CONTENTS
1. Introducing Sanctions
2. Who Imposes Sanctions?
3. Administration of Sanctions in the UK
4. Complying with Sanctions - Due Diligence
5. Complying with Sanctions - Screening
CONTENTS
1. Introducing Sanctions
2. Who Imposes Sanctions?
3. Administration of Sanctions in the UK
4. Complying with Sanctions - Due Diligence
5. Complying with Sanctions - Screening
Contents
About insurance
This section explains what insurance is, the types available and where and how it can be bought. Click on the workbook to find out more.
About insurers
This section considers the role of an insurer and the types of insurer found in the market place. Click on the workbook to find out more.
Captives and reinsurers
Other organisations and industry regulation
This section looks at the range of organisations found in the industry and how the industry is regulated. Click on the workbook to find out more.
1. Introduction
2. Buildings Cover
3. Exclusions to Buildings Cover
4. Alternative Accommodation, Loss of Rent, Trace and Access and Debris Removal Costs
5. Architects’ Fees, Garden Cover, House Sales and Third Party Liability
6. Buildings – Sums Insured
7. Contents Cover
8. Contents – Extra Cover
9. Contents – Features Differing from Standard Policies
10. Contents – Valuables
11. Contents – Valuables – Assessing Value
12. Underwriting – Buildings
13. Underwriting – Contents and Valuables
14. Legal Liabilities
15. Legal Expenses
16. Travel
17. Small Craft, Caravans and Second Homes Abroad
18. General Conditions
19. General Exclusions
20. Claims
1. Introduction
2. Road Traffic Act Only Cover
3. Third Party Only - Cover
4. Third Party Only – Exclusions
5. Third Party Fire and Theft
6. Comprehensive - Cover
7. Comprehensive - Exclusions
8. Extra Benefits
9. Policy Exclusions
10. Conditions
Contents
Types of general insurance
This section explains what general insurance is, how it differs from life assurance and distinguishes between personal and commercial lines business. Click on the workbook to find out more.
Insurers and intermediaries
This section explores the types of insurers and intermediaries found in the UK general insurance market and introduces regulation of the market. Click on the workbook to find out more.
Service providers
This section explains the types of service providers in the UK general insurance market and outlines the role they play in the market. Click on the workbook to find out more.
Contents
Commercial property and associated covers
This section outlines the types of products available to businesses for insuring their property and associated risks. Click on the workbook to find out more.
Commercial property insurance
Business interruption insurance
Goods in transit (GIT) insurance
Commercial motor covers
This section outlines the types of motor insurance products available for businesses. Click on the workbook to find out more.
Commercial motor
Motor fleet
Motor trade
Public and private hire
Contractors’, engineering, marine and aviation
This section outlines the products available in the general insurance market for contractors, engineering, marine and aviation risks. Click on the workbook to find out more.
Contractors insurance
Engineering
Marine insurance
Aviation
Contents
Employers’, Public and Products liability
This section outlines the products available in the general insurance market to cover a business’s EL, PL and Products liability risks. Click on the workbook to find out more.
Professional indemnity, Directors’ and Officers’ liability and Fidelity guarantee insurance
This section outlines the products available in the general insurance market to cover a business’s professional indemnity, directors’ and officers’ liability and fidelity guarantee risks. Click on the workbook to find out more.
Pollution, Cyber insurance and Commercial legal expenses insurance
This section outlines the products available in the general insurance market to cover a business’s pollution and cyber risks and to provide cover for commercial legal expenses. Click on the workbook to find out more.
Contents
Home and personal possessions
This section outlines the types of products available in the general insurance market for insuring peoples’ homes and other personal possessions. Click on the workbook to find out more.
Motor
This section outlines the types of motor insurance products available for the private individual. Click on the workbook to find out more.
Health and personal financial products
This section outlines the types of health and personal financial products available in the general insurance market. Click on the workbook to find out more.
Contents
Pollution Risks
This section outlines what we mean by ‘pollution risks’ and examines the cover provided under commercial insurance policies. Click on the workbook to find out more.
What are pollution risks?
First party cover under material damage and BI insurance
Third party liability insurance cover
Other sources of pollution cover
Legislation and case law
This section outlines the legislation relating to pollution risks and the effect of the ‘Bartoline’ case on public liability policy wordings. Click on the workbook to find out more.
The Environmental Protection Act 1990
The Environmental Damage (Prevention and Remediation) Regulations 2009
Public liability (the ‘Bartoline’) extension
Environmental Insurance Policy Covers
This section explains the main types of environmental insurance policies available. Click on the workbook to find out more.
1. Introduction to the Engineering Market
2. Introduction to Engineering Insurance
3. Inspection – Health and Safety at Work Act
4. Inspection – Other Legislation
5. Insurance for Inspected Plant
6. Contingency
7. Computers
8. Machinery Business Interruption
9. Erection All Risks – Subject Matter
10. Erection All Risks – Contractual Requirements
11. Erection All Risks – Policy Cover
12. Erection All Risks – Exclusions, Extensions and Plant
The need for cyber insurance
This section outlines the four types of cyber risk and explains the need for insurance. Click on the workbook to find out more.
What are cyber risks?
Who needs cyber insurance?
How cyber risks affect a business
The potential costs of online activities
Cyber insurance policy cover
This section explains the cover which can be provided by a cyber insurance policy. Click on the workbook to find out more.
Insurance solutions for cyber risks
What does a cyber insurance policy cover?
Potential overlaps between cyber insurance and other types of insurance
Policy exclusions
Underwriting and managing cyber risks
This section outlines the information required to underwrite a cyber risk and identifies how a business can effectively manage their cyber risks. Click on the workbook to find out more.
Underwriting cyber insurance
Cyber risks and SMEs
Cyber risk management
Contents
What is money laundering?
This section explains what money laundering is and the way in which money can be laundered through the insurance industry. Click on the workbook to find out more.
The Proceeds of Crime Act 2002
This section explains the major money laundering activities. Click on the workbook to find out more.
Other legislation and industry bodies
This section explains the requirements of the Money Laundering Regulations and the Financial Services industry’s response. Click on the workbook to find out more.
Combating money laundering
This section explains how to combat money laundering. Click on the workbook to find out more.
