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REGULATION AND SUPERVISION OF
INSURANCE INDUSTRY
1
 Like other businesses, insurance industry is
subjected to regulations due to :
- To protect the consumers, as insurance only
sells promises which will only be fulfilled in
the occurrence of the insured events and
depends on the insurers’ integrity and
financial stability
- The inability of policyholder to interpret and
understand the contract
- To protect the well being of the public and
the economy
2
 8 basic consumer rights :
- Right to satisfaction
- Right to information
- Right to choose
- Right to basic goods and services
- Right to be heard
- Right to redress
- Right to consumer education
- Right to a safe and clean environment
PB502/HANIZA/PSA 3
 Unreasonable delay in settlement of claims
 Unfair claims settlement
 Operating at high marketing costs
 Collusion and price fixing
 Poor service
 Providing incomplete and false information
 Resorting to pressure selling
 Lack of professionalisme
4
 Its purposes :
- To instill and promote healthy competition in
the industry
- To provide some element of protection to
insurance consumers
5
 Through insurance associations :
- PIAM
- IBAM
- AMLA
- LIAM
Eg : Inter Company Agreements and Guidelines
To regulate the proper conduct of the
business, ensure ethical and professional
being of the insurers and agents
6
 Helps to instill self-discipline among
insurance companies
 Avoids the need to introduce legislation to
regulate the industry
 When laws are passed, bureaucratic back-up
will be required to enforce them
 Measures can respond to changing needs
faster than legislation
7
 Voluntary codes of practice do not have the
power of law
 The statement of practice viewed
consumers’ needs from the insurers’
perspective
 Unlike laws, statements are interpreted by
the insurers
8
 To protect the public interest
- Insurer is financially solvent and able to fulfill its
obligations
 To promote fairness and equity
- insurers, brokers and adjusters fair and equitable in their
dealings
 To foster competency
- Insist high level of professional competence and integrity
 To play developmental role
- Encourage the industry to take active part in the economic
development of the country
9
 PART I : PRELIMINARY
 PART II : LICENSING OF INSURER, INSURANCE
BROKER AND ADJUSTER
 PART III : SUBSIDIARY AND OFFICE OF LICENSEE
 PART IV : INSURANCE FUND AND SHAREHOLDERS’
FUND
 PART V : DIRECTION AND CONTROL OF
DEFAULTING INSURER
 PART VI : MANAGEMENT OF LICENSEE
 PART VII : AUDITOR, ACTUARY AND ACCOUNTS
 PART VIII : EXAMINATION
10
 PART IX : INVESTIGATION, SEARCH AND
SEIZURE
 PART X : WINDING UP OF INSURER
 PART XI : TRANSFER OF BUSINESS
 PART XII : PROVISIONS RELATING TO POLICIES
 PART XIII : PAYMENT OF POLICY MONEYS
UNDER A LIFE POLICY OR PERSONAL
ACCIDENT POLICY
 PART XIV : INSURANCE GUARANTEE SCHEME
FUND
 PART XV : MISCELLANEOUS
11
 4. (1) For the purposes of this Act, insurance
business
 shall be divided into two classes:
 (a) life business, which in addition to all
insurance
business concerned with life policies shall include
any type of insurance business carried on as
incidental only to the life insurer’s business;
 (b) general business, which means all insurance
business which is not life business
12
 7. (1) Except with the prior written approval
of the Bank and subject to such conditions as
it may specify, no licensed insurer shall carry
on—
 (a) annuity certain business; or
 (b) investment-linked insurance business.
13
 “annuity certain” means an annuity contract
where the duration of periodic payments is
predetermined and does not depend on the
death or survival of the policy owner;
 “investment-linked insurance business”
means the effecting and carrying out of a
contract of insurance on human life or
annuity where the benefits are, wholly or
partly, to be determined by reference to the
value of, or the income from, property of
any description or by reference to
fluctuations in, or in an index of, the value
of property of any description.
PB502/HANIZA/PSA 14
 8. (1) For the purposes of this Act, a
reference to carrying on insurance business
includes all or any of the following:
 (a) receiving proposals for insurance;
 (b) negotiating on proposals for insurance on
behalf of
an insurer;
 (c) issuing of policies;
 (d) collection or receipt of premiums on
policies; or
 (e) settlement or recovery of claims on
policies.
PB502/HANIZA/PSA 15
 10. No person shall hold himself out to be an
insurer, insurance broker, adjuster or
financial adviser unless he is licensed under
this Act.
 12. (1) A licensed insurer, other than a
licensed professional reinsurer, shall not
carry on both life business and general
business.
PB502/HANIZA/PSA 16
 13. (1) The Minister shall be responsible for
the issue of
 licence authorising the holder to carry on
insurance
 business.
