Ethics in Property & Casualty Insurance:
Professional Standards for Brokers
|
Table of Contents |
|
|
Chapter 1: Foundations of Broker Ethics |
1 |
|
Introduction |
1 |
|
Why Ethics Matter in Property & Casualty Insurance |
1 |
|
Ethics serve several key purposes: |
2 |
|
The Privilege of Self-Regulation |
2 |
|
Code of Conduct |
2 |
|
Public Trust and Fiduciary Duty |
3 |
|
Case Callout: The Ripple Effect of Misconduct / Lesson |
3 |
|
Evolution of Ethical Standards in Canadian Insurance |
4 |
|
Consumer Protection Movements (1980s – 1990s) |
4 |
|
National Harmonization / Technological Change |
4 |
|
High-Profile Cases of Misconduct |
4 |
|
Shift Toward Outcomes-Based Regulation |
4 |
|
Core Ethical Themes in Property & Casualty Brokerage |
5 |
|
Real-World Illustration |
5 |
|
Case Study: Misrepresentation of Market Access (Ontario) |
5 |
|
Regulatory Outcome: / Lesson: |
6 |
|
Building on the Foundation |
6 |
|
Legal vs. Ethical Duties |
6 |
|
The Client-First Obligation |
7 |
Integration of
Fair Treatment of Customers (FTC) Guidance
|
8 |
|
Commercial Interests vs. Client Interests |
9
|
|
Case Callout: The Undisclosed Incentive / Lesson: |
9
|
|
Confidentiality and Protection of Client Property |
10 |
|
Real World Illustration |
11 |
|
Case Study: Discouraging a Legitimate Claim (Saskatchewan) |
11 |
|
Regulatory Outcome: / Lesson: |
11 |
|
The Broader Social Role of Brokers |
11 |
|
Ethical Gray Areas |
12 |
|
Bundled Sales / Social Media Marketing / Referral Fees |
12 |
|
Why These Gray Areas Matter |
12 |
|
Case Call out: The Gray Zone in Action: / Outcome / Lesson |
13 |
|
Building on the Foundation – Final Segment of Chapter 1 |
13 |
|
Enforcement of Ethical Standards |
13 |
|
Alberta (AIC / Alberta Insurance Council) |
13 |
|
Manitoba (ICM / Insurance Council of Manitoba) |
14 |
|
Ontario (RIBO / Registered Insurance Brokers of Ontario |
14 |
|
Ontario (FSRA / Financial Services Regulatory Authority of Ontario) |
14 |
|
Saskatchewan (FCAA / Financial and Consumer Affairs Authority) |
14 |
|
Consequences of Misconduct |
15 |
|
Reputational Damage / Civil Liability / Professional Isolation |
15 |
|
Industry Impact / Why Proactive Compliance Matters |
15 |
|
Case Callout: Industry Repercussions / Lesson |
16 |
|
Shared National Alignment |
16 |
|
Real World Illustration |
17 |
|
Case Study: Failure to Remit Premiums (Ontario) |
17 |
|
Regulatory Outcome / Lesson |
17 |
|
Professional Courtesy and the Broader Community |
17 |
|
Case Callout: Delayed Transfer (Ontario) / Outcome / Lesson |
17 |
|
Professional Courtesy Checklist |
18 |
|
Building a Culture of Ethics |
19 |
|
Key Elements of an Ethical Culture |
19 |
|
Regulatory Expectations Across Provinces |
19 |
|
Case Callout: The Leadership Gap / Lesson |
20 |
|
Why Culture Matters |
20 |
|
Real World Illustration |
20 |
|
Case Study: Inadequate Disclosure of Contingent Commissions (Saskatchewan) |
20 |
|
Regulatory Outcome / Lesson |
20 |
|
Why Ethics Must Evolve |
21 |
|
Digital Marketing and Online Tools / Cybersecurity and Client Data |
21 |
|
Climate Change and Catastrophic Events |
21 |
|
Emerging Exposures: Gig Economy and Shared Services |
21 |
|
Why Staying Current Matters |
21 |
|
Key Takeaways from Chapter 1 |
23 |
|
What’s next? Preparing for Chapter 2 |
23 |
|
|
|
|
Chapter 2: The RIBO Code of Conduct (Ontario) |
24 |
|
Introduction |
24 |
|
Integrity as the Foundation |
24 |
|
Case Callout: Integrity Under Pressure / Lesson |
25 |
|
Competence as a Professional Duty |
25 |
|
Case Callout: Overlooked Equipment (Saskatchewan) / Lesson |
26 |
|
How Integrity and Competence Work Together |
26 |
|
Quality of Service |
27 |
|
What Does Quality of Service Look Like in Practice? |
27 |
|
Timelines / Practical Application |
27 |
|
Renewal Vigilance / Accuracy / Diligence / Accessibility |
28 |
|
Regulatory Lens: Standards of Service Across Jurisdictions |
29 |
|
Ontario (RIBO) / Saskatchewan (FCAA) / Alberta (AIC) Manitoba (ICM) |
29 |
|
Case Callout: The Missed Renewal / Outcome / Lesson |
29 |
|
Where Brokers Slip on Service |
30 |
|
Best Practices for Service |
30 |
|
Candor and Honest Communication |
30 |
|
Case Callout: The Misleading Renewal / Outcome / Lesson |
31 |
|
What Candor Requires in Practice |