Contents
The Data Protection Act and organisations’ responsibilities
This section introduces the Data Protection Act and explains the responsibilities it places on organisations which hold information. Click on the workbook to find out more.
Individuals’ responsibilities under the Data Protection Act and the 8 Data Protection Principles
This section explains the responsibilities of individuals under the Data Protection Act and outlines the 8 principles for protecting data. Click on the workbook to find out more.
The rights of the individual under the Data Protection Act
This section explains the rights of individuals under the Data Protection Act and outlines the implications for direct marketing, identity protection and breaches of the Act. Click on the workbook to find out more.
Contents
Financial crime and types of fraud
This section explains the nature and extent of financial crime and examines different types of fraud. Click on the workbook to find out more.
· The nature and extent of financial crime
· Types of fraud
· Plastic card and cyber fraud
· Mortgage fraud and employee fraud
· Insurance fraud
Other financial crimes
This section explains other financial crimes which affect the financial services industry. Click on the workbook to find out more.
· Identity crime
· Misuse of information
· Money laundering
· Bribery and corruption
Tackling financial crime
This section explains the FCA’s approach to financial crime and explains how firms can guard against financial crime. Click on the workbook to find out more.
· The FCA’s approach to financial crime
· The effects of financial crime
· Prevention, deterrence and detection
Contents
Conflicts of interest
This section explains what constitutes a conflict of interest and how they arise in the insurance industry. Click on the workbook to find out more.
Conflicts of interest
Why general insurance is particularly susceptible to conflicts of interest
Particular conflicts in the agency relationship and market practice
Regulation
This section explains the regulatory approach to conflicts of interest. Click on the workbook to find out more.
Why conflicts of interest are currently an issue
FCA regulation relating to conflicts of interest
ICOBS rules
FCA concerns and a market solution
Handling conflicts of interest
This section explains how to handle conflicts of interest. Click on the workbook to find out more.
Methods of dealing with conflicts of interest
Key elements of a conflict of interest policy
Overriding principles and definitions
Responsibilities and Procedures
The Financial Conduct Authority
This section introduces the FCA and explains which activities and businesses are regulated. Click on the workbook to find out more.
The Financial Conduct Authority
Regulated activities
Direct authorisation
Appointed representatives
FCA regulation of firms and individuals
This section explains the structure of the handbook and gives an overview of FCA regulation of firms and individuals. Click on the workbook to find out more.
The FCA Handbook and Principles for Businesses
Threshold Conditions (COND) and Senior Management Arrangements, Systems and Controls (SYSC)
Who needs to be approved?
Financial resources and professional indemnity insurance
FCA regulation of business conduct
This section outlines FCA regulation of the conduct of insurance, its supervision and enforcement. Click on the workbook to find out more.
Insurance: Conduct of Business Sourcebook (ICOBS), Client Assets (CASS) and Dispute Resolution: Complaints (DISP)
Supervision, enforcement and compensation
Other regulatory themes
What is conduct risk?
This section explains what conduct risk is, where it can arise and its basis of regulation. Click on the workbook to find out more.
What is conduct risk?
Where does conduct risk arise?
How is conduct risk regulated?
Managing conduct risk
This section outlines the FCA’s expectations for managing conduct risk and describes the risk management cycle. Click on the workbook to find out more.
Conduct risk - the FCA’s expectations
Conduct risk and treating customers fairly (TCF)
Managing conduct risk
The risk management cycle
Conduct risk responsibilities throughout a firm
This section explains conduct risk responsibilities at all levels within a firm. Click on the workbook to find out more.
Who is responsible for managing conduct risk?
Key business areas for conduct risk focus
The implications for all staff
Conduct risk management in practice and the benefits to a firm
This section explains conduct risk responsibilities at all levels within a firm. Click on the workbook to find out more.
Minimising conduct risk in practice - sales and after-sales service
The benefits of good conduct risk management
Current FCA priorities for conduct risk management
Regulation
This section outlines the Financial Conduct Authority’s regulation of claims handling activities and explains the level of support given to different types of customers. Click on the workbook to find out more.
Regulation
Customers and claimants
Claims handling standards
The claims process
This section explains the stages in the claims handling process. Click on the workbook to find out more.
Notification, Investigation and Fraud
Appointing third parties
Updating progress
Settlement
Rejecting claims
The duties of regulated firms
This section explains the duties of regulated firms in their claims handling activities. Click on the workbook to find out more.
Duties of regulated firms
Delegated claims handling authority
Conflicts of interest
The risks to client money
This section explains the regulatory approach to the risks of handling client money. Click on the workbook to find out more.
The need for client protection
Risk Transfer
Co-mingling and subordination
Client money trust accounts
This section explains the types of client money trust accounts used to segregate client money. Click on the workbook to find out more.
Statutory trust accounts
Non-statutory trust accounts
Setting up a client bank account
Paying money into the client money account
This section explains the treatment of money paid in to client trust accounts. Click on the workbook to find out more.
Client money
Mixed remittances
The broker’s own money
Unmatched transactions
Paying money out of the client money account
This section explains when money is paid out of client trust accounts and the regulatory requirement for client money calculations. Click on the workbook to find out more.
Statutory and non-statutory trust accounts
Withdrawal of commission
Broking chains
The client money calculation and notifiable breaches
Regulatory requirements
This section explains the regulator’s requirements for complaint handling and outlines who is eligible to make a complaint. Click on the workbook to find out more.
The regulator’s requirements
Who is an eligible complainant?
Information about making complaints
Company complaints procedures
This section explains how company complaints procedures should work in order to fulfill regulatory requirements. Click on the workbook to find out more.
Company complaints procedures
Who should handle complaints?
Who is responsible for complaints within a firm?
Timescales
Monitoring and reporting
This section outlines how complaints are monitored and used to improve company performance and explains the regulator’s requirements for complaint reporting. Click on the workbook to find out more.
Complaint recording
Monitoring complaints
Results of monitoring
Complaint reporting
Avoiding complaints
An introduction to ICOBS
This section introduces ICOBS and explains which activities and products are regulated. Click on the workbook to find out more.
What is ICOBS?
Consumer protection and advised versus non–advised sales
‘Protection’ and ‘other’ products
Client categorisation
Rules for disclosure and identifying clients’ needs
This section outlines the information which ICOBS requires firms to disclose to their customers. It also explains how they must assess their clients’ needs for insurance. Click on the workbook to find out more.
