Entire Section
COB 7 COB 7 Core Rules — Insurance
COB 7.1 COB 7.1 Application and Interpretation
COB 7.1.1
(1)The Rules in this chapter apply to anAuthorised Firm with respect to the conduct in or from the DIFC ofInsurance Business ,Insurance Intermediation orInsurance Management to the extent specified in any Rule.(2)The Rules in this chapter do not apply to anInsurer that is anAuthorised ISPV with the exception of the Rules in COB section 7.2.(3) Only COB section 7.2, COB Rules 7.3.1, 7.6.1 and 7.9.1 and COB sections 7.10 and 7.12 in this chapter apply to anInsurer ,Insurance Intermediary orInsurance Manager when it carries on aFinancial Service with or for aMarket Counterparty .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.1.2
In this chapter, unless otherwise stated, a reference to an "insurer" is a reference to both an
Insurer and aNon-DIFC insurer .Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.1.3
(1) In this chapter, unless otherwise stated, a reference to aClient of anInsurance Manager is a reference to:(a) an insurer to whom theInsurance Manager provides itsInsurance Management services; and(b) aPolicyholder with whom theInsurance Manager interacts when carrying out itsInsurance Management activities.(2) In COB section 7.12, when anInsurance Manager providesInsurance Management services to aCaptive Insurer , a reference to aClient in (1)(a) is a reference to:(a) theCaptive Insurer ;(b) any shareholder of theCaptive Insurer ; and(c) anyPerson on whose behalf theInsurance Manager undertakes to establish thatPerson as an insurer.(3) In (2):(a) aCaptive Insurer includes aCell of aProtected Cell Company which is anInsurer ; and(b) a shareholder includes a holder ofCell Shares .Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]Guidance
The Rules in this chapter apply to
Authorised Firms conductingInsurance Business andInsurance Management in relation to all classes ofContracts of Insurance . However, those Rules apply toAuthorised Firms conductingInsurance Intermediation only in relation toContracts of Insurance that are not contracts ofLong-Term Insurance . Other COB Rules relating to theFinancial Services ofAdvising on Financial Products or Credit andArranging Credit or Deals in Investments will apply to advising and arranging on contracts ofLong-Term Insurance .Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.1A COB 7.1A Table Illustrating the Application of the Rules in this Chapter
Guidance
Rule Insurer Insurance Intermediary Insurance Manager Section 7.1: Application and interpretation ✓ ✓ ✓ Section 7.1A: Table illustrating the application of Rules ✓ ✓ ✓ Section 7.2: Insurance business, management and intermediation restrictions ✓ ✓ (other than COB Rules 7.2.3, 7.2.4 and 7.2.5) ✓ (only COB Rules 7.2.2 and 7.2.6) Section 7.3: Communication of information and marketing material ✓ ✓ ✓ (other than COB Rule 7.3.1(3) Section 7.4: Client's duty of disclosure ✓ (other than COB Rules 7.4.2, 7.4.3) ✓ X Section 7.5: Authorised Firm's duty of disclosure ✓ (other than COB Rules 7.5.2 and 7.5.3) ✓ ✓ (other than COB Rule 7.5.3) Section 7.6: Disclosure of costs and remuneration ✓ ✓ ✓ (other than COB Rule 7.6.2) Section 7.7: Information about the proposed insurance ✓ ✓ X Section 7.8: Suitability ✓ ✓ X Section 7.9: Managing Conflicts of Interests X ✓ ✓ Section 7.10: Placement of Insurance X ✓ ✓ Section 7.11: Providing an ongoing service ✓ ✓ X Section 7.12: Insurance Monies X ✓ ✓
Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.2 COB 7.2 Insurance Business, Management and Intermediation Restrictions
COB 7.2.1
An
Authorised Firm may only conductInsurance Business orInsurance Intermediation with or for aClient to the extent specified in this section.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.2.2 COB 7.2.2
(1) AnInsurer must ensure that it does notEffect aContract of Insurance orCarry Out aContract of Insurance through an establishment maintained by it in theDIFC where the contract is in relation to a risk situated within theState , unless the risk is situated in theDIFC or another Financial Free Zone, or the contract is one of re-insurance. (2) AnInsurance Intermediary must ensure that it does not act as agent in relation to aContract of Insurance where the contract is in relation to a risk situated within theState , unless the risk is situated in theDIFC or another Financial Free Zone, or the contract is one of re-insurance. (3) AnInsurance Manager must ensure that it does not act in relation to aContract of Insurance where the contract is in relation to a risk situated within theState , unless the risk is situated in theDIFC or another Financial Free Zone, or the contract is one of re-insurance. [Amended] DFSA RM61/2008 (Made 4th January 2009) [VER15/01-09]
Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]
[Amended] DSFA RM185/2016 (Made 7th December 2016). [VER28/02-17]
