The Insurance (Market Conduct) Guidelines, 2022
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LAWS OF KENYA THE INSURANCE (MARKET CONDUCT) GUIDELINES, 2022 NO. 3642 OF 2022 Revised and published by the National Council for Law Reporting with the authority of the Attorney-General as gazetted by the Government Printer www.kenyalaw.org published by the National Council for Law Reporting with the authority of the Attorney-General as gazetted by the Government Printer www.kenyalaw.org Kenya Insurance Act The Insurance (Market Conduct) Guidelines, 2022 Gazette Notice 3642 of 2022 Legislation as at 29 March 2022 By Kenya Law and Laws.Africa. Share widely and freely. www.kenyalaw.org | [email protected] FRBR URI: /akn/ke/act/gn/2022/3642/eng@2022-03-29 There is no copyright on the legislative content of this document. This PDF copy is licensed under a Creative Commons Attribution NonCommercial ShareAlike 4.0 License (CC BY-NC- SA 4.0). This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements: • BY: credit must be given to the creator. • NC: Only noncommercial uses of the work are permitted. • SA: Adaptations must be shared under the same terms. Share widely and freely. the creator. • NC: Only noncommercial uses of the work are permitted. • SA: Adaptations must be shared under the same terms. Share widely and freely. The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Contents STATEMENT OF INTENT .................................................................................................................................................................................... 1 1. Citation ................................................................................................................................................................................................................ 1 2. Interpretation .................................................................................................................................................................................................... 1 3. Application ......................................................................................................................................................................................................... 1 4. Purpose ................................................................................................................................................................................................................ 1 5. ................................................................................................................................................. 1 5. General Principles ........................................................................................................................................................................................... 2 6. Fair Treatment of Customers ...................................................................................................................................................................... 2 7. Information Disclosure .................................................................................................................................................................................. 3 8. Development and Marketing of Products Policy Servicing .............................................................................................................. 3 9. Intermediaries ................................................................................................................................................................................................... 4 10. ................................................................................................................................................ 4 10. Service Providers ........................................................................................................................................................................................... 4 11. Reporting ......................................................................................................................................................................................................... 4 12. Enforcement .................................................................................................................................................................................................... 4 .................................................................................................................................................... 4 The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Kenya INSURANCE ACT THE INSURANCE (MARKET CONDUCT) GUIDELINES, 2022 GAZETTE NOTICE 3642 OF 2022 Published in Kenya Gazette Vol. CXXIV—No. 56 on 29 March 2022 Commenced on 29 March 2022 STATEMENT OF INTENT THE Insurance (Market Conduct) Guidelines are made by the Insurance Regulatory Authority pursuant to section 3A (1)(g) of the Insurance Act and are intended to strengthen public trust and consumer confidence in the insurance sector through ensuring that the entity maintains high standards of integrity and fair dealing in conduct of their business, exercises due care and act in a diligent manner in dealing with customers, promotes products and services in a manner that is fair and not misleading, obtains sufficient information about the customer to assess their insurance needs and treat confidential information as such and communicates relevant and meaningful information in a timely and comprehensive manner to policyholders. 