General ICOBS requirements
Distance communication and the disclosure rules
Disclosing information about the firm, its services and remuneration
Identifying client needs and advising
Statement of demands and needs and suitability of advice
Rules for the disclosure of product information
This section explains the ICOBS rules for disclosing information about insurance products. Click on the workbook to find out more.
Disclosing product information
Protection product pricing information
Consumer cancellation rights
When must information be disclosed?
The TCF initiative
This section explains the Financial Conduct Authority’s ‘treating customers fairly’ (TCF) initiative. Click on the workbook to find out more.
The Financial Conduct Authority (FCA)
FCA expectations for TCF
The lifecycle framework
FCA supervision
The TCF model
This section explains the TCF model provided by the FCA to help firms design their own strategy. Click on the workbook to find out more.
The TCF model
What does TCF mean for my firm?
Gap analysis and action planning
Product lifecycle
This section explains the FCA’s product lifecycle framework which assists firms to interpret, implement and maintain TCF outcomes. Click on the workbook to find out more.
Product lifecycle - product design and marketing
Product lifecycle - interfaces between product providers and distributors
Product lifecycle – sales, after sales and complaints
Product lifecycle - remuneration, strategic change and management information
Outline of the Insurance Act 2015 and the duty of disclosure
This section explains why the Insurance Act 2015 was necessary and outlines the key areas of reform. Click on the workbook to find out more.
What is the Insurance Act 2015?
The duty of disclosure
Fair presentation of a risk
Remedies for breaches of duties
This section describes the extent of knowledge as defined by the Insurance Act and outlines the remedies for breach of the duty of fair presentation. Click on the workbook to find out more.
What constitutes ‘knowledge’?
Amending the remedies for breach of the duty of disclosure
Insurers’ remedies for breach of duty of fair presentation
Impact of the Insurance Act 2015 on warranties and fraudulent claims
This section explains the changes in law relating to insurance warranties and fraudulent claims. It outlines the circumstances under which the parties may contract out of the new default regime for commercial insurances. Click on the workbook to find out more.
Warranties and the Insurance Act 2015
Amendments to warranty provisions
Fraudulent claims
A default regime
FCA regulation, effective training and competence
This section introduces regulatory competence and explains the components of an effective training and competence system. Click on the workbook to find out more.
Regulatory competence
What is competence?
The elements of an effective T&C system
Operating an effective training and competence system
This section explains how to define competence in different roles, when assessments should be made and who is assessed. Click on the workbook to find out more.
Supervision and appraisal
Describing required competence: the job description
Competence, knowledge, skill and expertise
When and who to assess
The effect of competence on the training cycle
This section explores methods of assessing competence and the importance this plays in the training cycle. Click on the workbook to find out more.
Methods of assessing competence
The training cycle
The importance of supervision
Maintaining competence and record keeping
CONTENTS
1. Introduction
2. Underwriting – The Vessel
3. Underwriting – Construction, Size and Age of Vessels
4. Underwriting - The Use of the Vessel
5. Underwriting - The Mooring of the Vessel
6. Policy Cover
7. Significant or Unusual Exclusions or Limitations
8. Claims Procedures
1. Introduction
2. General Principles of Marine Insurance
3. Types of Cargo
4. The Main Marine Risks (‘Perils’)
5. Types of Marine Policy
6. How Cargo Insurance Works
7. Cargo Clauses
8. Transits
9. Main Exclusions
10. War Risks and Strikes Cover
1. Why the Need for Marine Insurance?
2. How are Goods Valued for Marine Insurance?
3. Voyage and Time policies
4. The Marine Insurance Act, the Policy and Rules of Construction
5. The Policy Schedule
6. Open Covers
7. The Institute Clauses A – ‘All Risks’
8. The Institute Clauses B, C and Trade
9. The Institute Clauses - Average
10. The Institute Clauses – Exclusions
11. War Risks
12. Strikes Risks
13. Duration of Cover
14. Assignment
15. Terms of Sale
CONTENTS
1. History and General Principles of Marine Insurance
2. Customers, Intermediaries and Insurers
3. The Contract – Cover note and Policy
4. Main Hull Insurance Risks – Proximate Cause
5. Hull Clauses
6. Hull Clauses – War and Strikes Cover
7. Partial Losses
8. Total Loss
9. Collision and Salvage
10. Sue and Labour and General Average
Contents
How personal liability arises
This section explains how personal liability arises and outlines how personal liability insurance may be bought. Click on the workbook to find out more.
How does personal liability arise?
Legal requirements
How individuals buy personal liability insurance
Personal liability policy cover
This section explains the cover available for personal liability under various types of insurance policies. Click on the workbook to find out more.
Personal liability cover under home buildings insurance
Personal and occupiers’ liability cover under home contents insurance
Employers’ and tenants’ liability cover under home contents insurance
Other specific policies
When and where cover operates
Standard exclusions and conditions
This section explains the main exclusions and conditions usually found in a personal liability insurance policy. Click on the workbook to find out more.
