessary or permitted by law.
31
What is the purpose of a privacy notice within or alongside the TOBA?
To tell clients what personal data is collected, why, legal basis, who it is shared with and their data protection rights.
32
What are SERVICE PLANS or SLAs usually used for?
To set out in detail what services the broker will provide, to what standard and within what timescales, often for larger clients.
33
Give examples of service standards that might be in a service agreement.
E.g. renewal terms issued X days before expiry, meeting frequency, time to issue documentation, claims reporting support, premium allocation deadlines.
34
Why is it important to measure performance against agreed service standards?
To demonstrate delivery, identify any shortfalls early and support continuous improvement and client retention.
35
What does FCA guidance say about disclosing broker remuneration to commercial clients on request?
Brokers must disclose the amount and nature of their remuneration (e.g. commission, fees, profit shares) when a commercial client asks.
36
Why is clear remuneration disclosure important for managing conflicts of interest?
It helps clients see how the broker is paid and judge whether there might be any bias in insurer or product selection.
37
What is the broker’s duty of disclosure TO the client in written agreements?
To clearly explain their role, services, remuneration, conflicts, and key information the client needs to make informed decisions.
38
What is a ‘complaint’ in an FCA sense?
Any expression of dissatisfaction from a client, whether oral or written, about the firm’s provision of, or failure to provide, a financial service.
39
What is an E&O (errors and omissions) claim against a broker?
A claim alleging the broker’s error, omission or negligence caused the client financial loss.
40
Give examples of broker mistakes that can lead to E&O claims.
Failing to arrange cover, under‑insurance, missing key extensions, not passing on instructions, errors in policy wording, late or missed renewal, poor advice.
41
How can failing to explain exclusions and conditions create complaints/E&O?
Client may expect cover which is actually excluded or conditional, leading to disputes and alleged mis‑selling when a claim is refused.
42
Why is poor documentation a common cause of complaints and E&O?
If advice and instructions are not recorded, it is hard to prove what was agreed or that the client was properly advised.
43
What simple rule does the text give for preventing complaints and E&O claims?
Do it right first time, ask if you don’t know, and put everything in writing.
44
Why should a broker ‘ask if they don’t know’ rather than guess?
Guessing increases the risk of incorrect advice and negligence; checking with colleagues, compliance or insurers lowers E&O risk.
45
Why is good record‑keeping essential for E&O risk management?
File notes and emails evidence what was asked, advised and agreed, helping defend allegations of negligence.
46
When you receive a complaint, what is the FIRST thing you should do?
Take it seriously and follow your firm’s complaints/E&O procedures immediately.
47
When handling a complaint, what two things must you NOT do?
Do not conceal the problem and do not lie or alter records.
48
Why must you not admit liability or offer compensation personally when a complaint may involve E&O?
Because this may prejudice your firm’s E&O insurance; decisions on liability and settlement must involve management and insurers.
49
Who should you notify internally when a serious complaint or potential E&O issue arises?
Your line manager and/or compliance team, and where required the firm’s E&O insurer according to internal procedures.
50
Why remain personally interested in your firm’s E&O policy as an employee?
Employees can be personally liable for their actions; the firm’s E&O policy usually protects them when acting in the course of their employment.
51
Who owns most insurance placing and claims documents held by a broker?
The insured client, because the broker is their agent. Documents about their insurance generally belong to them.
52
What documents do insurers normally have a right to see from the broker’s file?
The market slip and the policy wording – not the broker’s internal working papers, unless the client authorises release.
53
Why is there a special exception on document disclosure in the Lloyd’s market (Goshawk v Tyser)?
Because brokers traditionally hold the placing and claims files at Lloyd’s, the court recognised an implied obligation to provide documents to underwriters when reasonably necessary.
54
If a client changes broker, when must the outgoing broker transfer documents?
When the client instructs them to do so – the client has the right to their own documents.
55
When sending files to a new broker, what THREE checks should the outgoing broker make?
1) Only send documents the client owns. 2) Remove internal broker documents. 3) Keep copies of everything passed on.
56
Why should an outgoing broker review documents before handing them to a new broker?
To identify and correct any errors or areas of concern promptly, reducing E&O exposure.