Ethics in Property & Casualty Insurance:
Professional Standards for Brokers

 

Table of Contents

Chapter 1: Foundations of Broker Ethics

1

 Introduction

1

 Why Ethics Matter in Property & Casualty Insurance

1

   Ethics serve several key purposes:

2

 The Privilege of Self-Regulation

2

   Code of Conduct

2

 Public Trust and Fiduciary Duty

3

   Case Callout: The Ripple Effect of Misconduct / Lesson

3

 Evolution of Ethical Standards in Canadian Insurance

4

   Consumer Protection Movements (1980s – 1990s)

4

   National Harmonization / Technological Change

4

   High-Profile Cases of Misconduct

4

   Shift Toward Outcomes-Based Regulation

4

 Core Ethical Themes in Property & Casualty Brokerage

5

 Real-World Illustration

5

  Case Study: Misrepresentation of Market Access (Ontario)

5

   Regulatory Outcome: / Lesson:

6

 Building on the Foundation

6

 Legal vs. Ethical Duties

6

 The Client-First Obligation

7

 Integration of Fair Treatment of Customers (FTC) Guidance

8

 Commercial Interests vs. Client Interests

9

   Case Callout: The Undisclosed Incentive / Lesson:

9

 Confidentiality and Protection of Client Property

10

 Real World Illustration

11

  Case Study: Discouraging a Legitimate Claim (Saskatchewan)

11

    Regulatory Outcome: / Lesson:

11

 The Broader Social Role of Brokers

11

 Ethical Gray Areas

12

  Bundled Sales / Social Media Marketing / Referral Fees

12

  Why These Gray Areas Matter

12

   Case Call out: The Gray Zone in Action: / Outcome / Lesson

13

 Building on the Foundation – Final Segment of Chapter 1

13

 Enforcement of Ethical Standards

13

  Alberta (AIC / Alberta Insurance Council)

13

  Manitoba (ICM / Insurance Council of Manitoba)

14

  Ontario (RIBO / Registered Insurance Brokers of Ontario

14

  Ontario (FSRA / Financial Services Regulatory Authority of Ontario)

14

  Saskatchewan (FCAA / Financial and Consumer Affairs Authority)

14

 Consequences of Misconduct

15

  Reputational Damage / Civil Liability / Professional Isolation

15

  Industry Impact / Why Proactive Compliance Matters

15

   Case Callout: Industry Repercussions / Lesson

16

 Shared National Alignment

16

 Real World Illustration

17

   Case Study: Failure to Remit Premiums (Ontario)

17

   Regulatory Outcome / Lesson

17

 Professional Courtesy and the Broader Community

17

   Case Callout: Delayed Transfer (Ontario) / Outcome / Lesson

17

 Professional Courtesy Checklist

18

 Building a Culture of Ethics

19

   Key Elements of an Ethical Culture

19

 Regulatory Expectations Across Provinces

19

   Case Callout: The Leadership Gap / Lesson

20

 Why Culture Matters

20

 Real World Illustration

20

   Case Study: Inadequate Disclosure of Contingent Commissions (Saskatchewan)

20

   Regulatory Outcome / Lesson

20

 Why Ethics Must Evolve

21

  Digital Marketing and Online Tools / Cybersecurity and Client Data

21

  Climate Change and Catastrophic Events

21

  Emerging Exposures: Gig Economy and Shared Services

21

  Why Staying Current Matters

21

  Key Takeaways from Chapter 1

23

 What’s next? Preparing for Chapter 2

23

 

 

Chapter 2: The RIBO Code of Conduct (Ontario)

24

 Introduction

24

 Integrity as the Foundation

24

  Case Callout: Integrity Under Pressure / Lesson

25

 Competence as a Professional Duty

25

  Case Callout: Overlooked Equipment (Saskatchewan) / Lesson

26

 How Integrity and Competence Work Together

26

 Quality of Service

27

 What Does Quality of Service Look Like in Practice?