PB502/HANIZA/PSA 17
 22. (1) No licensee shall carry on its licensed
business unless it is a member of an
association of—
 (a) life insurers for life insurance business;
 (b) general insurers for general insurance
business;
 (c) insurance brokers; or
 (d) adjusters,
PB502/HANIZA/PSA 18

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Chapter 5

  • 1. REGULATION AND SUPERVISION OF INSURANCE INDUSTRY 1
  • 2.  Like other businesses, insurance industry is subjected to regulations due to : - To protect the consumers, as insurance only sells promises which will only be fulfilled in the occurrence of the insured events and depends on the insurers’ integrity and financial stability - The inability of policyholder to interpret and understand the contract - To protect the well being of the public and the economy 2
  • 3.  8 basic consumer rights : - Right to satisfaction - Right to information - Right to choose - Right to basic goods and services - Right to be heard - Right to redress - Right to consumer education - Right to a safe and clean environment PB502/HANIZA/PSA 3
  • 4.  Unreasonable delay in settlement of claims  Unfair claims settlement  Operating at high marketing costs  Collusion and price fixing  Poor service  Providing incomplete and false information  Resorting to pressure selling  Lack of professionalisme 4
  • 5.  Its purposes : - To instill and promote healthy competition in the industry - To provide some element of protection to insurance consumers 5
  • 6.  Through insurance associations : - PIAM - IBAM - AMLA - LIAM Eg : Inter Company Agreements and Guidelines To regulate the proper conduct of the business, ensure ethical and professional being of the insurers and agents 6
  • 7.  Helps to instill self-discipline among insurance companies  Avoids the need to introduce legislation to regulate the industry  When laws are passed, bureaucratic back-up will be required to enforce them  Measures can respond to changing needs faster than legislation 7
  • 8.  Voluntary codes of practice do not have the power of law  The statement of practice viewed consumers’ needs from the insurers’ perspective  Unlike laws, statements are interpreted by the insurers 8
  • 9.  To protect the public interest - Insurer is financially solvent and able to fulfill its obligations  To promote fairness and equity - insurers, brokers and adjusters fair and equitable in their dealings  To foster competency - Insist high level of professional competence and integrity  To play developmental role - Encourage the industry to take active part in the economic development of the country 9
  • 10.  PART I : PRELIMINARY  PART II : LICENSING OF INSURER, INSURANCE BROKER AND ADJUSTER  PART III : SUBSIDIARY AND OFFICE OF LICENSEE  PART IV : INSURANCE FUND AND SHAREHOLDERS’ FUND  PART V : DIRECTION AND CONTROL OF DEFAULTING INSURER  PART VI : MANAGEMENT OF LICENSEE  PART VII : AUDITOR, ACTUARY AND ACCOUNTS  PART VIII : EXAMINATION 10
  • 11.  PART IX : INVESTIGATION, SEARCH AND SEIZURE  PART X : WINDING UP OF INSURER  PART XI : TRANSFER OF BUSINESS  PART XII : PROVISIONS RELATING TO POLICIES  PART XIII : PAYMENT OF POLICY MONEYS UNDER A LIFE POLICY OR PERSONAL ACCIDENT POLICY  PART XIV : INSURANCE GUARANTEE SCHEME FUND  PART XV : MISCELLANEOUS 11
  • 12.  4. (1) For the purposes of this Act, insurance business  shall be divided into two classes:  (a) life business, which in addition to all insurance business concerned with life policies shall include any type of insurance business carried on as incidental only to the life insurer’s business;  (b) general business, which means all insurance business which is not life business 12
  • 13.  7. (1) Except with the prior written approval of the Bank and subject to such conditions as it may specify, no licensed insurer shall carry on—  (a) annuity certain business; or  (b) investment-linked insurance business. 13
  • 14.  “annuity certain” means an annuity contract where the duration of periodic payments is predetermined and does not depend on the death or survival of the policy owner;  “investment-linked insurance business” means the effecting and carrying out of a contract of insurance on human life or annuity where the benefits are, wholly or partly, to be determined by reference to the value of, or the income from, property of any description or by reference to fluctuations in, or in an index of, the value of property of any description. PB502/HANIZA/PSA 14
  • 15.  8. (1) For the purposes of this Act, a reference to carrying on insurance business includes all or any of the following:  (a) receiving proposals for insurance;  (b) negotiating on proposals for insurance on behalf of an insurer;  (c) issuing of policies;  (d) collection or receipt of premiums on policies; or  (e) settlement or recovery of claims on policies. PB502/HANIZA/PSA 15
  • 16.  10. No person shall hold himself out to be an insurer, insurance broker, adjuster or financial adviser unless he is licensed under this Act.  12. (1) A licensed insurer, other than a licensed professional reinsurer, shall not carry on both life business and general business. PB502/HANIZA/PSA 16
  • 17.  13. (1) The Minister shall be responsible for the issue of  licence authorising the holder to carry on insurance  business. PB502/HANIZA/PSA 17
  • 18.  22. (1) No licensee shall carry on its licensed business unless it is a member of an association of—  (a) life insurers for life insurance business;  (b) general insurers for general insurance business;  (c) insurance brokers; or  (d) adjusters, PB502/HANIZA/PSA 18