31 |
|
Example of Candor in Renewal |
32 |
|
The Overlap Between Service and Candor |
32 |
|
Case Callout: The Silent Change (Ontario) / Outcome / Lesson |
32 |
|
Confidentiality |
33 |
|
Case Callout: Improper File Disposal / Lesson |
33 |
|
Safekeeping of Client Property |
34 |
|
Case Callout: Misuse of Trust Funds (Ontario) / Outcome / Lesson |
34 |
|
Conflicts of Interest |
34 |
|
Case Callout: Exclusive Auto Arrangement (Alberta) |
35 |
|
Outcome / Lesson |
35 |
|
Professional Courtesy |
35 |
|
Examples of Courtesy in Practice |
35 |
|
Case Callout: Delayed File Transfer (Ontario) / Outcome / Lesson |
36 |
|
The Interconnection of These Duties |
36 |
|
Case Callout: The Multi-Breach File (Manitoba) / Outcome / Lesson |
36 |
|
Practical Lessons for Brokers: |
37 |
|
Regulatory Lens: Shared Expectations Across Provinces: |
37 |
|
Ontario (RIBO) / Saskatchewan (FCAA) / Alberta (AIC) Manitoba (ICM) |
37 |
|
Cooperation with Regulators |
38 |
|
Case Callout: Ignored Audit Requests (Alberta) / Lesson |
38 |
|
Reporting Misconduct |
38 |
|
Case Callout: Silent Partner (Ontario) / Lesson |
38 |
|
Advertising and Public Representations |
39 |
|
Case Callout: Misleading Ad (Ontario) / Lesson |
39 |
|
Fee Transparency |
40 |
|
Case Callout: Hidden Admin Fee (Manitoba) / Lesson |
40 |
|
Accountability and Professional Culture |
40 |
|
Case Callout: The Defensive Broker (Ontario) / Lesson |
40 |
|
Integrating the Duties / Practical Lessons |
41 |
|
Cooperation / Reporting |
41 |
|
Advertising / Fees / Accountability |
42 |
|
In Conclusion / What’s next? / Preparing for Chapter 3 |
43 |
|
|
|
|
Chapter 3: Saskatchewan Standards & the Fair Treatment of Customers (FTC) |
44 |
|
Introduction |
44 |
|
Outcomes-Based Regulation / Suitability of Advice |
44 |
|
Disclosure and Transparency / Managing Conflicts of Interest |
45 |
|
Fair Claims Handling |
46 |
|
Case Illustration: Suitability / Lesson |
46 |
|
Case Illustration: Conflicts of Interest / Lesson |
46 |
|
Case Illustration: Claims Handling / Lesson |
47 |
|
Enforcement in Saskatchewan / Disclosure and Transparency |
47 |
|
Explaining Coverage and Exclusions |
47 |
|
Market Access and Limitations / Timing and Clarity of Disclosure |
48 |
|
Case Illustration |
48 |
|
Suitability of Advice |
48 |
|
Conducting a Needs Assessment / Matching Products to Needs |
48 |
|
Documenting the Recommendation / Case Illustration |
49 |
|
The Link Between Disclosure and Suitability |
49 |
|
National Alignment / Summary of Key Points / Conflicts of Interest |
50 |
|
Common Types of Conflicts / Why Disclosure Matters |
50 |
|
Practical Example |
51 |
|
Managing, not Just Disclosing |
51 |
|
Claims Handling / The Broker’s Role in Claims / This role is not optional |
51 |
|
FTC Expectation of Fairness |
51 |
|
Case Illustrations: Discouraged Claim / Delayed Submission |
52 |
|
Advocacy and Professionalism |
52 |
|
The Connection Between Conflicts and Claims |
52 |
|
Enforcement and Accountability / Summary |
53 |
|
National Alignment and FTC Integration |
53 |
|
Comparative Enforcement: Ontario (RIBO) |
54 |
|
Comparative Enforcement: Alberta (AIC) |
54 |
|
Comparative Enforcement: Manitoba (ICM) |
54 |
|
Common Threads / Case Comparison |
55 |
|
Building a Culture of Fairness |
56 |
|
In Conclusion / What’s next? / Preparing for Chapter 4 |
57 |
|
|
|
|
Chapter 4: Case Studies and Practical Scenarios |
58 |
|
Introduction |
58 |
|
Case Study 1: Integrity Under Pressure (Ontario) |
58 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
58 |
|
Case Study 2: Suitability of Advice (Saskatchewan) |
59 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
59 |
|
Case Study 4: Conflicts of Interest (Alberta) |
60 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
60 |
|
Case Study 5: Claims Handling (Manitoba) |
60 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
60 |
|
Case Study 6: Professional Courtesy (Ontario) |
61 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
61 |
|
Case Study 7: Confidentiality Breach (Saskatchewan) |
61 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
61 |
|
Advertising and Marketing Practices |
62 |
|
Case Illustration: Misleading Price Guarantee (Alberta) |
62 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
