The requirement of CPS 230 for general insurers is that they must effectively manage operational risks, maintain critical operations through disruptions, and manage the risks arising from service providers. It’s the latter requirement that has caused recent tension, with APRA expressing concern with Insurers use of Underwriting Agencies, reminding insurers that they can outsource critical underwriting & claims functions, but not accountability. Underwriting Agencies as an AFS Licensee It’s all well & good for insurers to impose their requirements on agencies (& rightly so, to a degree) however, among all this, it should be remembered that an Agency who holds an AFSL must comply with its obligations or face severe consequences including reputational harm & civil penalties. Somewhat ironically this may potentially also ‘severly disrupt’ the insurer’s operations. An Agency, holding an AFSL must have adequate risk management systems. The requirement for risk management systems ensures that agencies explicitly identify the risks they face and have measures in place to keep those risks to an acceptable minimum. This requirement sounds remarkably similar to the CPS 230 requirement on insurers. Therein lies the answer ( lightbulb moment – I feel like a ‘tahdah’ is warranted at this point), the insurer meets its CPS 230 requirement to manage the risks arising from material service providers and the agency meets its AFSL obligation to have an adequate risk management system & manage its own risks. ASIC (in RG 104) states that a licensee’s risk management systems will depend on the nature, scale and complexity of its business and risk profile. ASIC also states that the licensee’s risk management systems will need to adapt as their business develops and business risk profile changes over time. This would include enhancing the agency’s risk management system to enable it to meet the risk of their binder agreement being terminated. Taking a step back, an insurer would eventually terminate the agencies binder agreement if they presented an unmanageable CPS 230 risk (or any risk for that matter including in respect of CPS 234 Security Information). What does an adequate risk management system look like for an insurance Underwriting Agency? The risk management system must not only cover the risks of the Agency but also, any of its representatives (such as authorised reps or distributors acting under an ASIC instrument). Risk management components: A risk identification (risk profiling) brainstorming session including relevant stakeholders (potentially the insurer(s)) assists in identifying material risks to the business; to ensure nothing is missed, risks are catergorised. CPS 230 provides assistance defining operational risk as legal risk, regulatory risk, compliance risk, conduct risk, technology risk, data risk and change management risk. To this you would add strategic/reputational risk and financial risk. Risk appetite statement (RAS) – a board/senior management approved RAS is critical to define the amount of risk the Underwriting agency is willing to accept in pursuit of its objectives, expressed against each risk category. This can be a simple 1 pager for a typical Underwriting Agency. Risks should be recorded in […]
Distribution Arrangements Compliance with requirements for 3rd party GI distribution arrangements is critical for Brokers, underwriting agencies & insurers. It is an offence to distribute general insurance products if you are not: an ASF licensee; an AR of a licensee; acting under an ASIC instrument; or relying upon an exemption. ???????????????????????????????? ???????????????????????????????????????????????? This arrangement allows a broker or MGA to access the referrer’s customer database & offer them insurance products/service. Typically the referrer is a non-financial service business. A referrer does not provide financial services (& is not required to hold a licence or be appointed as an AR) provided: they only inform their customers that another person (A) provides insurance products or services; provide the contact details of (A); & disclose to their client if they are being paid a referral fee by (A). It is critical that the referrer does no more than referring. The more involved in the insurance transaction, the more likely they are to provide a financial service. ???????????????????????????????????????? ???????????????????????????????????????????????????????????? An AR arrangement enables firm B to provide financial services under firm A’s AFS Licence. An AR may be authorised to provide all or part of the Licensee’s financial services. The licensee is responsible for ensuring the AR complies with financial service laws & its licence conditions however, the AR also has independent obligations. Generally, AR’s must be notified to ASIC within 30 business days of appointment. There are also a number of other formalities that are required. ???????????????? ???????????????????????????????????????????????? ???????????????????????????????????????? Under this instrument, a person may distribute insurance products on behalf of the licensee, subject to: the distributor not being an AR of the Licensee; provides details of the licensee’s IDR; discloses the relationship & remuneration received; & does not provide financial product advice. ???????????????? ???????????????????? ???????????????????????????????????????? ???????????????? ???????????????????????????????????????? Under this instrument, typically a person is provided with a master insurance policy & extends cover to its clients as a named individual for payment of a premium. The GPB: must not be carrying on financial services as its primary business, the arrangement is ‘incidental’ to its primary business; & must not make a profit from the arrangement. They can only cover their reasonable expenses in administering the arrangement. ???????????????????????????????????????? & ???????????????????????????????????????????? A licensee has obligations to monitor all these arrangements & should adopt a systematic approach.