Policy exclusions
Policy extensions
Policy conditions
Claims conditions
CONTENT
1. Background
2. What is Critical Illness Insurance?
3. Main Features, Benefits and Risks – Term Assurance Plans
4. Main Features, Benefits and Risks – Whole of Life Assurance Plans
5. Main Features, Benefits and Risks – Group Critical Illness Cover
6. Underwriting Critical Illness Insurance
7. Critical Illness Conditions
8. Critical Illness Insurance Claims
9. Taxation of Critical Illness Insurance
10. Policy Alterations and Other Administration Issues
11. Regulatory Issues Surrounding Critical Illness Insurance
12. Uses of Critical Illness Insurance
13. Disputes Concerning Critical Illness Cover
1. Why Buy Personal Accident Insurance?
2. Benefits
3. Policy Cover
4. Policy Exclusions
5. Policy Conditions
6. Underwriting Considerations
CONTENTS
1. Introduction
2. Overview of the Different Covers Available
3. Basic Cover for Pets
4. Policy Types
5. Enhanced Cover for Pets
6. Conditions and Exclusions
7. Pet Travel Insurance
8. Overview of Horse and Pony Cover
9. Cover for Horses and Ponies
10. Cover for Veteran Horses and Ponies
11. FCA Regulations and Market Developments
1. - The Need for Private Medical Insurance and the Market
2. - Types of Cover
3. - Scope of Cover
4. - Exclusions
5. - Risk Assessment and Underwriting
6. - Group Schemes and Company-Paid Schemes
7. - Claims
CONTENTS
1. Introduction
2. History, Development and the Future
3. Types of Travel Insurance Policy
4. Buying Travel Insurance
5. Policy Cover - Holiday Cancellation and Curtailment
6. Policy Cover - Personal Property and Money
7. Policy Cover - Medical Expenses and Hospital Benefit
8. Policy Cover - Personal Accident and Return to Home Expenses
9. Policy Cover - Missed Departure and Delayed Travel
10. Policy Cover - Personal Liability and Legal Expenses
11. Policy Cover - Other Risks
12. Policy Conditions
13. Policy Exclusions
14. Activity Holidays
15. Age and Travel Insurance
16. Regulation and Travel Insurance
CONTENTS
1. Introduction
2. Policy Types
3. General Underwriting Considerations – Distribution
4. General Underwriting Factors – Age and Destination
5. General Underwriting Factors – Health
6. Other General Underwriting Factors
7. Cancellation and Curtailment
8. Personal Property
9. Personal Money
10. Medical Risks
11. Personal Accident
12. Personal Liability and Legal Expenses
13. Departure Risks
14. Winter Sports
15. Miscellaneous Risks
CONTENT
1 – Why Consider Wedding Insurance?
2 – The Origins of Wedding Insurance
3 - Market Evolution
4 – The Market
5 – Suppliers
6 – Policy Cover – Cancellation and Rearrangement
7 – Policy Cover – Property and Contractual Covers
8 – Policy Cover - Personal Accident, Legal Expenses, and
Personal Liability
9 – Extensions to Cover
10 – Overseas Weddings and Honeymoon Insurance
11 – Policy Terms, Conditions and Exclusions
12 – Policy Definitions
13 – Claims
CONTENTS OF BITES
1. Buildings – Basic Cover
2. Buildings – Additional Cover
3. Buildings – Sums Insured
4. Contents – Basic Cover
5. Contents – Additional Cover
6. Contents – ‘All Risks’ Cover
7. Contents – Sums Insured
8. Accidental Damage Cover
9. Index Linking
10. General Exclusions
11. General Conditions
12. Flood and Subsidence Cover
CONTENTS OF BITES
1. Introduction
2. The Claims Procedure – Implied and Express Conditions
3. The Process of a Claim
4. The Role of the Loss Adjuster
5. Insurable Interest
6. Proximate Cause
7. Indemnity
8. Subrogation
9. Contribution
10. Household Cover – Important Definitions
11. Household Contents – Standard Cover
12. Household Contents – Extensions to Cover
13. Personal Possessions Cover
14. Buildings Cover
15. Claims Disputes
16. Common Disputes – Matching Items and Proof of Purchase
17. Common Disputes – Method of Settlement
18. Common Disputes – Storm Damage Claims
19. Common Disputes – Unattended Vehicles and Underground Services
1. Introduction
2. Material Damage Cover – The Insured Property
3. Material Damage Cover – The Perils
4. Material Damage Cover – Additional Cover
5. Material Damage Cover – Extensions
6. Business Interruption
7. Property Owners Public Liability
8. Employers Liability and Directors and Officers Liability
9. Engineering, Legal Expenses, and None Insurance Services
10. Underwriting and Claims
CONTENTS
1. Introduction
2. The Buying Options
3. The Advent of ‘No-Win, No-Fee’
4. Before the Event vs After the Event
5. The Jackson Reforms
6. The Policy Cover
7. Definitions
8. Events or Causes Covered
9. Exclusions
10. Policy Conditions
CONTENTS OF BITES
1. Introduction
2. Policy Cover - The Site where Damage Occurs
3. Policy Cover - Exclusions
4. Causes of Subsidence
5. Underwriting - Location
6. Underwriting – The Property and its Surroundings
7. Structural Remedial Measures
8. Underpinning
9. Symptoms of Foundation Failure
10. Vegetation Types
11. Vegetation Growth and Roots
12. Underwriting Measures
14. The Claims Process – Notification and appointing specialists
15. The Claims Process – Monitoring the Damage
16. The Claims Process – Substructure Repairs
17. The Claims Process – Settling the Claim
18. The Domestic Subsidence Claims Handling Agreement
19. Subsidence Claims Disputes – Handling Common Complaints
20. Subsidence Claims Disputes – Rejecting a Claim
21. Climate Change and the Future for Subsidence Cover
CONTENTS OF BITES
1. Introduction to Household Liability
2. How Liability Arises – Civil Law, Criminal Law and the Tort of Negligence
3. How Liability Arises – Nuisance, Trespass, Defamation, Strict Liability, Statute and Contract
4. Household Liability Insurance
5. Liability Cover with Buildings Insurance – Policyholders’ Liability
6. Liability Cover with Buildings Insurance – Policy Cover
7. Liability Cover with Contents Insurance
8. Contents - Events and Scenarios Included
9. Personal Liability
10. Contents Liability – Exclusions - Motorised Vehicles and other Land
11. Contents Liability - General Exclusions
12. The Consequences of Inadequate Cover
13. Tenants’ Liability
14. Household Liability Claims – Policy Conditions
15. Household Liability Claims – Claimant’s Own Cover
16. Moral vs Legal Responsibility
17. The Civil Procedure Rules
1. What is a Sprinkler System?
2. Fire Hazard Management
3. How Sprinklers Operate – The Water Supply
4. How Sprinklers Operate - Pipework
5. How Sprinklers Operate - Heads
6. Designing a Sprinkler System – the Parties Involved
7. Designing a Sprinkler System – Factors to be Considered
8. Why install a Sprinkler System?
9. Sprinkler Leakage Policy
10. Sprinkler Maintenance Requirements
CONTENTS
1. Introduction
2. General Underwriting Considerations
3. Information about the Buildings
4. Information about the Customer
5. Contents Underwriting
6. Contents Limits
7. Valuables
8. Business Use
9. Security – Locks and Main Entrance Door
10. Security – Other Doors and Failure to Comply
11. Security – Alarms and Surveys
12. Buildings Underwriting – Sums Insured
13. Buildings Underwriting – Non-standard Construction
14. Buildings Underwriting – Mortgage Lenders and Subsidence
15. Personal Possessions Underwriting
16. Personal Possessions - Cover Abroad, in Unattended Vehicles and for Pedal Cycles
CONTENTS
1 - Introduction – What are Commercial Packages?