62 |
|
Renewal Obligation |
62 |
|
Case Illustration: Missed Renewal Notice (Ontario) |
62 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
62 |
|
Fee Disclosure |
63 |
|
Case Illustration: Undisclosed Service Fees (Manitoba) |
63 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
63 |
|
Unauthorized Practice of the Vocation |
63 |
|
Case Illustration: Unlicensed Assistant Acting as Broker (Saskatchewan) |
63 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
63 |
|
Professional Courtesy and Transitions |
64 |
|
Case Illustration: Delayed File Transfer (Ontario) |
64 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
64 |
|
Key Themes Across Scenarios |
64 |
|
Confidentiality in Practice |
65 |
|
Case Illustration: Improper File Disposal (Saskatchewan) |
65 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
65 |
|
Safekeeping of Client Property |
66 |
|
Case Illustration: Misuse of Trust Funds (Ontario) |
66 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
66 |
|
Curtesy in Relations with Insurers |
66 |
|
Case Illustration: Disparaging an Insurer (Manitoba) |
66 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
66 |
|
Cooperation with Regulators |
67 |
|
Case Illustration: Ignoring Regulator Requests (Alberta) |
67 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
67 |
|
Interconnection of Duties |
67 |
|
Case Comparison Across Provinces |
68 |
|
Complex Scenarios in Brokerage Practice |
69 |
|
Case Study 1: The Renewal Package (Ontario) |
69 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
69 |
|
Case Study 2: The Flooded Farm (Saskatchewan) |
69 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
69 |
|
Case Study 3: The Auto Referral (Alberta) |
70 |
|
Regulatory Outcome: / Lesson: / Compliance Example: |
70 |
|
Case Study 4: The Mishandled Claim (Manitoba) |
70 |
|
Interconnected Ethical Principles |
71 |
|
Comparative Lessons Across Jurisdictions |
71 |
|
Practical Guidance for Brokers |
71 |
|
In Conclusion / What’s next? / Preparing for Chapter 5 |
72 |
|
|
|
|
Chapter 5: Best Practices, Tools, and Conclusion |
73 |
|
Introduction |
73 |
|
Building a Culture of Ethics |
73 |
|
Leadership Responsibility / Written Policies |
73 |
|
Training and Reinforcement / Accountability and Monitoring |
73 |
|
Documentation as a Safeguard |
74 |
|
Practical Tools: Checklists and Templates |
74 |
|
Disclosure Checklist / Needs Assessment Template |
74 |
|
Claims Support Log |
75 |
|
Communication as an Ethical Skill |
75 |
|
Plain Language / Active Listening / Written Summaries |
75 |
|
Case Illustration: Embedding Ethics in Daily Practice |
75 |
|
Managing Conflicts of Interest |
76 |
|
Best Practices for Disclosure / Management / Case Example |
76 |
|
Ethical Advertising and Marketing |
77 |
|
Best Practices for Advertising |
77 |
|
Example of Compliant Wording / Internal Safeguards |
77 |
|
Renewal Practices / Best Practices for Renewals |
77 |
|
Case Illustration / Lesson |
78 |
|
Claims Handling and Advocacy / Best Practices for Claims Handling |
78 |
|
Case Illustration / Lesson |
78 |
|
Integrating Best Practices / Introduction to Practical Tools |
79 |
|
Disclosure Templates |
79 |
|
Sample Commission and Fee Disclosure Statement |
79 |
|
Needs Assessment Forms / Sample Personal Lines Assessment |
80 |
|
Sample Commercial Lines Assessment |
80 |
|
Renewal Discussion Notes / Sample Renewal Note Template |
81 |
|
Claims Assistance Logs / Sample Claims Logs |
81 |
|
Compliance Checklists / New Client Onboarding Checklist |
82 |
|
Renewal Checklist / Advertising Checklist |
82 |
|
Scenario-Based Training |
83 |
|
Chart |
83 |
|
Technology and Compliance Tools |
83 |
|
Best Practices for Technology Use |
83 |
|
Case Illustration: Tools in Action |
84 |
|
National Consistency in Ethical Standards |
84 |
|
Integrating Best Practices into Daily Operations |
85 |
|
Policies and Procedures / Supervision and Accountability |
85 |
|
Training and Culture / Documentation and Audit Trails |
85 |
|
The Broker’s Role in Public Trust |
85 |
|
Practical Takeaways |
85 |
|
Case Reflection Exercise / Discussion Questions |
87 |
|
The Future of Ethical Standards |
87 |
|
In Conclusion |
87 |
|
|
|
United Insurance Educators, Inc.
(253) 846-1155