6. Legal and Regulatory Flashcards

1
Q

Definition: Admitted basis

A

London market companies must be admitted by the regulator of different countries to write business there.

There are often requirements around this such as setting up an office and high levels of reporting (such as submitting any premiums)

Regulation is provided on an individual state basis in the US

Lloyds facilitates compliance centrally, but insurance companies have to engage individually.

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2
Q

Definition: Conduct risk

A

A set of principles which cover how best to treat customers fairly

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3
Q

Definition: Byelaws and regulations

A

Known as the primary rules of operating within the Lloyd’s market.

Set out the fundamental concepts which must be abided by

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4
Q

Definition: Surplus lines basis

A

Lloyds had surplus lines status meaning it is a second tier or export market, which can only be accessed if the local or admitted market is not able to accept the risk (normally due to size or complexity of risk)

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5
Q

Definition: Solvency and capital adequacy

A

Capital adequacy and solvency are the initial requirements for setting up a new insurer.

A solvency margin is the amount by which assets must exceed liabilities.

Capital adequacy factors in the risk factors for this equation to add more weight to volatile risks.

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6
Q

Definition: Consumer duty

A

Sets out the standard of care that regulated firms should give their retail customers.

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7
Q

Definition: Protected disclosures

A

It is unlawful for an employer to punish an employee for whistle-blowing as long as the report was made in good faith

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8
Q

Definition: Whistle-blowing

A

Technically known as making a qualified disclosure. It is the public allegation of a firm’s concealed misconduct, usually from within the same organisation - employee’s cannot be punished for this.

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9
Q

Definition: Central fund

A

Lloyds has an unusual position where it maintains its own central pot of money as a contingency in case the members that underwrote the risk are not in a position to pay claims

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10
Q

Definition: Fair treatment of customers

A

Principle 6 states a firm must pay sue regardless of to the interests of its customers and treat them fairly

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11
Q

Definition: Run-off

A

A Lloyds syndicate is put into ‘run-off’ if they fail to meet their requirements and are wound up. This prevents them from taking on any further business.

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12
Q

Definition: Commercial customer

A

A customer who buys insurance on behalf of their company, rather than being a direct consumer

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13
Q

Definition: Lloyd’s Market governance

A

Governed by FCA and PRA:
- Society of Lloyd’s
- Managing agents

Governed by FCA:
- Brokers
- Members agents

The regulators allow Lloyd’s to self regulate as they want Insureds to have the same degree of protection as if insured by a non-Lloyd’s insurer

The Council of Lloyd’s are the governing body for the market

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14
Q

Definition: Requirements

A

Known as the secondary rules of operating within the Lloyd’s market.

Contain the detail of what needs to be undertaken to comply with the primary rules.

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15
Q

What are the three regulators within the UK?

A

Financial Conduct Authority (FCA)
Prudential Regulation Authority (PRA)
Financial policy committee

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16
Q

What is the FCA?

A

Responsible for consumer protection, integrity and competition

17
Q

What is the PRA?

A

Responsible for the stability of those institutions felt to be importantly to the financial services industry (banks and insurers)

18
Q

Definition: home state

A

The EU recognise each countries regulations, providing more flexibility for EU based nations looking to be admitted into other EU markets

19
Q

How do new insurers become authorised?

A

Head office in the UK
Business conducted in prudent manner
Fit and proper (appropriately staffed)
Must be capable of being effectively supervised

20
Q

Definition: Financial Ombudsman Service FOS

A

Provides impartial and independent mechanisms of handling complaints against insurers.

It only provides services for small business and charities with a turnover of up to £6.5M, and funds of up to £5M

Lloyd’s has its own complaints department to attempt resolution before the matter reaches the FOS

21
Q

Definition: Financial Services Compensation Scheme (FSCS)

A

Compensates any policyholders if their insurer is unable to pay a valued claim.

The amount of compensation depends on whether the insurance is compulsory, general or long-term, as well as the date the company defaulted