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Guideline <strong>on</strong> Anti-M<strong>on</strong>ey Laundering <strong>and</strong> <strong>the</strong> Combating <strong>of</strong> Terrorist FinancingC: RISKS ASSOCIATED WITH GENERAL AND LONG-TERM INSURANCE BUSINESSIn relati<strong>on</strong> to insurance business, significant factors that will affect <strong>the</strong> level <strong>of</strong> risk <strong>of</strong> any transacti<strong>on</strong> or businessrelati<strong>on</strong>ship include:i. The applicants for business,ii.iii.iv.The product to be underwritten or sold,The nature <strong>of</strong> <strong>the</strong> business relati<strong>on</strong>ship formed, <strong>and</strong>The method <strong>of</strong> payment <strong>of</strong> <strong>the</strong> premium.NATURE OF PRODUCTS UNDERWRITTEN OR SOLDA significant factor determining <strong>the</strong> level <strong>of</strong> AML/CTF risk in any product is <strong>the</strong> level <strong>of</strong> premium payable <strong>on</strong> <strong>the</strong> policy<strong>and</strong> method <strong>of</strong> payment. For example, a motor policy with an annual premium <strong>of</strong> $1000 will present a much lowerrisk than <strong>on</strong>e <strong>on</strong> a luxury car or car fleet in <strong>the</strong> case <strong>of</strong> a commercial motor policy, which comm<strong>and</strong>s a much higherpremium <strong>and</strong> value at risk. Premium payments made in cash are generally a c<strong>on</strong>cern. For example, premiums forproperty <strong>and</strong> casualty policies in <strong>the</strong> case <strong>of</strong> c<strong>on</strong>dominium developments may be significant <strong>and</strong> insurers should beespecially vigilant when requests are made for large premiums to be paid in cash. Sound claims management isessential as m<strong>on</strong>ey <strong>laundering</strong> or <strong>terrorist</strong> financing can occur through inflated or bogus claims, e.g. by ars<strong>on</strong> or o<strong>the</strong>rmeans causing a fraudulent claim to be made.FEATURES OF HIGH RISK AND LOW RISK GENERAL INSURANCE PRODUCTSLow riskHigh riskLow premiums, inability to make claims without subst<strong>anti</strong>al reliable evidence <strong>of</strong> loss. Productsrated as low AML/CTF risk may also be rated a low fraud risk, but not always.ExampleA single, individual travel policy may be c<strong>on</strong>sidered low risk simply because <strong>the</strong> premium is low<strong>and</strong> <strong>the</strong> term date is short. O<strong>the</strong>r travel policies however, for example, annual or group, may bec<strong>on</strong>sidered to pose a relatively increased risk <strong>and</strong> thus c<strong>on</strong>trols should be appliedappropriately.High premium amounts; <strong>and</strong> <strong>the</strong> ability to pay in cash, to overpay premiums, <strong>and</strong> to cancel <strong>the</strong>policy to seek a premium refund. Also <strong>the</strong> greater risk <strong>of</strong> fraud will generally mean a greater risk<strong>of</strong> AML/CTF.ExampleMay include Cash-In-Transit policies or Fidelity Guarantees where <strong>the</strong> likelihood <strong>of</strong>manipulati<strong>on</strong> <strong>and</strong> c<strong>on</strong>spiracy is greater.Page 55 <strong>of</strong> 75

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