27

   Timelines / Practical Application

27

   Renewal Vigilance / Accuracy / Diligence / Accessibility

28

 Regulatory Lens: Standards of Service Across Jurisdictions

29

  Ontario (RIBO) / Saskatchewan (FCAA) / Alberta (AIC) Manitoba (ICM)

29

   Case Callout: The Missed Renewal / Outcome / Lesson

29

 Where Brokers Slip on Service

30

   Best Practices for Service

30

 Candor and Honest Communication

30

   Case Callout: The Misleading Renewal / Outcome / Lesson

31

   What Candor Requires in Practice

31

    Example of Candor in Renewal

32

 The Overlap Between Service and Candor

32

   Case Callout: The Silent Change (Ontario) / Outcome / Lesson

32

 Confidentiality

33

   Case Callout: Improper File Disposal / Lesson

33

 Safekeeping of Client Property

34

   Case Callout: Misuse of Trust Funds (Ontario) / Outcome / Lesson

34

 Conflicts of Interest

34

   Case Callout: Exclusive Auto Arrangement (Alberta)

35

   Outcome / Lesson

35

 Professional Courtesy

35

    Examples of Courtesy in Practice

35

   Case Callout: Delayed File Transfer (Ontario) / Outcome / Lesson

36

 The Interconnection of These Duties

36

   Case Callout: The Multi-Breach File (Manitoba) / Outcome / Lesson

36

   Practical Lessons for Brokers:

37

  Regulatory Lens: Shared Expectations Across Provinces:

37

   Ontario (RIBO) / Saskatchewan (FCAA) / Alberta (AIC) Manitoba (ICM)

37

 Cooperation with Regulators

38

   Case Callout: Ignored Audit Requests (Alberta) / Lesson

38

 Reporting Misconduct

38

   Case Callout: Silent Partner (Ontario) / Lesson

38

 Advertising and Public Representations

39

   Case Callout: Misleading Ad (Ontario) / Lesson

39

 Fee Transparency

40

   Case Callout: Hidden Admin Fee (Manitoba) / Lesson

40

 Accountability and Professional Culture

40

   Case Callout: The Defensive Broker (Ontario) / Lesson

40

 Integrating the Duties / Practical Lessons

41

  Cooperation / Reporting

41

  Advertising / Fees / Accountability

42

 In Conclusion / What’s next? / Preparing for Chapter 3

43

 

 

Chapter 3: Saskatchewan Standards & the Fair Treatment of Customers (FTC)

44

 Introduction

44

 Outcomes-Based Regulation / Suitability of Advice

44

 Disclosure and Transparency / Managing Conflicts of Interest

45

 Fair Claims Handling

46

   Case Illustration: Suitability / Lesson

46

   Case Illustration: Conflicts of Interest / Lesson

46

   Case Illustration: Claims Handling / Lesson

47

 Enforcement in Saskatchewan / Disclosure and Transparency

47

  Explaining Coverage and Exclusions

47

  Market Access and Limitations / Timing and Clarity of Disclosure

48

   Case Illustration

48

 Suitability of Advice

48

  Conducting a Needs Assessment / Matching Products to Needs

48

  Documenting the Recommendation / Case Illustration

49

 The Link Between Disclosure and Suitability

49

 National Alignment / Summary of Key Points / Conflicts of Interest

50

  Common Types of Conflicts / Why Disclosure Matters

50

    Practical Example

51

  Managing, not Just Disclosing

51

 Claims Handling / The Broker’s Role in Claims / This role is not optional

51

  FTC Expectation of Fairness

51

   Case Illustrations: Discouraged Claim / Delayed Submission

52

  Advocacy and Professionalism

52

 The Connection Between Conflicts and Claims

52

 Enforcement and Accountability / Summary

53

 National Alignment and FTC Integration

53

 Comparative Enforcement: Ontario (RIBO)

54

 Comparative Enforcement: Alberta (AIC)

54

 Comparative Enforcement: Manitoba (ICM)

54

 Common Threads / Case Comparison

55

 Building a Culture of Fairness

56

 In Conclusion / What’s next? / Preparing for Chapter 4

57

 

 

Chapter 4: Case Studies and Practical Scenarios

58

 Introduction

58

   Case Study 1: Integrity Under Pressure (Ontario)

58

    Regulatory Outcome: / Lesson: / Compliance Example:

58

   Case Study 2: Suitability of Advice (Saskatchewan)

59

    Regulatory Outcome: / Lesson: / Compliance Example:

59

   Case Study 4: Conflicts of Interest (Alberta)

60

    Regulatory Outcome: / Lesson: / Compliance Example:

60

   Case Study 5: Claims Handling (Manitoba)

60

    Regulatory Outcome: / Lesson: / Compliance Example:

60

   Case Study 6: Professional Courtesy (Ontario)

61

    Regulatory Outcome: / Lesson: / Compliance Example:

61

   Case Study 7: Confidentiality Breach (Saskatchewan)

61

    Regulatory Outcome: / Lesson: / Compliance Example:

61

 Advertising and Marketing Practices

62

   Case Illustration: Misleading Price Guarantee (Alberta)