[Added] DFSA RMI289/2020 (Made 16th December 2020). [VER37/02-21]COB 7.2.2 Guidance
The classes of insurance are set out in GEN App4. These include both insurance and reinsurance contracts relating to life insurance and non-life insurance (such as accident, sickness, property and travel insurance). However, the prohibitions in COB Rule 7.2.2 only apply to a
Contract of Insurance that is not a contract of re-insurance.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]
[Amended] DSFA RM185/2016 (Made 7th December 2016). [VER28/02-17]COB 7.2.3
An
Insurer must ensure that it does not carry on, through an establishment maintained by it in the DIFC, both Long-TermInsurance Business andGeneral Insurance Business unless theGeneral Insurance Business is restricted toClass 1 orClass 2 or both.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.2.4
An
Insurer which is aProtected Cell Company must ensure that allInsurance Business is attributable to a particularCell of thatInsurer .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.2.5 COB 7.2.5
An
Insurer must not carry on any activity other thanInsurance Business unless it is an activity in direct connection with or for the purposes of such business. For the purposes of this Rule,Managing Assets is not an activity in connection with or for the purposes ofInsurance Business .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.2.5 Guidance
1. The following activities will normally be considered in direct connection with or for the purposes ofInsurance Business carried on by anInsurer :a. investing, reinvesting or trading, as investor or rabb ul maal and for theInsurer's own account, that of itsSubsidiary , itsHolding Company or anySubsidiary of itsHolding Company but not any other party, inSecurities , loans, investment accounts, units or shares in collective investment funds, certificates of mudaraba, certificates of musharaka or other forms of investments that are intended to earn profit or return for the investor;b. rendering other services related toInsurance Business operations including, but not limited to, actuarial, risk assessment, loss prevention, safety engineering, data processing, accounting, claims handling, loss assessment, appraisal and collection services;c. acting as agent for another insurer in respect of contracts of insurance in which both insurers participate;d. establishingSubsidiaries orAssociates engaged or organised to engage exclusively in one or more of the businesses specified above; ande. giving advice relating to its ownContracts of Insurance .2. The DFSA may give individual guidance on other business activities that may be determined to be in direct connection withInsurance Business .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.2.6 COB 7.2.6
An
Insurance Manager must not underwrite on behalf of aNon-DIFC insurer in relation to aContract of Insurance with or for aRetail Client , unless theInsurance Manager has obtained the prior written approval of theDFSA in respect of that insurer.Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.2.6 Guidance
For the purposes of COB Rule 7.2.6, an
Insurance Manager should submit to theDFSA sufficient information to establish that theNon-DIFC insurer for which it proposes to act is fit and proper and is subject to adequate regulation in its home jurisdiction.Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.3 COB 7.3 Communication of Information and Marketing Material
General Obligation
COB 7.3.1
(1) When communicating any information in relation toInsurance Business ,Insurance Intermediation orInsurance Management to aPerson , anAuthorised Firm must take reasonable steps to ensure that the communication is clear, fair and not misleading.(2) AnInsurer ,Insurance Intermediary orInsurance Manager must not, in any form of communication with aPerson , including an agreement, attempt to limit or avoid any duty or liability it may have to thatPerson under legislation administered by theDFSA .(3) AnInsurer orInsurance Intermediary must, when providing or directing marketing material to aClient , comply with the requirements in COB section 3.2, if the marketing material relates to aDirect Long-Term Insurance Contract .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM154/2015 (Made 9th December 2015) [VER25/02-16]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.4 COB 7.4 Client's Duty of Disclosure
COB 7.4.1
An
Insurer orInsurance Intermediary must explain to aClient :(a) theClient's duty to disclose all circumstances material to the insurance both before the insurance commences and during the continuance of the policy; and(b) the consequence of any failure by theClient to make such disclosures.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.4.2
An
Insurance Intermediary must explain to aClient that all answers or statements given on a proposal form, claim form or any other relevant document are theClient's own responsibility and that theClient is responsible for checking the accuracy of such information.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.4.3