2 - Who Should Buy Commercial Packages?
3 - Commercial Packages Cover
4 - Standard cover - Buildings and Trade Contents
5 - Standard cover - Money
6 - Standard cover - Business Interruption
7 - Standard cover – Liabilities
8 - Variations and Options
9 - Extra Cover and Services
10 - Specific Trade Packages
11 - Placing, Rating, Underwriting and Claims Considerations
CONTENTS
1. Commercial Property – What and Why?
2. Types of Property Insured and Where
3. Cover Options
4. Events Covered – Fire and Special Perils
5. Events Covered – Additional Perils
6. All Risks Cover
7. Extra Benefits
8. General Exclusions
9. Policy Conditions
CONTENTS
1. Principles of Commercial Property Underwriting
2. Fire Insurance
3. Rating Factors
4. Management of the Business
5. Multi-Tenure Risks and Accumulation in Risk
6. First Loss Policies
7. Special Perils – Catastrophe Perils and Wet Perils
8. Special Perils – Social Perils and Others
9. Theft Insurance
10. Theft Protections
11. Money Insurance
12. Goods in Transit – Own Vehicles
13. Goods in Transit – By Contractors or For Reward
14. All Risks
CONTENTS
1. Overview
2. The Requirements of the FCA applicable to the Insurer
3. The Requirements of the FCA applicable to the Intermediary
4. Settlement Options - Indemnity & Reinstatement
5. Settlement Methods
6. The Role of the Insurer
7. The Role of the Loss Adjuster
8. The Role of the Insurance Intermediary – Prior to the Loss
9. The Role of the Insurance Intermediary – After the Loss
10. Delegated Claims Handling Authorities
11. Non-disclosure and Misrepresentation
12. Warranties
13. Policy Conditions
14. Common Areas of Contention – Buildings
15. Common Areas of Contention – Stock
16. Recoveries - Contribution
17. Recoveries – Subrogation
18. Fraud
19. Detecting Fraud
20. Catastrophe Losses
CONTENTS
1 - Introduction
2 - Temporary Removal
3 - Reinstatement Basis of Settlement – Overview
4 - Reinstatement Basis of Settlement - Special Conditions
5 - Day One Basis of Reinstatement
6 - Index Linking
7 - Old or Obsolete Buildings
8 - Fluctuating Stock – Overview
9 – Fluctuating Stock – a typical clause
10 - European Community and Public Authorities – Overview
11 - European Community and Public Authorities - Special Conditions
12 - First Loss Cover
13 - Floating and Blanket cover
14 - Contract Price, Fire Extinguishing Expenses and Landscaped Gardens
15 - Metered Water, Unauthorised Use of Electricity Gas or Water & Trace and Access
1. Introduction
2. Buildings of Non-Standard Construction and Listed Buildings
3. Let Properties
4. Business Use of Premises – Homeworking
5. Business Use of Premises – B&B and Surgeries
6. Unoccupied and Unfurnished Properties
7. Flats and Maisonettes
8. Properties Undergoing Renovation or Improvement – Underwriting Increased Risks
9. Properties Undergoing Renovation or Improvement – Sums Insured
10. Properties at Risk from Subsidence
11. Properties Suffering from Subsidence
12. Properties Susceptible to Flood Damage
13. Holiday Homes
14. Mid Net Worth Risks
15. Mid Net Worth Risks – Policy Terms and Conditions
16. Other Adverse Aspects of Risks Associated with Household Policies
CONTENTS
1 – A Legal Requirement
2 – Untraced and Uninsured Drivers
3 – Principles of Claim Handling
4 – Policy Cover
5 – Claim Notification
6 – Own Damage
7 – Total Loss Claims
8 – Third Party Claims (Excluding Injury) – Investigation
9 – Third Party Claims (Excluding Injury) – Quantum
10 – Inter-Company Agreements
11 – Third Party Injury Claims
12 – Motor Insurance Computer Databases
13 – The ABI Statement of General Insurance Practice
14 – Dispute Resolution
1. Introduction and the Need for Insurance
2. Liability to Others
3. Vehicle Damage – Agreed Value
4. Additional Covers
5. Policy Exclusions
6. General Exclusions
7. General Conditions
8. Foreign Travel
9. Underwriting Considerations
10. Other Cover Options and Features
CONTENTS
1. Introduction
2. GAP Insurance – Types of Policy
3. GAP Insurance – General Principles
4. GAP Insurance – Claims
5. Windscreen Insurance and Key Replacement Insurance
6. Motor Warranty Insurance – Overview
7. Motor Warranty Insurance – Cover
8. Tyre Insurance
9. Motoring Assistance - Overview
10. Motoring Assistance – Cover
11. MOT Test Failure Insurance
CONTENTS OF BITES
1. Introduction
2. Vehicles – High Car Groups and High Value
3. Vehicles – Security
4. Vehicles – Modifications
5. Vehicles – Accessories and Kit Cars
6. Vehicles – Classic Cars
7. Vehicles – Imported Vehicles and Grey Imports
8. Vehicles – Previously Written-off
9. Use – Business Use
10. Foreign Use
11. Laid-up Cover
12. Driver – Age and Claims History
13. Driver – Motoring Offences
14. Driver - Health
15. Driver – Licence and Residence Abroad
16. Misunderstanding about Policy Cover
1. Introduction and Road Traffic Act (RTA) Only Cover
2. Third Party Only Cover
3. Third Party Fire and Theft Cover
4. Comprehensive Cover
5. Comprehensive Exclusions
6. Foreign Travel
7. Motor Insurers’ Bureau
8. Exclusions
9. Conditions
CONTENTS
1. Introducing Caravan Insurance
2. Information for Insurance
3. Policy Wording – Standard Cover
4. Policy Wording – Additional Cover
5. Legal Liability
6. Claims
