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Good insurance business # 1 - Insurance Product Value and the duty to act in the best interests of customers: risks from intermediary remuneration

On 19 November 2019, the Financial Conduct Authority (鈥淔CA鈥) published 鈥淔inalised guidance鈥 (FG19/5) for 鈥渋nsurance product manufacturers and distributors鈥.

23 January 2020

On 19 November 2019, the Financial Conduct Authority (鈥淔CA鈥) published 鈥Finalised guidance鈥 (FG19/5) for 鈥insurance product manufacturers and distributors鈥.

FG19/5 has a number of inter-linked messages for manufacturers (which would normally be expected to be or include insurers) and distributors (which would normally be expected to be intermediaries).

The upshot of the guidance as a whole is that the FCA is concerned that the remuneration arrangements between manufacturers and distributors are being added, or otherwise factored, into the 鈥榞ross鈥 or 鈥榬etail鈥 premiums paid by customers in such a way, and to such an extent, that products cease to represent fair, let alone good, 鈥渧补濒耻别鈥 for customers.

In particular, the FCA is concerned that GI market remuneration arrangements may breach the 鈥渃ustomers鈥 best interests rule鈥 set out at paragraph 2.5.-1 of the 鈥Insurance Conduct of Business Sourcebook鈥 (鈥淚COBS鈥): 鈥A firm must act honestly, fairly and professionally in accordance with the best interests of its customer鈥.

ICOBS 2.5.-1 is given specific force as to remuneration via the rule at 19F.2.2 of the 鈥Senior Management Arrangements, Systems and Controls Sourcebook鈥:

鈥(1) [Insurance intermediaries and insurers] must not:

 (a) be remunerated; or

 (b) remunerate or assess the performance of their employees,

in a way that conflicts with their duty to comply with the customer鈥檚 best interests rules鈥

(referred to below as 鈥Remuneration Conflict of Interest鈥).

Value

The FCA takes a broad view of 鈥value:

the interaction between the overall costs to the end customer and the quality of the product and services鈥hether the product is compatible with the objectives, interests and characteristics of the [鈥渋ntended customers鈥漖, as well as the cost and charges of the product itself鈥

Quality of the product鈥 includes 鈥the level of cover under the policy, how claims are handled or other services provided by the manufacturer or other parties in the chain鈥.

However, the FCA excludes from the 鈥榪uality鈥 concept 鈥services that distributors鈥rovide鈥eparately to鈥he product and under separate (for example, fee) charging arrangements.鈥 In other words, the FCA will not give credit for businesses that provide a mix of insurance and non-insurance (or non-financial) services and which argue that the overall balance of this mix represents good value for customers: the FCA is only interested in the insurance product鈥檚 value.

In relation to the effect of intermediary remuneration on product value, the FCA is interested in:

鈥he difference between the risk price and the end premium paid by the customer including any commission received by other parties in the distribution chain鈥.

In particular, the FCA requires manufacturers to:

  • &苍产蝉辫;鈥鈥onsider the impact of [distributors鈥 remuneration] on the value of the product鈥 where 鈥the final selling price of the insurance鈥 reveals such remuneration, and
  • ask distributors for 鈥鈥elevant cost/remuneration information鈥[and] to demonstrate how their remuneration is consistent with鈥bligations鈥 (e.g. customers鈥 best interests).

Remuneration

The relevant definition of remuneration in the FCA Handbook is:

  • 鈥ny commission [i.e. 鈥渞emuneration included in the insurance premium鈥漖,
  • fee 摆颈.别.鈥remuneration payable directly by the customer鈥 separately from commission],
  • charge or other payment, including an economic benefit of any kind or any other financial or non-financial advantage or incentive offered or given
  • in respect of insurance distribution activities [in short: dealing in insurance as agent; advising on, arranging, or making arrangements with a view to transactions in, insurance; and assisting in the administration and performance of an insurance contract]鈥

The FCA also gives guidance at ICOBS 4.3.-3 as to remuneration provided between manufacturers and/or distributors, including:

  • 鈥ndirectly by the insurer or another firm within the distribution chain; or
  • 鈥y way of a bonus (whether financial or non-financial) paid to the firm by the insurer or another firm鈥here this bonus is contingent on the achievement of a target to which the distribution of the particular contract of insurance could contribute.
  • For example, this can include鈥rofit share arrangements, overriders or other enhanced commissions.

There are rules in ICOBS as to the disclosure to customers of the 鈥nature鈥 of remuneration (eg at ICOBS 4.3.-7), and guidance (ICOBS 4.3.-4) as to disclosure of the 鈥source鈥 of remuneration. ICOBS 4.3.-5R bolsters the guidance at 4.3.-3:

The remuneration referred to in this section includes remuneration that is not guaranteed or which is contingent on meeting certain targets.

Of course, the above rules on disclosure may apply to insurers and 鈥any insurance intermediary in contact with the customer鈥 (see ICOBS 1 Annex 1 Part 2, rule 4), but some intermediaries may have no contact with the customer. But the issues on remuneration go further than its disclosure or disclosability by certain parties. FG19/5 emphasizes that 鈥鈥isclosure cannot be relied on as a satisfactory means of discharging [Remuneration Conflict of Interest]鈥 and so firms need to consider if they need to change distribution 鈥 and especially remuneration 鈥 arrangements in which they are involved, regardless of any disclosure right or obligation.

Factors that FG19/5 expects firms to take into account include:

  • 鈥emuneration which bears no reasonable relationship to [a distributor鈥檚] costs or workload to distribute the product鈥nd鈥ould incentivise the [distributor] to sell a product which does not provide value to the customer鈥
  • A distributor摆鈥荣闭鈥nvolvement in the distribution chain provides little or no benefit beyond that which the customer would receive from the product anyway鈥[which] could indicate that the customer is being [over-]肠丑补谤驳别诲鈥
  • 鈥istributor[s] receiving remuneration which incentivises them to propose or recommend a product which either does not meet the customer鈥檚 needs, or does not meet them as well as another product would do.

The FCA expects 鈥鈥istributors to monitor the products they offer, and their distribution arrangements, on an ongoing basis. This enables them to act if they identify situations where the product is not providing the intended value to customers鈥鈥 The FCA regards such a shortfall in value as a cause of 鈥customer harm鈥, which includes 鈥situations where鈥he level of [distributor] remuneration鈥s unlikely to be consistent with the customer鈥檚 best interest rule, because of its impact on the value of a product.

The FCA鈥檚 view is that 鈥When distributors identify that the product is resulting in customer harm, they should inform the manufacturer and, if necessary, amend the way they distribute the product. This might include鈥educing the amount of remuneration they receive or ceasing to distribute the product entirely.

Disclosure has been favoured by the insurance industry because it implicitly (or at least arguably) results in the insured鈥檚 consent to forms and levels of remuneration on which the industry has come to rely.

Of course, consent is undermined unless it is made on a properly informed basis. FG19/5 does not address this, or seek to elaborate on firms鈥 disclosure obligations as to remuneration. It may be that the FCA feels that remuneration disclosure is an unsuccessful means of preventing customer harm from products whose value is disproportionately low for the customer because they are disproportionately high for insurers and/or intermediaries.

It seems that the FCA instead takes the view that firms in distribution chains must police themselves and each other 鈥 and the FCA will enforce against ineffective self-policing.

This article was originally published by Thomson Reuters Regulatory Intelligence on 10 December 2019.

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