If an
Insurance Intermediary believes that any disclosure of material facts by aClient is not true, fair or complete, it must request theClient to make the necessary true, fair or complete disclosure, and if this is not forthcoming must consider declining to continue acting on thatClient's behalf.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.5 COB 7.5 Authorised Firm's Duty of Disclosure
COB 7.5 Guidance
If an
Authorised Firm is required to provide information to aClient or potentialClient under this section or any other section in this Chapter before providing a service or doing anything, then the information should be provided in good time before providing the service or doing the thing so that theClient has sufficient time to make an informed decision.Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.5.1
(1) AnInsurer ,Insurance Intermediary orInsurance Manager must, subject to (3), disclose to aClient :(a) the name and address of the insurer or insurers effecting theContract ofInsurance ;(b) its own name and address where different; and(c) contact details of thePerson to whom a claim is to be notified.(2) The disclosures in (1) must be made before effecting or placing theContract ofInsurance , or as soon as reasonably practicable thereafter.(3) AnInsurance Manager is not required to make the disclosure under (1) to an insurer to whom it providesInsurance Management services.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.5.2 COB 7.5.2
(1) AnInsurance Intermediary orInsurance Manager must, subject to (3), disclose to aClient if:(a) it has a direct or indirect holding representing 10% or more of the voting rights or capital in an insurer; or(b) an insurer, or its parent undertaking, has a direct or indirect holding representing 10% or more of the voting rights or capital in theInsurance Intermediary orInsurance Manager .(2) The disclosures in (1) must be made before providingInsurance Intermediation orInsurance Management services to theClient .(3) AnInsurance Manager is not required to make a disclosure under (1) to an insurer to whom it providesInsurance Management services.Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.5.2 Guidance
An
Insurance Intermediary orInsurance Manager is required to disclose the information under COB Rule 7.5.1(1) and COB Rule 7.5.2(1) to anyPolicyholder with whom it interacts when carrying out itsInsurance Intermediation orInsurance Management activities.Derived from DFSA DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.5.3 COB 7.5.3
(1) AnInsurance Intermediary must, before providing anyInsurance Intermediation service to aPerson as aRetail Client , disclose whether any advice or information is or will:(a) be provided on the basis of a fair analysis of the market;(b) not be provided on the basis of a fair analysis of the market because of any contractual agreement it has with any particular insurer or insurers to deal with only their products; or(c) even if there are no contractual agreements of the type referred to in (b), not be provided on the basis of a fair analysis of the market.(2) If (1) (b) or (c) applies, theInsurance Intermediary must, if requested by theRetail Client , provide to thatClient a list of insurers with whom it deals or may deal in relation to the relevantContracts ofInsurance .(3) AnInsurance Intermediary must, before providing anyInsurance Intermediation service to aClient , disclose to thatClient whether it acts on behalf of an insurer or any otherPerson or acts independently on behalf ofClients .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.5.3 Guidance
1. AnInsurance Intermediary should not represent itself as providing advice or information on the basis of a fair analysis of the market under COB Rule 7.5.3(1) unless it has considered a sufficiently broad range ofContracts ofInsurance and based its decision on an adequate analysis of those contracts.2.Insurance Brokers act forClients who arePolicyholders . In doing so, they may claim under COB Rule 7.5.3(3) that they act 'independently' for theClients .3. TheDFSA expects anInsurance Broker which holds itself out to aClient as acting 'independently' for theClient to be able to demonstrate its independence to theDFSA . Factors that theDFSA would take into account when assessing if anInsurance Broker has acted independently include whether that broker:(a) has assessed a sufficiently large number of insurance products available on the market, and those products are sufficiently diverse in terms of their types and the issuers, to be able to suit theClient's needs and objectives;(b) is free to select insurance products from a sufficiently large number of insurers — for example, if a broker has close links with insurers, or exclusivity clauses in arrangements with insurers whose products they can select, the broker may not be able to claim it is independent; and(c) has disclosed clearly to theClient all commissions and other economic benefits it or aGroup member receives from insurers with whom it places insurance.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.6 COB 7.6 Disclosure of Costs and Remuneration