7. Security
8. Weather Risks
9. Rating
10. Conclusion
CONTENTS
1. Introduction
2. The Need for Legal Expenses Insurance
3. Motor Legal Expenses Cover
4. Exclusions
5. Claims
6. Policy Conditions
7. Policy Extensions
CONTENTS
1. Introducing Motorcycle Insurance
2. Definitions
3. Insurance Requirements
4. Insurance Cover Options – Third Party Cover
5. Insurance Cover Options – Third Party Fire & Theft and Comprehensive
6. Own Damage Exclusions
7. Cover Extensions
8. Underwriting and Rating
9. Other Underwriting Factors
10. General Policy Conditions
11. Exceptions
CONTENTS OF BITES
1. Introduction
2. The Vehicle: Carrying Capacity or Plated Weight
3. The Vehicle: Security – Alarms and Immobilisers
4.The Vehicle: Security–Tracking Devices and Garaging Overnight Considerations
5. The Vehicle: Type
6. The Vehicle: Modifications
7. The Vehicle: Trailers
8. Use of the Vehicle
9. Other Underwriting Features
10. Risk Management
11. Agricultural and Forestry Vehicles
12. Special Types: Plant, Mobile Cranes and Fork Lift Trucks
13. Passenger Carrying Vehicles - Public and Private Hire
14. Passenger Carrying Vehicles - Self Drive Hire
15. Passenger Carrying Vehicles - Buses and Coaches
CONTENTS OF BITES
1. Introduction
2. Motor Fleet Pricing
3. Policy Structure and Certificates
4. Policy Cover Options
5. Third Party Only – Cover
6. Third Party Only – Exclusions
7. Third Party, Fire and Theft
8. Comprehensive – Cover
9. Comprehensive – Exclusions and Excesses
10. Extra Benefits
11. Policy Exclusions
12. Conditions
CONTENTS OF BITES
1. Insurance Risk Pricing
2. Types of Motor Fleet Pricing
3. Individual Vehicle Pricing
4. Book Less Fleet Discount
5. Managing Fleet Accounts Book Less Fleet Discount Pricing
6. Burning Cost (Flat Premium) Method
7. Burning Cost – Terminology
8. Burning Cost – Claims Experience
9. Burning Cost – Predicting Claim Frequency
10. Burning Cost – Predicting Average Claims Cost
11. Burning Cost – Adjusting for Fleet Changes
12. Burning Cost – Adjusting for External Factors
13. From Burning Cost to Premium
14. Book Less Fleet Discount or Burning Cost?
1. Approach to Risk Management
2. Fleet Risk Management and Pricing
3. Risk Management in Practice
4. Claims Analysis
5. Additional Sources of Data
6. Fleet Surveys – Vehicles
7. Fleet Surveys – Drivers
8. Fleet Surveys – Management Controls
9. Driver Education
10. Benefits
1. Introduction
2. Fleet Risk Assessment
3. Vehicles
4. Drivers
5. Use
6. Other Factors
7. Motor Fleet Renewals
CONTENTS
1 - Introduction
2 - What is a Motor Trader?
3 - Motor Insurance Needs of Motor Traders
4 - Road Risks
5 - Road Risks Rating
6 - Common Extensions to Road Risks Policies
7 - Combined Policies for Motor Traders
8 - Combined Extensions to Combined Policies for Motor Traders
CONTENTS
1. Introduction
2. Local Authority Regulations Appropriate to Hire Vehicles
3. Types of Public and Private Hire Vehicles
4. Risk Factors - Drivers
5. Risk Factors – Use and Vehicle
6. Fleet Rated Risks
7. Basic Policy Cover
8. Public and Private Vehicle Hire Cover
9. Services and Additions to Cover
10. Providing Insurance Cover
11. Self-Drive Hire Vehicles
12. Acceptance Criteria
13. Risk Management
1. Principles of Underwriting
2. The Car
3. Kit Cars and Imports
4. Drivers – Driver Profile
5. Drivers - Accident and Conviction History
6. Drivers - Other Factors
7. Location
8. Use
CONTENTS
1 - Overview
2 - What is underwriting? - Assessing Risks
3 - What is underwriting? - Share of the Risk
4 - Business Interruption Underwriting
5 - Underwriting the Gross Profit Risk – Trade and Activities
6 - Underwriting the Gross Profit Risk – Premises and Machinery
7 - Underwriting the Gross Profit Risk - Materials, Stock and Management
8 - Underwriting the Gross Profit Risk – Seasonality and Client Relationships
9 - Sources of Underwriting Information - Proposal Form / Broker Submission
10 - Sources of Underwriting Information – Reports and Published Documents
11 - Increased Cost of Working – Economic Limit
12 - Increased Cost of Working - Additional Increased Cost of Working
13 - Book Debts
14 - Suppliers and Customers Extensions
15 - Other Extensions - Denial of Access / Act of Competent Authority
16 - Other Extensions - Loss of Attraction / Public Authority Closure
17 - New Businesses/Advance Covers
18 - Business Interruption Rating
Contents
Defining directors’ and officers’ liability and the need for insurance
This section introduces the concept of directors’ and officers’ liability and explains the need for insurance. Click on the workbook to find out more.
How does directors’ and officers’ liability arise?
The need for liability insurance
Is D&O cover relevant for directors of small companies?
The duties of directors and officers
This section explains the three main categories of directors’ and officers’ duties and details potential claimants and the nature of their claims. Click on the workbook to find out more.
Fiduciary duties
Care and diligence
Statutory duties
Potential claimants
Policy cover and underwriting considerations
This section outlines policy cover and identifies underwriting considerations and exposures. Click on the workbook to find out more.
