Optional Extras The FSA has published on its web-site details of research it has conducted into policy add-ons. These are typically sold to retail customers, and can relate to legal expenses, uninsured loss recovery, mechanical breakdown and personal accident cover Whilst the cost of these optional add-ons is generally low compared to the cost of the main product sold, that does not mean that Intermediaries are immune from the need to ensure that the sale of such products is conducted in a compliant way. Policy add-ons are usually a separate insurance contract and, as such, the normal rules concerning disclosure and documentation in a durable medium apply. The FSA’s findings show significant non-compliance in the market. Some examples of these findings are: in 70% of cases, information had been presented to the customer that was unclear and potentially misleading in 56% of cases, the firms’ documentation indicated “advised sale” whereas no advice or recommendation was given concerning the add-on policy in 81% of cases, the firm’s treatment of the optional extra within the Demands and Needs Statement was not detailed adequately some firms had merely provided a verbal explanation of the Demands and Needs, and were therefore unable to demonstrate that they adhered to the ICOB rules in 83% of cases, the price of the optional extra was not detailed and disclosed separately So what should you do? 1. The first decision to make is whether you wish the sale of the add-on to be advised or non-advised. As with all products, this disclosure (usually contained in your Terms of Business) needs to be specifically stated and transparent. An advised sale is where a firm gives advice to a person in his/her capacity as a potential customer, or to an agent for a potential customer, on the merits of him/her buying (or not buying) a specific general insurance product. The above information is a summary of matters which will affect the majority of firms conducting Insurance Mediation. However, each firm’s requirements are individual and it is important that you always seek specific advice from ICS before acting on anything contained in this publication Edition 2006-09 – Optional Extras A non-advised sale involves a firm providing information only to a potential customer, or to an agent for a potential customer, leaving him/her to make a choice about how he/she wishes to proceed. 2. Once you have made the decision as to whether the sale of the add-on product is advised or nonadvised, review your documentation (normally your Client TOBA), and make sure that there is total clarity and accuracy in your disclosure. 3. Ensure that an appropriate Demands and Needs Statement is provided (this may be part of the Statement in respect of the main product, or separate) and (where appropriate) a Suitability Statement. An advised sale carries with it the responsibility to perform a detailed Demands and Needs Assessment, produce a Demands and Needs Statement, and provide a Suitability Statement which states that the product recommended meets the customer’s Demands and Needs (other than stated exceptions), and how it does so. A non-advised sale carries a lower requirement for assessment of the customer’s Demands and Needs, and this requirement can usually be met by a generic Demands and Needs Statement, often provided by the insurance provider. A Suitability Statement is not required. 4. Review your documentation to ensure that there can be no misunderstanding about the optional nature of the add-on product. At a minimum this should be clear on the Statement of Price, but TCF would be well served by including this fact on your letters to clients, renewal notice or Demands and Needs Statement as well. 5. Ensure that your Statement of Price indicates the price of the add-on separately, and states that the cover is optional. This will inevitably necessitate the customer needing to “opt-in” rather than “opt-out” of the extra cover. It is likely that the presentation to the customer of external or internal funding forms which includes the add-on without first explaining clearly to the client that it is optional would be considered as not treating the customer fairly. 6. Ensure all communications with clients are clear, fair and not misleading (Principle for Business 7). What this means is that all statements made should: be satisfactory for their purpose; be accurate; be in plain English; and explain technical terms The above information is a summary of matters which will affect the majority of firms conducting Insurance Mediation. However, each firm’s requirements are individual and it is important that you always seek specific advice from ICS before acting on anything contained in this publication Edition 2006-09 – Optional Extras 7. Anticipate further work from the FSA in 2006 in regard to the ways in which firms meet (or do not meet) the requirements in respect of disclosure documentation. This will inevitably involve looking at how firms deal with optional extras. The FSA has stated that it will take action against firms which deliberately seek to mislead their customers. If you have queries concerning this article, please contact your usual ICS contact. The above information is a summary of matters which will affect the majority of firms conducting Insurance Mediation. However, each firm’s requirements are individual and it is important that you always seek specific advice from ICS before acting on anything contained in this publication Edition 2006-09 – Optional Extras