COB 7.6.1 COB 7.6.1
An
Insurer ,Insurance Intermediary orInsurance Manager must provide details of the costs of eachContract ofInsurance orInsurance Intermediation service orInsurance Management service offered to aClient .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.6.1 Guidance
1 The disclosure required by this Rule should include any premiums, fees, charges or taxes payable by theClient , whether or not these are payable to theAuthorised Firm .2 The disclosure should be made in terms readily understandable by theClient , taking into account the knowledge held by thatClient in relation to the type of insurance in question.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.6.2
An
Insurer orInsurance Intermediary must, where any premium is payable through aCredit Facility made available to aRetail Client , disclose any interest, profit rate or charges payable by theClient for using that facility.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.6.3
An
Insurer ,Insurance Intermediary orInsurance Manager must ensure that it does not impose any new costs, fees or charges without first disclosing the amount and the purpose of those charges to theClient .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.6.4
(1) AnInsurer ,Insurance Intermediary orInsurance Manager must, on the request of anyClient , disclose to thatClient all commissions and other economic benefits accruing to theAuthorised Firm or any member of the sameGroup from:(a) anyInsurance Intermediation business;(b) anyInsurance Management business; or(c) any other business connected to or related to the provision of such business;transacted by the Authorised Firm on behalf of that Client.(2) The requirement to disclose the information under (1) does not apply where anInsurance Intermediary acts solely on behalf of a single insurer, and this fact has been disclosed to theClient .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.7 COB 7.7 Information About the Proposed Insurance
COB 7.7.1
An
Insurer orInsurance Intermediary must provide adequate information in a comprehensive and timely manner to enable aClient to make an informed decision about theContract ofInsurance that is being proposed.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.7.2 COB 7.7.2
Without limiting the generality of the disclosure obligation under COB section 7.5, an
Insurer orInsurance Intermediary must, for the purpose of complying with the obligation under that section:(a) provide to aClient information about the key features of any insurance proposed including the essential cover and benefits, any significant or unusual restrictions, exclusions, conditions or obligations, and the applicable period of cover; and(b) explain, except where the insurance cover is sourced from a single insurer, the differences in and the relative costs of similar types of insurance as proposed.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.7.2 Guidance
When deciding to what extent it is appropriate to explain the terms and conditions of a particular insurance the
Insurer orInsurance Intermediary should take into consideration the knowledge held by theClient in relation to the type of insurance in question.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]Specific Disclosure for Long-Term Insurance
COB 7.7.3
Where an
Insurer or anInsurance Intermediary proposesDirect Long-Term Insurance to aRetail Client , the disclosure for the purposes of this section must include:(a) the method of calculation of any bonuses;(b) an indication of surrender values and paid-up values, and the extent to which any such values are guaranteed;(c) for unit-linked insurance contracts, definition of the units to which they are linked, and a description of the underlying assets;(d) the basis of any projections included in the information; and(e) any facts that are material to the decision to invest, including risks associated with the investment and factors that may adversely affect the performance of the investments.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08][Deleted]
[Deleted] DFSA RM69/2010 (Made 1st March 2010). [VER18/03-10]COB 7.7.4 [Deleted]
[Deleted] DFSA RM69/2010 (Made 1st March 2010). [VER18/03-10]COB 7.8 COB 7.8 Suitability
COB 7.8.1
An
Insurer or anInsurance Intermediary must comply with the suitability requirement set out in COB section 3.4 when conducting anyInsurance orInsurance Intermediation Business with or for aRetail Client in respect ofDirect Long-Term Insurance .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.8.2 COB 7.8.2
