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Insurer's Compliance System - Agent Oversight Expectations

mpercyrobb

Updated: Mar 7


Under the Ontario Insurance Act - Ontario Regulation 347/04 - Insurer's compliance system, S. 12:


(1) Every insurer that authorizes one or more agents to act on behalf of the insurer shall establish and maintain a system that is reasonably designed to ensure that each agent complies with the Act, the regulations, the Authority rules and the agent’s licence.  O. Reg. 347/04, s. 12 (1); O. Reg. 113/23, s. 1.

(2) The system referred to in subsection (1) must screen each agent for suitability to carry on business as an agent.  O. Reg. 347/04, s. 12 (2).

(3) An insurer shall report to the Chief Executive Officer if it has reasonable grounds to believe that an agent who acts on behalf of the insurer is not suitable to carry on business as an agent.  O. Reg. 347/04, s. 12 (3); O. Reg. 145/19, s. 3.


In addition, OSFI B-10 Third-Party Risk Management Guideline makes reference to managing the risks arising from all types of third-party arrangements, including brokers (insurance).


To assist with meeting these expectations, Ethidex has produced Modules setting out regulatory expectations of Agents / Brokers / Brokerages / MGAs for selected Provinces plus for CCIR and CISRO.


These Modules can be used:

  • to ensure the completeness of the Compliance System established by the carrier or MGA

  • Update the Compliance System, as changes are made

  • Map to and ensure completeness of Questionnaires or other attestation mechanisms used

  • Attest to compliance by agents (through testing)

  • Design training programs


Examples of the topics covered in the Ethidex Modules for a general insurance broker - Ontario, is as follows:

  • Registration, Renewal and Reinstatement

  • Continuing Education

  • Relationship with the Profession and Regulatory Authorities

  • Business Policies and Practices

  • Competence

  • Integrity

  • Quality and Manner of Service

  • Broker Disclosure

  • Conflicts of Interest

  • Misconduct

  • Product Suitability

  • Marketing and Promotions

  • Advising Clients

  • Premium Financing

  • Maintaining Appropriate Documentation

  • Outsourcing

  • Relationships with Other Brokers and Intermediaries

  • Relationships with Insurers

  • Confidentiality and Safekeeping of Property

  • Fees and Financial Obligations

  • Fraud Prevention

  • Brokerages: General Obligations

  • Brokerages: Financial and Trust Obligations

  • Designated Representative: Eligibility, Registration and Continuing Education

  • Designated Representative: Direction and Supervision Requirements

  • Designated Representative: Additional Supervision


If you would like to know more, please reach out.

 
 
 

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