There are nine sources of agent misconduct.
- commission splitting
- conflicts of interest
- fraud
- holding out
- misrepresentation
- money laundering
- replacement
- tied selling
- unfair trade practices
Errors & Omissions insurance helps protect you.
Commission Splitting
- can only share commissions with other licensed agents in Ontario and some other provinces
- can pay a finder's fee
- fixed amount per prospect
- can pay a consulting fee for services received
- fixed amount per hour of consultation or per case
Conflicts of Interest
- definition: the interests of the advisor take precedence over the interests of the client
- could affect your advisor's judgment or advice → advisor discloses all actual or potential conflicts
Fraud
Click here.
Holding Out
Relates to how agents present themselves to the general public
- need a license to sell insurance
- requirements regarding advertising, letterhead, business cards, etc
- before you sign an application, the CLHIA requires that you can request
- A Guide To Life Insurance (PDF)
- a policy financial summary (what is this? an illustration?)
Your advisor must generally disclose
- the name of the insurer
- that the agent will receive compensation from the insurer (no need to disclose the amount)
- names of all insurers and other financial service providers represented
- how to cancel a policy contract
Misrepresentation
Click here.
The advisor
- can't misrepresent the terms or advantages of the policy contract
- can’t advertise sales success
Money Laundering
Click here
Replacement
Replacement means surrendering all or part of a policy contract you already own to buy another policy. This is permitted, provided your advisor first makes sure that
- replacement is in your best interest
- the new policy has not been misrepresented
- both the old and new policy contracts have been compared fairly and completely
- you are given a standard disclosure form comparing both policies
- after you sign this form, your advisor must send a copy to the insurer of the old policy within three business days
These rules help prevent your advisor from
- churning: replacing coverage with new coverage from the same insurer
- twisting: replacing coverage with new coverage from another insurer
when the advisor's primary motivation is to earn new compensation.
The replacement rules may not apply when
- the new policy is from the same insurer (sometimes called an "internal replacement")
- the original policy is an annuity
- the original policy is creditor insurance
- switching between individual and group coverage
Be sure to keep your original policy in force until the new policy is issued.
Tied Selling
- prohibited
- e.g., bank can’t require you to buy life insurance from them as a condition of getting a mortgage
Unfair Trade Practices
There are three forms
- coercion (undue influence) to
- make the sale
- intimidate you from taking an action to which you're legally entitled
- threaten you to prevent you from lodging a complaint
- rebating premium to you
- your advisor cannot
- offer to pay some or all of your premium
- use a gift or promotion to encourage you to buy
- inexpensive gifts like a pen or calendar are fine if they are not contingent on a purchase
- rules may vary outside of Ontario
- your advisor cannot
This brief summary cannot capture the variations for
- different designations
- different jurisdictions
This is primarily for residents of Ontario, Canada.