(1) Subject to COB Rule 7.8.3, anInsurer orInsurance Intermediary must only make a recommendation to aRetail Client to enter into aContract ofInsurance that isGeneral Insurance where it has taken reasonable steps to ensure that the recommendedContract ofInsurance is suitable in light of theClient's demands and needs.(2)The Insurer orInsurance Intermediary must obtain from aRetail Client such information as is necessary to identify theClient's circumstances and objectives, and consider whether the terms of the particular contract ofGeneral Insurance meet the requirements identified.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.8.2 Guidance
Simple and easy to understand general insurance products, such as motor insurance, do not require a detailed suitability assessment. However, in other cases, the information which an Insurer or Insurance Intermediary would generally need to have about the Client’s needs and demands, before making a recommendation about a product, include:a. details relating to the purpose for which the Client is seeking to obtain insurance cover (e.g., what risks the Client wishes to cover);b. the Client’s circumstances, including financial, to assess the type of exclusions and level of excess the Client wishes to accept, or is suitable for the particular Client; andc. any other matters relevant to the particular type of insurance product or market.[Added] DFSA RMI259/2019 (Made 1st January 2020). [VER/34/01-20]COB 7.8.3 COB 7.8.3
An
Insurer and anInsurance Intermediary may only recommend to aClient a contract ofGeneral Insurance that does not meet all theClient's requirements if it clearly explains to theClient , at the point of making the recommendation, that the contract does not fully meet theClient's requirements and the differences in the insurance recommended.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.8.3 Guidance
When deciding what level of explanation is appropriate for a
Client to whom a contract of insurance that does not fully meet thatClient's requirements is recommended, theInsurer orInsurance Intermediary should take into consideration the knowledge held by theClient in relation to the type of insurance in question. The explanation should include sufficient information so that the Client can understand easily the differences between what is recommended and the Client’s requirements, and the advantages and disadvantages of the recommended insurance, including any financial or other risks the Client may face if the recommended policy does not fully meet the Client’s requirements.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Added] DFSA RMI259/2019 (Made 1st January 2020). [VER/34/01-20]COB 7.8.4
Where an
Insurance Intermediary is instructed to obtain insurance which is contrary to the advice that it has given to aClient , theInsurance Intermediary must obtain from theClient written confirmation of theClient's instructions before arranging or buying the relevant insurance.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.9 COB 7.9 Managing Conflicts of Interest
COB 7.9.1 COB 7.9.1
(1) AnInsurance Intermediary orInsurance Manager must manage any conflict of interest to ensure that all itsClients are fairly treated and not prejudiced by any such interests.(2) AnInsurance Intermediary orInsurance Manager must manage the conflict of interest by disclosing such conflict to theClients in writing either generally or in relation to a specificTransaction .(3) If anInsurance Intermediary orInsurance Manager is unable to manage a conflict of interest, it must decline to act for theClient .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.9.1 Guidance
1. AnInsurance Intermediary , when considering how it manages conflicts of interests, should clearly identify the capacity in which it acts and to whom it owes duties. For example, if it is acting as anInsurance Broker , it is acting as an agent for the policyholder and it has a duty to act in the best interests of the policyholder. If it is acting as anInsurance Agent , it has a duty to act in the best interests of its principal i.e. the insurer or insurers from whom it holds an authority to act as agent.2. While the Rules do not prohibit anInsurance Intermediary from acting for both an insurer and policyholder in relation to the same risk, such an arrangement could result in conflicts of interest that are hard to manage. If anInsurance Intermediary proposes to act for both an insurer and policyholder in relation to the same risk, it should, under COB Rule 7.9.1(2), clearly disclose that information in a timely manner. TheDFSA expects the firm to at least:a. notify both parties about the procedures it will follow if acting in the interest of the policyholder or the insurer is likely to impair its ability to act in the interests of the other party; andb. if one or both parties express concerns relating to the proposed process, decline to act for both parties under COB Rule 7.9.1(3) and instead act for only one party.3. AnInsurance Manager will also need to identify and manage conflicts of interest that arise in the course of carrying on its business, for example, in the course of settling claims.Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.10 COB 7.10 Placement of Insurance
