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Answers to frequently asked questions regarding conflicts of interest for insurance agents, including identification, disclosure, and applicability of new regulations.
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These are the most commonly asked questions raised in discussions with stakeholders, agents and the public.
Conflicts of Interest
A. Any real or potential conflict of interest associated with each transaction or recommendation must be declared to the client in writing by the agent. The client is then in a position to determine whether or not to proceed with the transaction or accept the recommendation.
A. Conflicts will arise whenever any interests of the agent may be placed ahead of the interests of the client. Agents have a responsibility to disclose conflicts to the client, in writing, and to ensure that all transactions are conducted with openness and transparency.
When advising a client, an agent should ask himself or herself these two questions in connection with any recommendation or proposed transaction:
If in doubt, declare.
A. No. The regulation does not require the use of a standard form. It is the responsibility of the agent or the company to provide appropriate written disclosure. Disclosure should be clear and appropriate to the client. Disclosure documents which are not clear and appropriate may be found to not meet the written disclosure requirement under the regulation.
A. Disclosure is the agent's responsibility. It is the insurer's responsibility to ensure that agents comply with the regulation. Agents should keep a record as proof that the required disclosure took place.
A. There is no "grandfathering” of existing relationships under the new regulation. Therefore, just because there is an existing client and an existing policy does not mean the conflicts regulation has no application. However, refer to section 16 of the new regulation. It refers to a conflict of interest associated with a "transaction or recommendation". If there is no transaction or recommendation concerning an existing contract, (e.g. if there are no changes or advice provided), there is nothing to disclose. It is not intended that agents would have to revisit and identify actual or potential conflicts that existed when the original contract was signed (although nothing prevents it either). On the other hand, if the agent is giving advice or making changes to the contract after November 1, 2004, the disclosure rule applies.
A. The agent should consider the two questions noted below to assess if he or she should disclose. The agent should ask whether the advice would be different, absent the incentive. Assuming the advice would not change, would an informed third party perceive that the agent has an incentive to act other than in the client's best interest. Asking these questions should serve as a guide to assess whether or not a conflict exists, in the majority of situations.
If there is any doubt at all, disclose.
Concurrent Employment
A. No. The changes do not lower standards.
All agents are required to pass the provincial licensing examinations and maintain currency of knowledge. All agents are bound by the same requirements regarding licensing and conduct, regardless of the number of hours they work as an agent.
This regulation extends the opportunity that Level ll agents already had under previous regulation, to all agents, and treats insurance agents like other professionals.
Your employer or sponsor, however, may have corporate policies which restrict your ability to hold other employment. You should discuss your plans with the company.
In addition, if you intend to hold an occupation which is regulated under other legislation which has restrictions against holding other occupations, including acting as an insurance agent, you must comply with that legislation.
Ontario Mailing Address for Service of Legal Documents
A. It is not reasonable for the Superintendent or an Ontario resident to have to go outside the province to enforce the Insurance Act or take legal action against an agent.
A. Yes. Agents who reside in Ontario may use their home address as their address for legal service, if it meets the criteria set out in the regulation.
A. No. Agents residing outside Ontario must arrange for an address for legal service in Ontario and advise FSCO of the address.
FSCO will, however, send all regular mail to your home address in order to ensure that it is received promptly. FSCO has found that business address information often becomes obsolete and is not a reliable way of getting mail to agents.
Non-resident Agents
A. Provided you have an Ontario address for the service of legal documents which meets the requirements (i.e. is suitable to permit the delivery of registered mail, and is not a post office box) and you meet all other licensing requirements, you can apply for an Ontario agent’s licence.
A. You cannot sell insurance in Ontario unless you hold an Ontario insurance agent’s licence and have an Ontario address for service. If you meet the Ontario licensing requirements you can sell insurance in Ontario. At the present time, however, there is no policy regarding non-Canadian licensing equivalencies, particularly, those related to the educational requirements set out in licensing regulations.
A. Yes. The Ontario mailing address requirement can be met in a number of ways by the agent. One way is to use the mailing address of the head office of the insurer or the agency, if that address is in Ontario, and provided the insurer or agency agrees to accept documents on behalf of the agent.
A. You do not need to re-write the LLQP exams. Ontario requires new life agents to be sponsored for two years. Therefore, you will need a sponsor for the remainder of the two year period, i.e.18 months.
Agency Licensing
A. The agency must be licenced as does any individual who engages in the activities of an agent. However, if you are not engaged in any activity described in the Insurance Act or regulations that requires licensing as an agent, such as the solicitation or selling of insurance to clients, and the company employs a staff that carries out these activities, you do not need to hold an agent licence to own or be an officer or director of an agency.
General Questions
A. If insurers don't meet requirements in this or any other regulation, the insurer is subject to prosecution for failure to comply with the regulation. The Superintendent can also issue an order against the insurer requiring it to take such action as the Superintendent feels is necessary to remedy the situation, impose terms and conditions, or suspend or revoke a licence.
A. Yes, this is still a requirement.
A. Yes. All life agents, regardless of whether they hold other employment, must complete 30 hours CE credits in each licensing period.