Code of Conduct of Insurance Broker

INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY (IRDA)
(Insurance Brokers) Regulations, 2002

1. Every insurance broker shall follow recognized standards of professional conduct and discharge his functions in the interest of the policyholders.
2. Conduct in matters relating to clients relationship—  Every insurance broker shall:
   1. conduct its dealings with clients with utmost good faith and integrity at all times;
   2. act with care and diligence;
   3. ensure that the client understands his relationship with the broker and on whose behalf the broker is acting;
   4. treat all information supplied by the prospective clients as completely confidential to themselves and to the insurer(s) to which the business is being  offered;
   5. take appropriate steps to maintain the security of confidential documents in their possession;
   6. hold specific authority of client to develop terms;
   7. understand the type of client it is dealing with and the extent of the client’s awareness of risk and insurance;
   8. obtain written mandate from client to represent the client to the insurer and communicate the grant of a cover to the client after effecting insurance;
   9. obtain written mandate from client to represent the client to the insurer/ reinsurer; and confirm cover to the insurer after effecting re-insurance, and
   10. submit relevant reinsurance acceptance and placement slips;
   11. avoid conflict of interest.
3. Conduct in matters relating to Sales practices—  Every insurance broker shall: —
   1. confirm that it is a member of the Insurance Brokers Association of India or such a body of brokers as approved by the Authority which has a memorandum of understanding with the Authority;
   2. confirm that he does not employ agents or canvassers to bring in business;
   3. identify itself and explain as soon as possible the degree of choice in the products that are on offer;
   4. ensure that the client understands the type of service it can offer;
   5. ensure that the policy proposed is suitable to the needs of the prospective client;
   6. give advice only on those matters in which it is knowledgeable and seek or recommend other specialist for advice when necessary;
   7. not make inaccurate or unfair criticisms of any insurer or any member of the Insurance Brokers Association of India or member of such body of brokers as approved by the Authority;
   8. explain why a policy or policies are proposed and provide comparisons in terms of price, cover or service where there is a choice of products;
   9. state the period of cover for which the quotation remains valid if the proposed cover is not effected immediately;
   10. explain when and how the premium is payable and how such premium is to be collected, where another party is financing all or part of the premium, full details shall be given to the client including any obligations that the client may owe to that party; and
   11. explain the procedures to follow in the event of a loss.
4. Conduct in relation to furnishing of  information —  Every insurance broker shall: —
   1. ensure that the consequences of non-disclosure and inaccuracies are pointed out to the prospective client;
   2. avoid influencing the prospective client and make it clear that all the answers or statements given are the latter's -own responsibility.  Ask the client to carefully check details of information given in the documents and request the client to make true, fair and complete disclosure where it believes that the client has not done so and in case further disclosure is not forthcoming it should consider declining to act further;
   3. explain to the client the importance of disclosing all subsequent changes that might affect the insurance throughout the duration of the policy; and
   4. disclose on behalf of its client all material facts within its knowledge and give a fair presentation of the risk.
5. Conduct in relation to explanation of insurance contract — Every insurance broker shall:
   1. provide the list of insurer(s) participating under the insurance contract and advise any subsequent changes thereafter;
   2. explain all the essential provisions of the cover afforded by the policy recommended by him so that, as far as possible, the prospective client understands what is being purchased;
   3. quote terms exactly as provided by insurer;
   4. draw attention to any warranty imposed under the policy, major or unusual restrictions, exclusions under the policy and explain how the contract may be cancelled;
   5. provide the client with prompt written confirmation that insurance has been effected.  If the final policy wording is not included with this confirmation, the same shall be forwarded as soon as possible;
   6. notify changes to the terms and conditions of any insurance contract and give reasonable notice before any changes take effect;
   7. advise its clients of any insurance proposed on their behalf which will be effected with an insurer outside India, where permitted, and, if appropriate, of the possible risks involved.
6. Conduct in relation to renewal of policies — Every insurance broker shall:—
   1. ensure that its client is aware of the expiry date of the insurance even if it chooses not to offer further cover to the client;
   2. ensure that renewal notices contain a warning about the duty of disclosure including the necessity to advise changes affecting the policy, which have occurred since the policy inception or the last renewal date;
   3. ensure that renewal notices contain a requirement for keeping a record (including copies of letters) of all information supplied to the insurer for the purpose of renewal of the contract;
   4. ensure that the client receives the insurer's renewal invitation well in time before the expiry date.
7. Conduct in relation to claim by client— Every insurance broker shall: —
   1. explain to its clients their obligation to notify claims promptly and to disclose all material facts and advise subsequent developments as soon as possible;
   2. request the client to make true, fair and complete disclosure where it believes that the client has not done so. If further disclosure is not forthcoming it shall consider declining to act further for the client;
   3. give prompt advice to the client of any requirements concerning the claim;
   4. forward any information received from the client regarding a claim or an incident that may give rise to a claim without delay, and in any event within three working days;
   5. advise the client without delay of the insurer's decision or otherwise of a claim; and  give all reasonable assistance to the client in pursuing his claim.
8. Conduct in relation to receipt of complaints — Every insurance broker shall:—
   1. ensure that letters of instruction, policies and renewal documents contain details of complaints handling procedures;
   2. accept complaints either by phone or in writing;
   3. acknowledge a complaint within fourteen days from the receipt of correspondence, advise the member of staff who will be dealing with the complaint and the timetable for dealing with it;
   4. ensure that response letters are sent and inform the complainant of what he may do if he is unhappy with the response;
   5. ensure that complaints are dealt with at a suitably senior level;
   6. have in place a system for recording and monitoring complaints.
9. Conduct in relation to documentation — Every insurance broker shall:—
   1. ensure that any documents issued comply with all statutory or regulatory requirements from time to time in force;
   2. send policy documentation without avoidable delay,
   3. make available, with policy documentation, advice that the documentation shall be read carefully and retained by the client;
   4. not withhold documentation from its clients without their consent, unless adequate and justifiable reasons are disclosed in writing and without delay to the client. Where documentation is withheld, the client must still receive full details of the insurance contract;
   5. acknowledge receipt of all monies received in connection with an insurance policy;
   6. ensure that they reply is sent promptly or use its best endeavors to obtain a prompt reply to all correspondence;
   7. ensure that all written terms and conditions are fair in substance and set out, clearly and in plain language, client's rights and responsibilities; and
   8. subject to the payment of any monies owed to it, make available to any new insurance broker instructed by the client all documentation to which the client is entitled and which is necessary for the new insurance broker to act on behalf of the client.