Instructions
COB 7.10.1
An
Insurance Intermediary orInsurance Manager must not place aContract ofInsurance with or on behalf of an insurer unless it has satisfied itself on reasonable grounds that the insurer may lawfully effect that contract under the laws of the jurisdictions in which the insurer and the risk are located.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]Quotations
COB 7.10.2
When giving a quotation, an
Insurance Intermediary orInsurance Manager must take due care to ensure the accuracy of the quotation and its ability to obtain the insurance at the quoted terms.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]Confirmation of Cover
COB 7.10.3
(1) AnInsurer , inEffecting Contracts of Insurance , must promptly document the principal economic and coverage terms and conditions agreed upon under anyContract of Insurance and finalise such contract in a timely manner.(2) AnInsurer ,Insurance Intermediary orInsurance Manager must, as soon as reasonably practicable, provide aClient with written confirmation and details of the insurance which it has effected for theClient or has obtained on behalf of theClient , including any changes to an existingContract ofInsurance .(3) AnInsurer ,Insurance Intermediary orInsurance Manager must, as soon as reasonably practicable, provide theClient with the full policy documentation where this was not included with the confirmation of cover.(4) In (2) and (3), aClient of anInsurance Manager is anyPolicyholder with whom theInsurance Manager interacts when carrying on itsInsurance Management activities.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM97/2012 (Made 24th July 2012) [VER20/07-12]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.11 COB 7.11 Providing an Ongoing Service
Amendments to and Renewal of Insurance
COB 7.11.1
(1) AnInsurer orInsurance Intermediary must deal promptly with aClient's request for an amendment to the insurance cover and provide theClient with full details of any premium or charges to be paid or returned.(2) AnInsurer orInsurance Intermediary must provide aClient with written confirmation when the amendment is made and remit any return premium or charges due to theClient without delay.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.11.2
An
Insurer orInsurance Intermediary must give adequate advance notification to aClient of the renewal or expiration date of an existing insurance policy so as to allow theClient sufficient time to consider whether continuing cover is required.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.11.3
On expiry or cancellation of the insurance, at the request of the
Client , anInsurer orInsurance Intermediary must promptly make available all documentation and information to which theClient is entitled.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]Claims
COB 7.11.4
Where an
Insurance Intermediary handles insurance claims it must:(a) on request, give theClient reasonable guidance in pursuing a claim under the relevant policy;(b) handle claims fairly and promptly and keep theClient informed of progress;(c) inform theClient in writing, with an explanation, if it is unable to deal with any part of a claim; and(d) forward settlement of any claim, as soon as reasonably practicable, once it has been agreed.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.11.5
An
Insurer must:(a) handle claims fairly and promptly;(b) keep theClient informed of the progress of the claim;(c) not reject a claim unreasonably;(d) if only part of a claim is accepted:(i) provide a clear statement about the part of the claim that is accepted; and(ii) give clear reasons for rejecting that part of the claim that has not been accepted; and(e) settle the claim promptly.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12 COB 7.12 Insurance Monies
Application
COB 7.12.1
This section applies to an
Insurance Intermediary and anInsurance Manager , in respect of activities carried on in or from the DIFC.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]General
COB 7.12.2 COB 7.12.2
