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Misrepresentation, Non-Disclosure and Breach ... - Law Commission

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Effectiveness reviews are part of the FSA's approach seeking to<br />

ensure that its interventions in the market make a real <strong>and</strong> beneficial<br />

difference in practice. We are seeking to introduce more principlesbased<br />

regulation <strong>and</strong> simplification across the FSA H<strong>and</strong>book as a<br />

whole in the context of our Better Regulation agenda. And the GI<br />

effectiveness review presents a good <strong>and</strong> timely opportunity to look at<br />

ICOB in fine detail from the viewpoint of restricting prescription to the<br />

point where it is only demonstrably necessary to meet our consumer<br />

protection objective.<br />

A.70 The FSA published its interim report in March 2007. 23 The review proposes a<br />

move towards a more principles-based <strong>and</strong> proportionate approach to general<br />

insurance regulation. The essential consumer protections, including the detailed<br />

rules on non-disclosure <strong>and</strong> breach of warranty, will be retained. However, the<br />

FSA is looking at removing most of the ICOB disclosure requirements imposed<br />

on firms that go beyond minimum EU directive requirements. The report also<br />

proposes a small number of measures to improve the selling of personal<br />

protection insurance policies, such as critical illness. For example, the FSA<br />

proposes extending the cancellation period for protection policies <strong>and</strong> requiring<br />

that customer’s attention be drawn to the importance of reading the policy<br />

documents to check the suitability of the cover.<br />

APPLICATION FORM DESIGN – GUIDANCE FROM THE ABI 2006<br />

A.71 In February 2006, the ABI issued guidance to its members on the design <strong>and</strong><br />

wording of proposal forms for life <strong>and</strong> health insurance. This guidance, entitled<br />

Application Form Design for Life <strong>and</strong> Health Protection Insurances (AFD) was<br />

aimed at ensuring that all relevant information is disclosed at the application<br />

stage:<br />

Although not all non-disclosure arises because of faults in proposal<br />

forms, insurers should do as much as they can to ensure that the<br />

questions they ask are clear <strong>and</strong> unambiguous. Doing so assists the<br />

applicant in their underst<strong>and</strong>ing of what is being asked of them. Thus<br />

when completing a proposal form, they should have confidence they<br />

are giving all the necessary correct <strong>and</strong> relevant information. This will<br />

also reduce the burden on salespersons in explaining or interpreting<br />

how questions should be responded to.<br />

SLIP is now an addendum to the AFD. 24<br />

A.72 The AFD has provisions relating to some of the problems that we identify in Part<br />

4. It should, however, be noted at this stage that the AFD specifically states that<br />

its provisions are not binding on insurers except where they represent the law or<br />

the requirements of the Statements of Practice:<br />

23 Financial Services Authority, ICOB Review Interim Report: Consumer Experiences <strong>and</strong><br />

Outcomes in General Insurance Markets. Available at<br />

http://www.fsa.gov.uk/pubs/other/ICOB_review.pdf. (accessed 27 April 2007).<br />

24 For copies of both SLIP <strong>and</strong> the AFD, see the appendices to Issues Paper 1.<br />

296

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