Chapter 6 Flashcards

(36 cards)

1
Q

Brokers operate under the law of agency, the main points of which are explained below:

A
  • broker is agent and serve a principal who is the insured
  • broker can have two different principals relating to one risk. if a broker is given authority by insurer
  • ‘Chinese Walls’ / ‘Ethical Walls’ - broker ensure neither principal is disadvantaged by broker acting for the other, separate people perform roles relevant to each relationship
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2
Q

Agents duties towards their principals:

A

– Follow their instructions.
– Act in good faith towards their principal.
– Not to sub-delegate without permission.
– Account for funds
– Act with all due care and skill

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3
Q

If an agent acts outside their authority, their principal has three options:

A

– ratify their actions and continue as if nothing had happened
– ratify their actions and make a claim against the agent for damages
– refuse to ratify their actions and expose agent to claims from third party that thought the agent was acting within their authority

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4
Q

such breaches which would harm the client include failing to do any of
the following:

A
  • insurance was placed with suitable insurers
  • insurance was placed on suitable T&C’s
  • understood the client’s instructions
  • explaining terms and effect on the client
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5
Q

Types of intermediary:

A
  • wholesale broker
  • retail broker
  • producing broker
  • single tied agent
  • multi-tied agent
  • independent intermediary
  • surplus lines broker
  • open market correspondent
  • lloyds broker
  • non-lloyds broker
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6
Q

what is a Producing broker

A

describe the broker which has contact with the client produces the work for the client.

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7
Q

Single tied agent

A

representative of the insurer, not insured. most common in a high street agency selling no. of products from a single insurer. Agent cannot advise the client on other insurers’ products but is restricted to the products offered by the principal. They don’t work in the London Market.

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8
Q

Multi-tied agent

A

principal is still an insurer. the agent doesn’t sell multiple different insurers’
products – but only one product per insurer. agent cannot offer independent advice to a client about products in the wider market and does not work in the London Market.

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9
Q

Open market correspondent (OMC)

A

intermediary but not Lloyd’s approved coverholder. They introduce business to Lloyd’s either directly or via a Lloyd’s broker on an open market. Open market means the risk is individually placed rather than being attached to any pre-existing form of delegated agreement.

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10
Q

placing process for the broker

A
  • Reviewing client’s needs
  • Make a MRC to obtain quotes
  • Reviewing quotes with client
  • Finalise placement - check for ‘signing down’ issues (written lines over 100%). Risk placed on Placing Platform Limited (PPL) or Whitespace.
  • Submission on Velonetic - MRC and LPAN and splitting out tax relating to the risk.
  • Requesting premium from their client.
  • Submitting documentation to Velonetic
  • Making changes to the risk
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11
Q

The tax and other charge requirements vary hugely from country to country. Therefore, the broker needs to know whether:

A

– tax from overseas clients should be collected by the overseas broker and paid directly in the country without coming to London
– tax coming through with premium funds for onwards payment to insurers in London
– tax paid by the insurers, not the client –not the broker’s concern.

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12
Q

Submitting documentation to Velonetic

A

recording risk data and moving premium are made electronically through Accounting and Settlement. Brokers upload documents to central market document repository (Insurers’ Market Repository: IMR) and send messages to Velonetic asking them to review documents, enter data and give the risk aka Signing Number and Date. Velonetic facilitates movement of funds from broker’s account to insurers accounts.

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13
Q

claims process

A
  • First advice
  • Expert instruction - loss adjusters / surveyors
  • Further updates
  • Negotiation
  • Settlement
  • Recoveries / Subrogation
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14
Q

TOBA’s - Terms of Business Agreements

A
  • market agreements used to capture the T&C’s which a broker does business with various parties.
  • broker has TOBAs with insurers, clients, producing brokers. In Lloyd’s theres an individual TOBA entered into by the broker with each managing agent they are doing business.
  • parties to any agreement need to be sure the TOBA covers all the arrangements.
  • LMA, IUA , LIIBA produced model TOBAs
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15
Q

Contents of an insurer’s TOBA with a broker

A
  • regulatory status
  • brokers authority - hold premium funds
  • remuneration
  • holding money / taxes
  • compliance
  • Ownership + access to data + records
  • law and jurisdiction
  • conflict management
  • confidentiality
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16
Q

Contents of a broker’s TOBA with a client:

A
  • Identity of client
  • Claims notification
  • Disclosure
  • How the brokers are paid
  • How monies are held - holds money on trust for client, for insurer have a ‘risk transfer’ TOBA. This makes clear which party retains interest made on funds
  • Data protection
  • Complaints
  • Dispute resolution
17
Q

