5. Consumer Protection
Partnering with the Consumer Council and insurance industry, the Office of the Commissioner of Insurance ("OCI") enhances market transparency, promotes good industry practice, and educates the insuring public.
 
  Market Transparency

Policyholders and insurance industry need timely access to statistical information to assist them in appraising market performance and making financial decisions. To enhance market transparency, the OCI regularly publishes insurance statistics on its homepage, newsletters and annual reports.

Every year, the OCI compiles statistics on the underwriting performance of Hong Kong general business based on the audited Hong Kong General Business Returns of insurers. Extensive data covering premiums, underwriting expenses, claims experiences as well as underwriting result for each class of business, distinguished between direct business and reinsurance inward business, are published. Key business figures of individual insurers are also released.

To better assist general insurers in their assessment of the claims cost of two compulsory lines of insurance business, namely, employees' compensation ("EC") business and motor vehicle business, the OCI also publishes additional statistics for this purpose. These include annual statistics on the gross premiums, gross claims paid and gross outstanding claims development data, broken down by trade occupation for EC business, and by type of vehicle, type of coverage, and nature of claims for motor vehicle business on an aggregate basis.

Every quarter, the OCI publishes provisional general business statistics on the underwriting performance for each class of direct and reinsurance inward business, under which direct Accident & Health business is further broken down into "medical" and "non-medical" business and EC business into "construction", "restaurants and hotels" and "others" business. The provisional statistics on the underwriting performance of motor vehicle business broken down by type of vehicle are also published quarterly.

Quarterly provisional long term business statistics include both in-force and new business. Returns on long term business have included quarterly statistics on life policy replacement to gauge the extent of this activity. A new form has also been used to collect statistics on individual policies issued to Mainland visitors.


Newsletter "ILens"

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Launched in May 2000, the bilingual "ILens" is instrumental in strengthening regulatory transparency and communication among the OCI, the insuring public and the insurance industry. The official newsletter's circulation is consistently over 40,000 with readership comprising members of the general public, insurance practitioners, academics, mass media and other financial services regulators.

In addition to the latest market performance, "ILens" contains a feature article, in each issue, focusing on a specific topic, for instance, corporate governance, information technology, reinsurance, life insurance, bancassurance, money laundering, premium volatility, quality customer service, tsunami claims, travel insurance, catastrophe insurance, etc. Relevant case studies are also published to heighten the public awareness of insurance and alertness of fighting insurance frauds and misconduct.

Copies of "ILens" are available free of charge from the OCI, District Offices of the Home Affairs Department and the Consumer Council. Electronic version of the newsletter is also available from the OCI's homepage.



Public Educational Campaign

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To provide consumer guidance for the insuring public, the OCI publishes booklets on insurance intermediaries and a series of educational pamphlets, e.g. "Buying Insurance - What you need to know", "Life Insurance Policy Replacement - What you need to know", and "Travel Insurance - What you need to know". TV/Radio Announcements in public interest (APIs) are also launched to reinforce the educational campaign.


Other Measures for Consumer Protection

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To enhance consumer protection, a series of measures have been taken jointly by the OCI and the insurance industry. These measures include:

  • Customer Protection Declaration Form ("CPDF")
    The CPDF is introduced under the Code of Practice for Life Insurance Replacement ("Code") issued by the insurance industry as a self-regulatory measure to prevent twisting of life policies. It should be completed and signed to evidence that an insurance intermediary has clearly explained to a life policyholder the consequences and potential disadvantages of replacing an existing policy. A life policy applicant is also required to declare in the CPDF that he/she has received a copy of the OCI's educational pamphlet "Life Insurance Policy Replacement - What you need to know". In 2006, the Code was revised to keep pace with the rapid market developments. Under the new Code, definition of life insurance policy replacement has been extended to cover the situation where a substantial part (i.e. 50% or above) of the guaranteed cash value of the existing policy was reduced or would be reduced.

  • Cooling-off Period for Long Term Insurance Policies
    Policyholders are given a cooling-off period to review the terms and conditions of their long term insurance policies. The cooling-off period is 21 days from the date of signing the insurance application form, 14 days from the issue date of a policy, 5 days after the delivery of the policy to the policyholder or his/her representative, or in the case of a policy replacement 14 days after the date on which the CPDF is delivered to the insurer of the policy replaced, whichever is the latest. The policyholder has a right to cancel the policy and obtain a full refund of the insurance premium (less a market value adjustment where applicable) if he/she changes his/her mind within that period.

  • Illustration Standards for Long Term Insurance Policies
    The insurance industry works with the relevant regulatory authorities in developing illustration standards to enhance the transparency of life policies. The standards provide prospective policyholders with a summary of insurance benefits, investment returns and surrender values. This illustration shall not only reduce potential market malpractice, but also enable prospective policyholders to make informed decisions.

  • Code of Conduct and Code of Practice
    As part of the self-regulatory initiatives taken by the industry, the Hong Kong Federation of Insurers has published the Code of Conduct for Insurers and the Code of Practice for the Administration of Insurance Agents. These Codes aim to promote good practice among insurers in the conduct of their insurance business and the administration of their insurance agents.

Enquiries and Complaints

Members of the public may contact the following organisations for enquiries and complaints:

Subject Matter Name of Organisation
  • Insurers

  • Insurance brokers authorised by the Insurance Authority

  • Other matters relating to the supervision of the insurance industry

  • Office of the Commissioner of Insurance (Insurance Authority)
    Address: 21/F., Queensway Government Offices, 66 Queensway, Hong Kong
    Telephone: 2867 2565
    Fax: 2869 0252
    E-mail: iamail@oci.gov.hk
    Website: http://www.oci.gov.hk
  • Insurance agents
  • The Insurance Agents Registration Board
    Address: 29/F., Sunshine Plaza, 353 Lockhart Road, Wanchai, Hong Kong
    Telephone: 2520 1868
    Fax: 2520 1967
    E-mail: hkfi@hkfi.org.hk
    Website: http://www.hkfi.org.hk

  • The insurers concerned

  • Insurance brokers who are members of approved bodies of insurance brokers

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  • The Hong Kong Confederation of Insurance Brokers
    Address: Room 308, 3/F, St. George's Building, 2 Ice House Street, Central, Hong Kong
    Telephone: 2882 9943
    Fax: 2890 2137
    E-mail: info@hkcib.org
    Website: http://www.hkcib.org

  • The Professional Insurance Brokers Association
    Address: Room 1406-07, Kai Tak Commercial Building, 317-319 Des Voeux Road Central, Sheung Wan, Hong Kong
    Telephone: 2869 8515
    Fax: 2770 2372
    Email: info@piba.org.hk
    Website: http://www.piba.org.hk

  • Claims dispute arising from personal insurance policies (with dispute amount not exceeding $800,000, with effect from 1 February 2006)
  • The Insurance Claims Complaints Bureau
    Address: 29/F., Sunshine Plaza, 353 Lockhart Road, Wanchai, Hong Kong
    Telephone: 2520 2728
    Fax: 2520 1967
    E-mail: iccb@iccb.org.hk
    Website: http://www.iccb.org.hk