D&O policy cover
Policy exclusions
Underwriting considerations
Limits of indemnity
USA exposure
Non-USA exposure
CONTENTS
1. What is Theft?
2. Theft and Insurance
3. Policy Cover – Options
4. Policy Cover - Wording
5. Policy Cover – Exclusions
6. Policy Cover – Extensions
7. Policy Cover – General Conditions
8. Policy Cover – Claims Conditions
CONTENTS
1 – Legal Liability
2 – Public Liability – When the Policy Operates
3 – Public Liability – Types of Claims
4 – Public Liability Policy Cover
5 – Public Liability – Exclusions
6 – Public Liability Claims – Proof Required
7 – Public Liability Claims – Notifications
8 – Employers’ Liability and Legislation
9 – Compulsory Insurance
10 – Employers’ Liability Policy Cover – Key Aspects
11 – Employers’ Liability Policy Cover – Retroactive and Costs
12 – Employers’ Liability Claims – Notifications
13 – Employers’ Liability Claims – Investigations and Actions
14 – The Civil Procedure Rules
15 – Calculating Settlement – Assessing the Value
16 – Calculating Settlement – General Damages
17 – Calculating Settlement – Property Damage
18 – Defences to an Action
1. How Liability Arises – A Quick Summary
2. Employees’ Compensation - A Global Perspective
3. UK Employers’ Liability Legislation
4. Employers’ Liability Cover – Policy Cover Key Points
5. Towards an Underwriting Approach
6. Risk Assessment
7. Factors Influencing the Risk Premium
8. Diseases
9. Trade Risks
10. Claims Experience - Development
11. Claims Experience - Triangulation
12. Claims Experience - Burning Cost Calculation
13. Investment Income
14. The Legal Environment – Pleural Plaques
15. The Legal Environment – Ogden and Funding
16. Risk Specific Underwriting Information
17. Health and Safety Risk Management
18. Loss Control
19. Setting and Calculating the Premium
20. Self-Insurance Options and Other Terms
1. Introduction and Background
2. Types of Cover
3. Underwriting Considerations
4. Third Party Computer and Funds Transfer Fraud
5. Claims Procedures
6. Summary
Contents
Products liability policy cover
This section explains the protection provided by a products insurance policy and details a typical operative clause. Click on the workbook to find out more.
What protection does a products liability policy provide?
Policy construction - the operative clause
A policy of indemnity
Exploring the operative clause, costs and damages
This section explains the operative clause and outlines the main considerations in selecting a limit of indemnity. Click on the workbook to find out more.
Legal liability for third party injury or loss
Where and when cover operates
Legal costs and fees
Limits of indemnity
Policy exclusions, extensions and conditions
This section outlines the main exclusions, extensions and conditions found in a products liability insurance policy. Click on the workbook to find out more.
Policy exclusions
Policy extensions
Policy conditions
Claims conditions
CONTENTS
1 - Liability for Products – Introduction
2 - Liability for Products – Policy Cover
3 - How Liability for Products Arises – Part 1
4 - How Liability for Products Arises – Part 2
5 - Underwriting Products Risks – The Business
6 - Underwriting Products Risks – The Products
7 - Underwriting Products Risks – Failure to Perform
8 - Underwriting Products Risks – The Markets
9 – Underwriting Products Risks – North America
10 - Underwriting Products Risks – Risk Management – Part 1
11 - Underwriting Products Risks – Risk Management – Part 2
12 – Terms and Conditions
Contents
What is professional indemnity insurance and who needs it?
This section explains the protection provided by professional indemnity insurance and identifies who buys the cover and why. Click on the workbook to find out more.
What does professional indemnity (PI) insurance provide protection against?
Why professionals buy PI insurance
How professional liability arises
The types of claim faced by professionals
The cover provided by a PI policy
This section explains the cover provided by a PI policy, differentiates between two common wordings and examines when cover applies. Click on the workbook to find out more.
Cover provided by a professional indemnity policy
PI policy wordings
When does cover apply?
Retroactive dates and run-off cover
Limitations and extensions to cover and underwriting a PI risk
This section identifies the limitations and extensions to policy cover. It also outlines the information required to underwrite a professional indemnity risk. Click on the workbook to find out more.
Policy limitations
Common extensions to a PI policy
Common exclusions to a PI policy
Underwriting factors for PI insurance
Contents
What is public liability insurance and why do companies buy it?
This section explains the cover provided by a public liability insurance policy and outlines the circumstances where public liability insurance is required by law. Click on the workbook to find out more.
What does public liability insurance provide protection against?
Legal requirements
Why companies buy public liability insurance
The public liability policy wording explained
This section explains the operative clause of a public liability policy and details the main considerations in selecting an appropriate limit of indemnity. Click on the workbook to find out more.
Policy cover – the operative clause and who is covered
What does the policy cover the insured for?
How must the damages and costs arise?
When and where cover operates
Limits of indemnity
Standard exclusions, extensions and conditions
This section explains the main exclusions, extensions and conditions usually found in a public liability insurance policy. Click on the workbook to find out more.
Policy exclusions
Policy extensions
Policy conditions
Claims conditions
CONTENTS
1. Introduction to Premises Liability
2. Occupiers’ Liability to Visitors
3. Occupiers’ Liability Act 1957
4. Occupiers’ Duty of Care
5. Occupiers’ Liability – Legal Defences
6. Occupiers’ Liability to Trespassers
7. Countryside and Rights of Way Act 2000
8. Owners’ Liability
9. Allocating Liability
10. Underwriting Premises Risk
11. Injury to People Risk
12. The Conclusion
1 - Introduction
2 - Policy Cover
3 - Policy Extensions
4 - How Liability Arises for Public Liability
5 – Negligence
6 – Liability under Contract
7 - JCT and Other Contracts
8 - Work Away and Statutory Liability
9 - Heat Work Away
10 - Heat Work Warranties
11 - Location of Work Away
1 - Introduction
2 - Subject Matter
3 - Loss of Gross Profit
4 - Increased Cost of Working
5 - Other Items of Cover
6 - Arrangement of Cover
7 - Maximum Indemnity Period and Sum Insured
8 - Policy Clauses
9 - Extensions
1. Introduction
2. Civil Procedure Rules
3. General Damages - Pain Suffering and Loss of
4. General Damages – Smith and Manchester Awards
5. General Damages – Future Loss of Earnings
6. General Damages – Future Expenditure
7. Special Damages – Loss of Earnings
8. Special Damages – Property Damage
9. Special Damages – Loss of Profits
10. Special Damages – Medical Expenses and Care Costs
11. Reserving
12. Costs and Interest
13. The Claims Portal
CONTENTS
1 - Introduction
2 - Motor Legal Expenses – Introduction to Cover
3 - Motor Legal Expenses – Typical Exclusions
4 - Household Legal Expenses – Overview of Cover
5 - Household Legal Expenses – Exclusions
6 - Travel Legal Expenses
7 - Commercial Legal Expenses
8 - General Conditions Common to Legal Expenses Insurance
9 – After the Event Legal Expenses
CONTENTS
1 – Introduction
2 – Development of ATE Insurance
3 – The Types of ATE Cover
4 – Obtaining Cover and Pricing
5 – Funding and Claims Reporting
6 – Typical Exclusions
7 – The Jackson Reforms
Contents
Types of legal liability
This section explains how legal liability arises under contract, statute and at common law. Click on the workbook to find out more.