62

    Regulatory Outcome: / Lesson: / Compliance Example:

62

 Renewal Obligation

62

   Case Illustration: Missed Renewal Notice (Ontario)

62

    Regulatory Outcome: / Lesson: / Compliance Example:

62

 Fee Disclosure

63

   Case Illustration: Undisclosed Service Fees (Manitoba)

63

    Regulatory Outcome: / Lesson: / Compliance Example:

63

 Unauthorized Practice of the Vocation

63

   Case Illustration: Unlicensed Assistant Acting as Broker (Saskatchewan)

63

    Regulatory Outcome: / Lesson: / Compliance Example:

63

 Professional Courtesy and Transitions

64

   Case Illustration: Delayed File Transfer (Ontario)

64

    Regulatory Outcome: / Lesson: / Compliance Example:

64

 Key Themes Across Scenarios

64

 Confidentiality in Practice

65

   Case Illustration: Improper File Disposal (Saskatchewan)

65

    Regulatory Outcome: / Lesson: / Compliance Example:

65

 Safekeeping of Client Property

66

   Case Illustration: Misuse of Trust Funds (Ontario)

66

    Regulatory Outcome: / Lesson: / Compliance Example:

66

 Curtesy in Relations with Insurers

66

   Case Illustration: Disparaging an Insurer (Manitoba)

66

    Regulatory Outcome: / Lesson: / Compliance Example:

66

 Cooperation with Regulators

67

   Case Illustration: Ignoring Regulator Requests (Alberta)

67

    Regulatory Outcome: / Lesson: / Compliance Example:

67

 Interconnection of Duties

67

 Case Comparison Across Provinces

68

 Complex Scenarios in Brokerage Practice

69

   Case Study 1: The Renewal Package (Ontario)

69

    Regulatory Outcome: / Lesson: / Compliance Example:

69

   Case Study 2: The Flooded Farm (Saskatchewan)

69

    Regulatory Outcome: / Lesson: / Compliance Example:

69

   Case Study 3: The Auto Referral (Alberta)

70

    Regulatory Outcome: / Lesson: / Compliance Example:

70

   Case Study 4: The Mishandled Claim (Manitoba)

70

 Interconnected Ethical Principles

71

 Comparative Lessons Across Jurisdictions

71

 Practical Guidance for Brokers

71

 In Conclusion / What’s next? / Preparing for Chapter 5

72

 

 

Chapter 5: Best Practices, Tools, and Conclusion

73

 Introduction

73

 Building a Culture of Ethics

73

  Leadership Responsibility / Written Policies

73

  Training and Reinforcement / Accountability and Monitoring

73

 Documentation as a Safeguard

74

 Practical Tools: Checklists and Templates

74

   Disclosure Checklist / Needs Assessment Template

74

   Claims Support Log

75

 Communication as an Ethical Skill

75

   Plain Language / Active Listening / Written Summaries

75

   Case Illustration: Embedding Ethics in Daily Practice

75

  Managing Conflicts of Interest

76

   Best Practices for Disclosure / Management / Case Example

76

 Ethical Advertising and Marketing

77

   Best Practices for Advertising

77

   Example of Compliant Wording / Internal Safeguards

77

 Renewal Practices / Best Practices for Renewals

77

   Case Illustration / Lesson

78

 Claims Handling and Advocacy / Best Practices for Claims Handling

78

   Case Illustration / Lesson

78

 Integrating Best Practices / Introduction to Practical Tools

79

 Disclosure Templates

79

    Sample Commission and Fee Disclosure Statement

79

 Needs Assessment Forms / Sample Personal Lines Assessment

80

   Sample Commercial Lines Assessment

80

 Renewal Discussion Notes / Sample Renewal Note Template

81

 Claims Assistance Logs / Sample Claims Logs

81

 Compliance Checklists / New Client Onboarding Checklist

82

   Renewal Checklist / Advertising Checklist

82

 Scenario-Based Training

83

    Chart

83

 Technology and Compliance Tools

83

   Best Practices for Technology Use

83

   Case Illustration: Tools in Action

84

 National Consistency in Ethical Standards

84

 Integrating Best Practices into Daily Operations

85

   Policies and Procedures / Supervision and Accountability

85

   Training and Culture / Documentation and Audit Trails

85

 The Broker’s Role in Public Trust

85

 Practical Takeaways

85

 Case Reflection Exercise / Discussion Questions

87

 The Future of Ethical Standards

87

 In Conclusion

87

 

 

 

 

United Insurance Educators, Inc.

(253) 846-1155