How the Consumer Duty interacts with General Insurance Pricing Practices (GIPP)

There are some key areas of change and challenge for insurance firms under the Consumer Duty, despite the potential advantage compared with other sectors due to the existing requirements.
For firms who have already complied with the GIPP rules set out in PROD the ‘price and value’ and ‘products and services’ outcomes rules under the Duty will not apply. This was a major change from the consultation to the final rules and it is important to understand how the new Consumer Duty interacts with the existing requirements in PROD.

What is the scope of the Consumer Duty?

Whilst the term ‘Consumer Duty’ might imply that the rules and guidance apply only to retail consumers, the scope is wider and includes commercial Small-to-Medium-Sized Enterprise (SME) policyholders.

All firms in the distribution chain that can determine, or have a material influence over, customer outcomes are subject to the Consumer Duty. This could include firms in the wholesale market, even if they do not have a direct relationship with retail customers.

What does the Consumer Duty require?

The consumer support and understanding outcomes go further than the GIPP rules and previous regulatory requirements.

Consumer support

The consumer support outcome is more than “clear, fair and not misleading” under Principle 7. Firms need to support customers throughout the product lifecycle, including at the point of sale, renewal and claim. The FCA expects firms to provide customers with the information they need in an understandable way and at the right time, so they are equipped to engage confidently with insurance products and services and take responsibility for their decisions.

The FCA stated that firms need to tackle issues in general insurance and protection where consumers were not always supported to make good decisions to advance their financial objectives. The FCA gave examples of good practice, such as providing a range of different contact channels and proactive communications to help progress claims. Poor practice included failing to provide easy and accessible options for cancelling auto-renewals.

Consumer understanding

The FCA observed that firms often approach communications from a legal perspective rather than focusing on customer needs and presenting information in a digestible way. For example, failing to focus on whether customers understand what the product or service does (and does not) cover and if the information provided across different documents is consistent.

The Consumer Duty introduces a new requirement to test customer understanding of the information provided in key communications. Firms also need to monitor consumer understanding, the reasons for declined claims, any common themes and indications of shortcomings that need to be improved.

This may also benefit firms by resulting in a smoother claims process and less confusion over what is covered and excluded for a product or service.

Products and services

The FCA emphasised the importance of monitoring claims ratios, declined claims, lapse rates and complaints to demonstrate good customer outcomes. This is not covered in PROD.

It is worth noting that the definition of “product manufacturer” will change as part of the Consumer Duty. This will broaden the scope to those who ‘issue, manage, operate and carry out’ an insurance product. For closed books, the definition is expanded to capture those who ‘created, developed, designed or issued’ the product as well as those who ‘manage, operate, carry out or underwrite’. This will have an impact on firms that manage run-off, who may have previously considered themselves to be out of the scope of the GIPP rules.

Vulnerable customers

There is limited reference to vulnerable customers in the PROD rules. In contrast, the Consumer Duty makes clear that vulnerable customers within the target market (or sub-groups of the target market) are a key consideration for both product design and the distribution strategy. Insurers must determine if the product continues to meet the needs of the customer base and whether there are features that could cause harm to particular customers over time. 

Price and value

It is noteworthy that the FCA has now included ‘peace of mind’ as part of the value offered by insurance products, whereas it had previously refrained from doing so. This was presumably because ‘peace of mind’ is a subjective concept and is not something that can be measured or quantified. This suggests a change in the FCA’s thinking and should now be incorporated into a firm’s analysis of value.

Whilst the pricing remedy (i.e. the ban on price walking) only applied to home and motor insurance, the Consumer Duty is much wider and should be considered for renewal pricing outside of home and motor, and potentially outside of general insurance products.

What is the difference between ‘price and value’ and ‘products and services’?

Since GIPP rules cover both ‘products and services’ and the ‘price and value’ outcomes, insurers may be tempted to blur the two. However, it is important to understand the distinction.

The products and services outcome covers product governance obligations to make sure that products and services for consumers are fit for purpose. It is about designing products to meet the needs, characteristics and objectives of a target group of customers and distributing them appropriately.

The price and value outcome focuses on the fair value assessment. Price and value should already form part of product governance arrangements under PROD. The FCA has specifically drawn price and value to the fore to highlight its importance, although price and value considerations will also be relevant across the other three outcomes of the Consumer Duty. 

Next steps

For many insurers and brokers, if the existing GIPP rules have been implemented correctly, it will be a good starting point for adhering with the Consumer Duty requirements.

There are of course new, more general requirements, for all firms such as monitoring and continued board and management oversight. PROD does not have the same monitoring and oversight obligations that arise under the Consumer Duty, so insurance firms will need to consider this for all the outcomes despite the overlap with PROD.

Firms should:

  • Apply lessons learned from the existing GIPP rules.
  • Consider the needs of their customers including those in vulnerable circumstances and how they behave, at every stage of the product or service lifecycle.
  • Check customers understand the product or service and support customers in the claim making process.
  • Test customer outcomes at all stages of the consumer journey.

Ensure there is continued board and management oversight and consider the FCA’s cost of living expectations.