Types of legal liability
Contractual liability
Statute
Common Law
Torts
This section defines a tort and explains the five main torts. Click on the workbook to find out more.
Negligence
Nuisance
Trespass
Defamation
Strict Liability
Defences
This section explains the defences against liability. Click on the workbook to find out more.
Denial and causation
Remoteness of damage and limitation
Contributory negligence, inevitable accident and self defence
Statutory authority, Act of God and Volenti non fit injuria
Contract certainty
This section introduces contract certainty and explains the regulatory requirements. Click on the workbook to find out more.
Why is contract certainty required?
The risks of operating without contract certainty
Regulatory requirements
The contract certainty code of practice
This section explains the contract certainty code of practice and the principles which apply to both sectors of the UK insurance market. Click on the workbook to find out more.
The contract certainty code of practice
Principle A - when entering into the contract
Principle B - after entering into the contract
Principle C - demonstration of performance
Principle D - in respect of contract changes
Principle G - where the contract has not met the principles
Contract certainty and the London Market
This section explains contract certainty in relation to the London Market and examines the practicalities of contract certainty. Click on the workbook to find out more.
Contract certainty and the London Market
Binding authorities and contract certainty
The practicalities of contract certainty
CONTENTS OF BITES
1. Why Buy Reinsurance?
2. Effects of Reinsurance
3. Legal Principles
4. Insurance Principles
5. Types of Reinsurance – Proportional & Non-Proportional
6. Methods of Reinsurance
7. The Retention
8. Facultative Reinsurance
9. Facultative Proportional Reinsurance
10. Facultative Non-Proportional Reinsurance
11. Reinsurance Pools
12. Life reassurance
Contents
The policy structure
This section explains the structure of a general insurance policy and identifies the general conditions and exclusions. Click on the workbook to find out more.
Why is a policy document needed?
Outline of policy structure
The policy schedule
Policy structure explained
Policy cover
This section explains what a policy covers and outlines standard policy exceptions and conditions. Click on the workbook to find out more.
What does a policy cover?
General exceptions
General conditions
Tailoring a policy
This section explains how and why policies are modified to fit a particular risk. Click on the workbook to find out more.
Policy Excesses, Deductibles and Franchises
Warranties
Conditions
Representations
By the end of this e-Briefing you will be able to:
Demonstrate your understanding of the role of risk management
Explain why a survey may be needed
Outline the survey process from request to completion of the report
Detail the issues which will be considered in a survey report for a small commercial risk
Outline the usual format of a survey report
1 – What is Risk?
2 – Risk Management - How Did it Evolve?
3 – Risk Management - Step by Step
4 – Step One - Identifying the Risks
5 – Risk Identification Techniques
6 – Flowcharts – Assessing the Consequences
7 – Step Two – Risk Analysis
8 – Step Three - Risk Control
9 – Managing Risk by Contingency Planning
10 – Not Forgetting Insurance
11 – Operating an Effective Risk Management Policy
1. Introduction
2. The Courts – Part 1
3. Civil Procedure Rules - Background
4. Civil Procedure Rules - Protocols
5. Limitation
6. Commencing a Claim
7. Defending a Claim
8. Preparation for Trial
9. What to Expect at a Trial
10. Enforcing Court Judgements
11. Register of County Court Judgements
12. Costs
13. Fixed Costs for Road Traffic Accidents and Employers’ Liability Claims
14. Settling a Claim Out of Court
15. Funding a Claim
16. Minors
17. Ministry of Justice Reforms
18. Scottish Litigation
Contents
Responsibilities when a claim is made
This section explains the importance of the claims process and the responsibilities of the insurer and the policyholder when a claim is made. Click on the workbook to find out more.
The claims process
This section explains the claims process and the use of specialist help. Click on the workbook to find out more.
Settlement and repudiation
This section explains claims settlement, repudiation and recoveries. Click on the workbook to find out more.
1. The Loss Adjusting Profession
2. The Role of The Loss Adjuster – General
3. The Role of The Loss Adjuster - New Instructions
4. The Role of The Loss Adjuster - Key Activities
5. Claims Investigation Process
6. Changes in The Profession
7. The Adjusting Market Today
CONTENTS OF BITES
1. Retention or New Business?
2. Customer Care
3. Customer Relationships
4. Customer Opinion
5. Complaint into Compliant
6. Understanding Customer Needs
7. Competition
8. The Cost
9. The importance of Customer Retention
What does underwriting involve?
This section explains what underwriting is and outlines the features involved. Click on the workbook to find out more.
How are risks underwritten in practice?
This section explains the various elements of the underwriting process. Click on the workbook to find out more.
What happens once premiums and terms are agreed?
This section explains the role of the underwriter once the insurance is agreed. Click on the workbook to find out more.
Contents
Lloyd’s and the London market in context
This section explains what the ‘London market’ is, its origins and who trades there. Click on the workbook to find out more.
· How the need for insurance arose
The structure and organisation of Lloyd’s
This section explores the structure and organisation of Lloyd’s and where its financial capacity comes from. Click on the workbook to find out more.
Transacting business at Lloyd’s
This section explains how business is transacted at Lloyd’s. Click on the workbook to find out more.
Contents
Utmost good faith
This section introduces the principle of utmost good faith and explains the duty of disclosure and the consequences of a breach of this duty. Click on the workbook to find out more.
Principle of utmost good faith
The duty of disclosure
Consequences of a breach of the duty of disclosure
Insurable Interest and Proximate Cause
This section explains the principle of insurable interest and how it arises. It also explains the principle of proximate cause. Click on the workbook to find out more.
The principle of insurable interest
How insurable interest arises
The principle of proximate cause
Indemnity
This section explains the principle of indemnity, how it is provided, limited and measured. Click on the workbook to find out more.
The principle of indemnity
How indemnity is provided
How indemnity is limited
How indemnity is measured
Two corollaries of indemnity
This section explains subrogation and contribution in relation to the principle of indemnity. Click on the workbook to find out more.
Subrogation
Contribution
Contribution - methods of apportionment