Chapter 5 Marketing and the role of intermediaries and insurers Flashcards

1
Q

What are the two main types of distribution channels?

A

Direct

Independent intermediaries

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2
Q

Identify 9 advantages of an insurers selling direct

A
Control
Increased business volume
Ability to cross sell
Profiling of data
Ownership of customer
Differentiation
Training and quality
Expertise
Control of business levels
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3
Q

Identify six disadvantages of a direct marketing approach

A
Potential over selling
Lack of choice
Expertise
Costs
Lack  of competitive challenge
Infrastructure costs
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4
Q

What is worksite marketing?

A

Where insurers promote their products directly to employees
Via intranet. Individual meetings. group meetings
workshops and financial clinics

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5
Q

Why is social media a growing method of customer communication

A

Reinforces brand

Allows unhappy customers to vent

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6
Q

How are brokers remunerated

A

By commission initial higher thenlower on renewal

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7
Q

How are IFAs involved in PMI

A

Independent financial advisers sell PMI along side investment products eg life insurance and pensions

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8
Q

What do employee benefits consultants do?

A

Advise companies on group schemes remunerated by fee or commission
Range of services including claims monitoring,product design, negotiation with insurers, thirdparty administration, third party services,negotiations with hospitals, administration andpayroll systems

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9
Q

What are seven advantages of intermediated sales

A

Impartial advice
Unbiased full market review
Consultative rather than price driven approach
Analytical advice
Value added services
Lower acquisition costs
Intermediary sales accurate barometer o fcompetitive ness of insurer product

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10
Q

What are seven disadvantages of intermediated sales

A

Focus on company paid SME or large corporatemarkets
Some of propagated churning
Inappropriate advice as no formal or industrystandard qualification
Consolidation has reduced no. of intermediaries

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11
Q

Who is the AMII

A

Association of Medical Insurers and Intermediaries (AMII)

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12
Q

Identify three purposes of a fact find

A

Gather underwriting information
Determine customer’s demands and needs
Assist with risk assessment

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13
Q

Four aspects covered under individual fact find

A

Personal details
Existing insurance
Personal healthcare requirements
Existing medical conditions

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14
Q

Five aspects cover under a corporate fact find

A
Company profile
Current scheme profile
Claims profile
Benefit requirements
Proposed membership
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15
Q

Identify three responsibilities of the PMI provider

A

Ensure cover and terms are precise
Provide treatment meets customer expectations
Control premium costs by controlling claims costs

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16
Q

Under what Act must an onerous term be drawn to the consumers attention

A

Consumer Rights Act 2015

17
Q

Identify six pieces of information required when undertaking an individual risk assessment.

A
Age
Existing medical conditions
Current health
Occupation
Geographical location
Marital status
Exposure to congenital risks
Lifestyle
18
Q

Identify 12 pieces of information required when assessing the risk of an SME Group policy

A
No. of employees
Dependant cover?
Age profile
Occupational profile
Selection profile
Funding
Medical underwriting method chosen
Cover requirements
Excess or co payment requirements
Hospital access required
Overseas cover required
Specific legislation;ative requirements
Duty of care requirements
19
Q

In what ways will the assessment of a large corporate scheme differ from SME

A
More specific on funding eg?
All insurance or risk share
Stop loss requirements
Flexible benefits required?
Trust arrangement
Co-insurance?
Self funding?
20
Q

Identify 16 items that a quotation must achieve

A

Be appropriate to risk and cover required
Clearly define cost in relation to cover
Identify administration costs of corporate scheme
Identify IPT
Identify relativities for single/couple/family membership
Identify any hospital scale
Identify any excess or co payment
Explain age breakdowns
Explain underwriting discount and surcharges
Explain excess and co-insurance discounts
Identify risk share parameters
State eligibility terms
State expiry time for quotation
Identify contribution options for group scheme leavers
Explain transfer criteria and declaration requirements
Identify if includes or excludes commission

21
Q

Identify 8 areas where PMI policies need to be clear

A
How are chronic conditions defined
What cover is provided for cancer eg limits, drugs that will be paid for, hospice care?
Extent of pregnancy cover
Extent of psychiatric cover
Hospital networks
Consultant eligibility/preferred provider list
Surcharges for medical underwriting
Impact of non disclosure
22
Q

Identify 8 aspects of PMI claims administration

A
Helplines
Pre-authorisation
Speed of settlement
Electronic payments
Claims management information
Application of excess or co-payment
Payment statements
Shortfalls
Declinatures
23
Q

Identify 6 aspects of data membership management administration

A

Mid term movements (changes in cover or thosecovered during year
Elgibility
Employee lists
Online access
Data Protection Act 2018 protection
Membership reconciliation for large corporates

24
Q

Identify 7 aspects pf premium/invoicing administration

A
Direct debit notification
Clear and concise invoices
Mid term adjustments
Credit and debit notes
Financial statements
Commission statements
P11D statements (detail employee's benefits andexpenses(
25
Q

Identify 11 types of policy documentation produced by insurers

A
Fulfilment literature
PDFs
Advice notes
Quotation confirmation
Membership certificates
Benefit schedules
Hospital lists
Member booklets/handbooks
Terms and conditions
Fact sheets 
Online information
26
Q

How are premiums calculated for the renewal of a group insurance scheme?

A

Based on incurred/paid claims
Average membership used to calculate average claim profiles
Estimates of future inflation included in calculation

27
Q

Identify five aspects covered by the Insurance Distribution Directive 2018

A
Professionalism
Commission disclosure
Harmonisation
New product governance requirements
Ancillary insurance intermediaries
28
Q

Under the Insurance Distribution Directive 2018 what is the mandatory number of CPD hours required?

A

15