1. Citation These Guidelines may be cited as the Insurance (Market Conduct) Guidelines, 2022. 2. n a timely and comprehensive manner to policyholders. 1. Citation These Guidelines may be cited as the Insurance (Market Conduct) Guidelines, 2022. 2. Interpretation In these Guidelines, unless the context otherwise requires— “Act” means the Insurance Act; “treating customers fairly” means an outcome based regulatory and supervisory approach designed to ensure that a regulated entity delivers specific, clearly sets out fair outcomes for its customers; “market conduct” means elements of regulation and supervision focusing on a regulated entity’s behaviour including non-distortive and non-abusive business practices and information disclosures; “conduct of business risk” means any action by a regulated entity that is detrimental to consumers of insurance services and products or may lead to instability of the insurance industry in a way that does not ensure fair treatment of customers; “regulated entity” means persons registered under the Insurance Act; and “service provider” refers to Risk Managers, Motor Assessors, Insurance Investigators, Loss Adjustors, Insurance Surveyors; 3. Application These Guidelines shall apply to regulated entities. 4. , Motor Assessors, Insurance Investigators, Loss Adjustors, Insurance Surveyors; 3. Application These Guidelines shall apply to regulated entities. 4. Purpose The purpose of these Guidelines is— (a) to promote public trust and consumer confidence in the insurance industry; (b) to ensure that a regulated entity maintains high standards of integrity, exercises due care and act in a diligent manner in dealing with customers; 1 to ensure that a regulated entity maintains high standards of integrity, exercises due care and act in a diligent manner in dealing with customers; 1 The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Kenya (c) to ensure that a regulated entity markets and distributes products and services in a manner that is fair and not misleading; (d) to ensure that a regulated entity obtains sufficient information to conduct a needs assessment on potential customers, the information is treated in a confidential manner and is used for the intended purposes only; and (e) to ensure that a regulated entity communicates relevant and meaningful information in a timely and comprehensive manner to customers. 5. General Principles (1) A regulated entity shall develop, document and implement a conduct risk framework. (2) The ultimate responsibility for fair treatment of customers shall rest with the board and management of the entity. (3) A regulated entity shall make relevant policies and procedures publicly available, in particular the claims handling, complaints handling and dispute resolution. (4) A regulated entity shall exercise due care, skill and diligence when dealing with customers. 6. dling, complaints handling and dispute resolution. (4) A regulated entity shall exercise due care, skill and diligence when dealing with customers. 6. Fair Treatment of Customers (1) A regulated entity shall develop and implement policies and procedures for fair treatment of customers, including taking appropriate measures to ensure that its employees, service providers and intermediaries meet high standards of ethics and integrity. (2) Fair treatment of customers encompasses achieving outcomes which include— (a) developing and marketing products in a way that pays due regard to the interests of customers; (b) providing customers with clear information before, during and post sale; (c) ensuring that the product being offered is appropriate to a given customer’s needs and interests; (d) ensuring that any advice given is of high quality; (e) dealing with customer complaints and disputes in a fair manner and timely provision of feedback; (f) protecting the confidentiality of information obtained from customers; and (g) managing reasonable expectations of customers. ovision of feedback; (f) protecting the confidentiality of information obtained from customers; and (g) managing reasonable expectations of customers. (3) A regulated entity shall ensure that the fair treatment of customers is entrenched in its culture and shall— (a) designing, implementing and monitoring adherence to policies and procedures aimed at ensuring that treated fairly; (b) designing of the business strategy taking into consideration fair treatment of customers; (c) identifying, collecting and evaluating relevant information for monitoring fair treatment of customers; (d) establishing mechanisms and controls to ensure that all departures from policies and procedures as well as all other situations that jeopardize the protection of the interests of customers are promptly remedied; and (e) training relevant staff to deliver appropriate outcomes in terms of fair treatment of customers. 2 terests of customers are promptly remedied; and (e) training relevant staff to deliver appropriate outcomes in terms of fair treatment of customers. 2 The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Kenya (4) A regulated entity shall promote insurance products and services in a manner that is clear, fair and not misleading. 