(1)Insurance Monies are, subject to (2), any monies arising fromInsurance Intermediation or theInsurance Management business which are any of the following:(a) premiums, additional premiums and return premiums of all kinds;(b) claims and other payments due underContracts ofInsurance ;(c) refunds and salvages;(d) fees, charges, taxes and similar fiscal levies relating toContracts ofInsurance ;(e) discounts, commissions and brokerage; or(f) monies received from or on behalf of aClient of anInsurance Manager , in relation to hisInsurance Management business.(2)Monies are notInsurance Monies where there is a written agreement in place between theInsurance Intermediary orInsurance Manager and the insurer to whom the relevant monies are to be paid (or from whom they have been received) under which the insurer agrees that:(a) theInsurance Intermediary orInsurance Manager , as the case may be, holds as agent for the insurer all monies received by it in connection withContracts ofInsurance effected or to be effected by the insurer;(b) insurance cover is maintained for theClient once the monies are received by theInsurance Intermediary or theInsurance Manager , as the case may be; and(c) the insurer's obligation to make a payment to theClient is not discharged until actual receipt of the relevant monies by theClient .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.2 Guidance
If an
Insurance Manager does not have in place risk transfer arrangements referred to in COB Rule 7.12.2(2), theInsurance Manager holdsInsurance Monies , so far as they belong toPolicyholders , at the risk of thosePolicyholders .Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.12.3 [Deleted]
[Deleted] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.12.4 [Deleted]
[Deleted] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]Insurance Money Segregation
COB 7.12.5
(1) AnInsurance Intermediary orInsurance Manager when dealing withInsurance Monies must:(a) maintain one or more separateInsurance Bank Accounts with anEligible Bank ;(b) ensure that eachInsurance Bank Account contains in its title the name of theAuthorised Firm , together with the designationInsurance Bank Account (or IBA);(c) prior to operating anInsurance Bank Account , give written notice to, and request written confirmation from, theEligible Bank that the bank is not entitled to combine theInsurance Bank Account with any other account unless that account is itself anInsurance Bank Account held by theAuthorised Firm , or to any charge, encumbrance, lien, right of set-off, compensation or retention against monies standing to the credit of theInsurance Bank Account ;(d) pay allInsurance Monies directly and without delay into anInsurance Bank Account ;(e) use anInsurance Bank Account only for the following purposes:(i) the receipt ofInsurance Monies ;(ii) the receipt of such monies as may be required to be paid into theInsurance Bank Account to ensure compliance by theAuthorised Firm with any conditions or requirements prescribed by the DFSA;(iii) the payment toClients or to insurers of monies due underInsurance Intermediation Business transactions;(iv) the payment of all monies payable by theAuthorised Firm in respect of the acquisition of or otherwise in connection withApproved Assets ;(v) the withdrawal of brokerage, management fees and other income related toInsurance Intermediation Business , either in cash or by way of transfer to an account in the name of theIntermediary which is not anInsurance Bank Account , provided that no such sum may be withdrawn from theInsurance Bank Account before the time at which that amount may be brought into account as income of theInsurance Intermediary ;(vi) the withdrawal of monies that are required to be transferred under (2) or COB Rule 7.12.9A;(vii) the withdrawal of monies paid into theInsurance Bank Account in error; and(viii) the withdrawal of any monies credited to theInsurance Bank Account in excess of those required by any conditions and requirements prescribed by the DFSA;(f) ensure that any amount held in theInsurance Bank Account or otherApproved Assets , together with any amount due and recoverable from insurance debtors, is equal to, or greater than the amount due to insurance creditors; and(g) take immediate steps to restore the required position if at any time it becomes aware of any deficiency in the required segregated amount.(2) If anEligible Bank has not provided the written confirmation referred to in (1)(c) within 40 business days after theAuthorised Firm made the request, theAuthorised Firm must as soon as possible withdraw Insurance Monies held in theInsurance Bank Account with thatEligible Bank and deposit them in an Insurance Bank Account with another Eligible Bank.(3) An Insurance Intermediary orInsurance Manager is not required to comply with the requirement in (1)(c) if it has no account, other than one or moreInsurance Bank Accounts , with theEligible Bank .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.12.6
An
Insurance Intermediary orInsurance Manager may not obtain a loan or overdraft for any purpose relating to anInsurance Bank Account unless that advance:(a) is on a bank account which is designated as anInsurance Bank Account , and the loan or overdraft is used for payment toClients or to insurers of monies due underInsurance Intermediation transactions;(b) does not give rise to a breach of the requirements of COB Rule 7.12.5(e); and(c) is of a temporary nature and is repaid as soon as reasonably practicable.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.7