Types of broker remuneration

A
  • flat fee
  • commission or brokerage
  • other fees / commissions
18
Q

flat fee

A
  • payable by the client.
  • Under ICOBS - broking firm must
    provide client with details of fees that are payable before the client incurs any fees. If the actual fee can’t be stated , basis for its calculation must be provided.
  • further fees might be incurred during the life of a policy, broker must advise the client.
19
Q

Commission or brokerage

A
  • brokerage is paid by insurer not client.
  • insurer agrees the broker can retain / hold back, part of the premium charged to the client during transfer
  • premium charged to the client aka ‘gross premium’ and amount received by the insurer aka net premium.
20
Q

Other fees/commissions

A
  • brokers earn additional commission by charging ‘collecting commission’ on
    claim (1% on claims value). insurer pays 101% of claim, insured receives 100%
  • broker acts as a coverholder of delegated authority, insurer pays commission for each risk bound and profit commission
  • specialist technical advice. brokers have inhouse technical team which provide info to insured and insurer - will charge a fee for the service
21
Q

when did the Insurance Distribution Directive (IDD) came into force…

A

in the UK on 1 October 2018, replacing the previous Insurance Mediation Directive (IMD).

22
Q

IDD applies to the following:

A
  • All sellers of insurance products
  • Any person whose activities consist of administration + performance of insurance contracts
  • Ancillary insurance intermediaries. an ancillary organisation will be excluded from regulation if insurance is complementary to goods/services provided.
23
Q

what did the IDD lead to

A
  • introduced stricter and more specific professional requirements
  • Distributors acting honestly, fairly and professionally in accordance with the
    best interest of customers.
  • All info provided by distributors must be fair, clear and not misleading.
24
Q

FCA risk framework uses a three-pillar
risk framework looking at:

A
  • assessment of firm’s conduct, the question ‘are the interests of consumers and market integrity at the heart of how the firm is run’
  • event-driven work allows a flexible response to anything that arises
  • reviewing issues and products when required
25
What are client assets rules (CASS)
- in FCA handbook concerns client money - broker arrange adequate protection in respect of all client assets (premium + claims funds) they are responsible for - broker keeps client’s money separate from firms money. so clients money doesn't become eligible to pay debts. - Brokers keep client funds in: a statutory trust account or non-statutory account - client money is paid out to clients 1 business day after receipt by the broker
26
Statutory trust account
The trust exists for client money which the broker has received
27
Non-statutory trust account
broker only fund payments out of accounts in where they hold the client money. broker extends credit to client, but has systems in place so the client pays them back. using non-statutory trust accounts, brokers can pay claims to client before the insurer pays the money to the broker.
28
what does 'Data protection legislation' cover
UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018 (DPA 2018). both govern the processing of personal data in the UK.
29
Who does the Data protection legislation apply to?
applies to all persons in the UK who process personal data other than for domestic purposes
30
Sensitive personal data examples:
- race or ethnic origin - political opinions - religious or philosophical beliefs - trade union membership - genetic data - biometrics - health information - information about sex life - sexual orientation
31
7 data protection principles
1. Lawfulness, fairness and transparency. 2. Purpose limitation. 3. Data minimisation - use minimum amount of data to fulfil purposes. 4. Accuracy 5. Storage limitation - Info must be kept no longer than is necessary 6. Integrity and confidentiality. 7. Accountability
32
elements of lawful processing
1. Consent 2. Contract 3. Legal obligation 4. Vital interests 5. Public task 6. Legitimate interests
33
individuals rights
- right to be informed - rights of access - rights to rectification - rights to erasure - rights to restrict processing - rights to data portability - right to object - rights in relation to automated decision making and profiling
34
Accountability and governance under data protection legislation
Data controllers have to demonstrate compliance . many procedures in place, i.e. risk register where data breaches are entered. need to documentation to evidence activities and implement security measures.
35
Breach notification under data protection legislation
report data breaches to the Information Commissioner's Office (ICO) where there is likely to be a risk to data subjects. serious data breaches, ICO levy fines up to £17.5m or 4% of annual global turnover
36
The Digital Operational Resilience Act (DORA)
EU regulation that applies from 17 Jan 25. The Act strengthens the info and communication tech security of financial organisations operating in Europe. makes the financial sector in Europe resilient to a severe operational digital disruption. main challenge is that the financial services companies are regulated, but the entities that they use for the management of tech aren't. act applies to brokers and insurers.