7. Information Disclosure (1) A regulated entity shall be responsible for provision of information that is accurate, clear and not misleading not only to customers but also to other entities who may rely on this information in providing advice to customers. (2) A regulated entity shall, if it subsequently becomes aware that the information provided is not accurate and clear or is misleading, withdraw the information and notify any person that it knows or deems to be relying on the information as soon as reasonably practicable. (3) A regulated entity shall ensure that the information disclosed is accurate in all material respects, not misleading, easily understandable and available in writing or appropriate electronic means. mation disclosed is accurate in all material respects, not misleading, easily understandable and available in writing or appropriate electronic means. (4) A regulated entity shall provide at a minimum the following information— (a) features of the insurance product; (b) benefits, costs and risks to the customer; (c) rights and obligations of the parties involved; (d) complaints handling procedures; and (e) duty of customers to disclose material information. (5) A regulated entity shall— (a) provide a customer with a full and fair account of the status of the policy regularly and at least annually; (b) assess the customer’s needs, before giving advice or concluding a contract; (c) explain and document the basis on which a recommendation is made, particularly in the case of complex products and products with an investment element; (d) have appropriate policies and procedures to identify and manage conflicts of interest; (e) identify and manage conduct of business risks arising out of outsourcing arrangements; and (f) develop and implement policies and procedures for the protection of confidential information on customers. 8. out of outsourcing arrangements; and (f) develop and implement policies and procedures for the protection of confidential information on customers. 8. Development and Marketing of Products Policy Servicing (1) An insurer shall— (a) take into account the interests of different types of customers when developing and marketing insurance products; (b) carry out a diligent review of the product in relation to its business model, the existing rules and regulations as well as its risk management approach; and (c) issue a policy document within 14 days after inception of cover. (2) An insurer shall— (a) provide support to intermediaries to ensure that they understand the target market and thus reduce the risk of mis-selling; (b) ensure that agents undertake a refresher course as a requirement for renewal of license once every three years; and 3 uce the risk of mis-selling; (b) ensure that agents undertake a refresher course as a requirement for renewal of license once every three years; and 3 The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Kenya (c) review the advice given by the agents to ascertain the quality of advice given and take any necessary remedial measures. (3) An insurer shall ensure that their conduct risk framework policy servicing throughout the life cycle of the product until all obligations under the policy have been discharged. 9. their conduct risk framework policy servicing throughout the life cycle of the product until all obligations under the policy have been discharged. 9. Intermediaries (1) An intermediary shall— (a) disclose to the customer their role in the transaction and the relationship the intermediary has with the insurer including the basis on which they are remunerated; (b) quote terms exactly as provided by the insurer; (c) ensure that where a proposal form is used, the form is completed and signed by the customer; (d) disclose and explain to the potential customers the terms and conditions of the policy; (e) provide the customer with a prompt written confirmation that insurance has been effected; (f) ensure that where the policy document is not provided together with the confirmation of insurance cover, the policy document is issued within fourteen (14) days of inception of cover; (g) provide an acknowledgement note, at the time of delivery of the policy document, to be signed and dated by the customer acknowledging receipt of the policy document; and (h) at the point of sale, inform the customer on the consequences of surrendering a life policy. (2) The cooling off period shall commence on the date of receipt of the policy document by the policyholder. 10. uences of surrendering a life policy. (2) The cooling off period shall commence on the date of receipt of the policy document by the policyholder. 10. Service Providers An insurance service provider shall— (a) accurately disclose its role in any professional engagement; (b) disclose to the insured, claimant or a third party the principal on whose behalf they are acting; (c) only disclose information, pertaining to the insurer, insured or claimant acquired in the course of engagement, to a third party, with the consent of the concerned party; and (d) ensure that reports issued comply with all statutory requirements and meet the requisite professional standards. 11. Reporting An insurer shall, on a quarterly basis submit to the Authority a complaints management report. 12. Enforcement Where the Authority determines non-compliance with the provisions of these Guidelines, it may take any intervention prescribed in the Act including the following— (a) direct the regulated entity to take appropriate remedial action; (b) impose additional reporting requirements and monitoring; (c) withdraw or impose conditions on the business license taking into account the nature of the breach; 4 ional reporting requirements and monitoring; (c) withdraw or impose conditions on the business license taking into account the nature of the breach; 4 The Insurance (Market Conduct) Guidelines, 2022 (Gazette Notice 3642 of 2022) Kenya (d) impose monetary penalties as provided for under the Act; and (e) take any other action as may be deemed necessary. 5
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