An
Insurance Intermediary orInsurance Manager must holdInsurance Monies either in anInsurance Bank Account or inApproved Assets .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.8
An
Insurance Intermediary orInsurance Manager must ensure thatApproved Assets are:(a) registered in the name of theInsurance Intermediary orInsurance Manager and designated as being an 'Insurance Bank Account'; or(b) held for theInsurance Bank Account of theInsurance Intermediary orInsurance Manager at the bank at which suchInsurance Bank Account is held.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]
[Amended] DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.12.9
An
Insurance Intermediary orInsurance Manager must ensure that monies, other than interest, arising fromApproved Assets or their realisation, sale or disposal are paid into anInsurance Bank Account .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.9A
(1) AnInsurance Intermediary orInsurance Manager must not holdInsurance Monies for aClient in anInsurance Bank Account with anEligible Bank outside theState , unless it has previously disclosed in writing to theClient :(a) that the money may be held in anInsurance Bank Account outside theState ;(b) that in such circumstances, the legal and regulatory regime applying to theEligible Bank may be different from that in theState ;(c) in the event of failure of theEligible Bank , the money may be treated in a different way to that which would apply if the money were held by a bank in theState ;(d) if it is the case, that the particularEligible Bank has not accepted that it has no right of set-off or counterclaim against money held in theInsurance Bank Account in respect of any sum owed on any other account of theAuthorised Firm ; and(e) that theClient may notify theAuthorised Firm if he does not wish the money to be held in anInsurance Bank Account outside theState or in a particular jurisdiction.(2) If aClient notifies anInsurance Intermediary orInsurance Manager in writing that he does not wish theInsurance Monies to be held in anInsurance Bank Account outside theState or in a particular jurisdiction, the Insurance Intermediary or Insurance Manager must ensure that, no later than 20 days after receiving the notice, either:(a) theInsurance Monies are transferred into anInsurance Bank Account with anEligible Bank in theState , or in a jurisdiction to which theClient has not objected, as the case may be; or(b) if no such alternative arrangement can be made, theInsurance Monies are returned to theClient .Derived from DFSA RM182/2016 (Made 19th June 2016) [VER27/08-16]COB 7.12.10
An
Insurance Intermediary orInsurance Manager may not holdInsurance Monies inApproved Assets until it has given written notice to and received written notice from the bank referred to in COB Rule 7.12.8(b) that the bank is not entitled to any charge, encumbrance, lien, right of set-off, compensation or retention againstApproved Assets held for theInsurance Intermediary's orInsurance Manager's Insurance Bank Account .Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.11
An
Insurance Intermediary orInsurance Manager may only useApproved Assets as security for a loan or overdraft where that loan or overdraft is for a purpose relating to anInsurance Bank Account as permitted by COB Rule 7.12.6.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.12
Where
Insurance Monies are held inApproved Assets whose rating drops below the minimum stipulated within the definitions, that investment or asset will cease to be anApproved Asset and theInsurance Intermediary orInsurance Manager must dispose of the investment or asset as soon as possible and no later than within 30 days of the rating change.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.13
An
Insurance Intermediary orInsurance Manager may not use derivatives in the management ofInsurance Monies except for the prudent management of foreign exchange risks.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.14
An
Insurance Intermediary who has a credit balance for aClient who cannot be traced should not take credit for such an amount except where:(a) he has taken reasonable steps to trace theClient and to inform him that he is entitled to the money;(b) at least six years from the date the credit was initially notified to theClient ; and(c) COB Rule 7.12.5(f) will continue to be satisfied after the withdrawal of such money.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]COB 7.12.15
An
Insurance Intermediary must keep records of all sums withdrawn from theInsurance Bank Account or realisedApproved Assets as a result of credit taken under COB Rule 7.12.14 for at least six years from the date of withdrawal or realisation.Derived from DFSA RM56/2008 (Made 1st July 2008). [VER14/07-08]