Chap 1 Flashcards
Icobs 8 claims
Handle promptly and fairly
Provide reasonable guidance to help make claim
Not unreasonably reject claim
Settle claim promptly
Prudential reg auth pra - micro
Financial conduct authority (fca) micro
Pra - to minimise failure
Minimise failure of authorised person on financial system and doesnt bring system down.
Fca - market function. Consumer prot. Integrity. Competition
Icobs 8 stance on claims rejection
Unreasonable except where evidence fraud
Non disc mat fact - ph must have been reasonably expected to disclose
Non neg misrepresentation of mat fact
Breach of warranty or cond - must be linked to the circumstances of claim
Tpas / outsourcers icobs 8
Insurer remains responsible for meeting icobs Firm retains reg responsibility Tcf applies Performance to be reviewed against slas Insurers to embrace reg auditing
Complaints
Interbal handling procedures must be written for handling, responding, receiving, referring complaints & notifying complainants of their right to go to fos
Fos complaints
Micro <2m
Max award 150,000
Insured can still take matter to court
Tcf outcomes
Products / services to meet target correct groups Tcf central to culture Clear info before during and after pos Suitable advice Product to perform as expected No unreasonable post sale barriers
Fsma 2000 -4 statutory objectives
Maintain confidence in fin system
Financial stability
Securing right degree of protection for consumers
Helping to reduce financial crime
Fsa 11 principles of business
Conduct business with integrity Due skill, care, dilligence Reasonable care to control affairs Maintain adequate financial resources Proper standards of market conduct Communication clearly, non mis leading Manage conflicts of interest fairly Ensure suitability of advice Arrange adequate protection for clients assets Deal with regulators open and co operative
Pra objective framework
Potential impact on PH/s& financial system if failure occurs
Macroeconomic
Fca - 3 operational objectives
Consumer protection
Integrity
Competition
Complaints to fos can be brought by
Private individs
Micro enterprises
Fos to resolve complaints
In view of relevant law, relevant regs, relevant codes of practice, what is considered good industry practice