FCA final report on pure protection distribution

The FCA concluded its market study of pure protection distribution and issued its final report at the end of September.

As per the interim report (from January), the FCA concluded that the pure protection market is generally working well for consumers who already hold protection products. There are a wide range of products available, with high claims acceptance rates and generally positive outcomes for policyholders.

The FCA has decided not to take forward targeted support for pure protection at this stage, instead focusing on a package of FCA, industry and wider stakeholder-led initiatives to help address the protection gap [1]. The main issue is a lack of awareness and barriers to accessing suitable products. The report confirmed actions to be taken to address this.

The final report shows the culmination of around two years’ work by the regulator. Whilst there are no rule changes to be made off the back of the market study, firms are expected to review the outputs and take action. Firms should be aware that the report is accompanied by an annex on good/poor practice for fair value assessments.

A summary of the next steps for the FCA and affected firms

The FCA’s analysis suggests the lack of protection is primarily driven by low consumer awareness, limited product understanding and limited availability of products suitable for consumers with more complex needs.

To address the protection gap, the FCA will work with firms, industry bodies and other stakeholders to:

  • Raise awareness so more people understand the risks of being uninsured and the benefits of protection cover.
  • Encourage consumers to consider protection at key life events.
  • Improve access to products.

The FCA sets out various initiatives led by different stakeholders:

Industry and wider stakeholdersFCAJoint
  • Advisor engagement.
  • Consumer engagement.
  • Access to income protection for those on precarious incomes.
  • Potential TechSprint.
  • Myth-busting webinar.
  • To address delays in accessing medical records.
  • Prompts for protection.

These initiatives form the FCA’s ‘implementation’ timeline up until Q4 2027.

TechSprint

The FCA intends to run a TechSprint [2] to explore technology‑enabled solutions to the protection gap in Q3 2027. This will be dependent on whether there is sufficient interest from firms and other stakeholders.

The FCA has invited expressions of interest by 13 November 2026 and will confirm by the end of 2026 whether it will proceed. In the meantime, firms are encouraged to make use of the FCA’s Digital and Supercharged Sandboxes.

Focus areas for individual firms

The FCA reminded firms of the requirements under the Consumer Duty and the Product Intervention and Product Governance Sourcebook 4 (PROD 4). As part of this, the FCA highlighted the importance of supporting customers throughout the product lifecycle by providing timely prompts, effective signposting, and tools to help prepare for the claims process.

1. Consumer journeys

The FCA stated that some consumers still face barriers to buying suitable cover, including complex underwriting, delays in medical evidence, unclear communications and limited product availability.

The FCA plans to tackle consumer journey friction by promoting innovation and supporting industry action to improve access.

The FCA expects firms to prompt customers to think about their protection needs when purchasing related products. In doing so, firms should carefully consider how prompts are designed and delivered. They need to balance encouraging consumers to consider their protection needs with keeping sales appropriate to individual customer needs and delivering good outcomes.

Intermediaries and insurers should consider signposting when they decline customers. This could include signposting customers who are declined cover to alternative providers or specialist intermediaries who may be able to meet their needs [3]. The FCA also talked about the Consumer Duty obligations around consumer understanding and the expectation to contact customers at suitable points during the life of a product.

2. Fair value assessments

After an assessment of how premiums and commissions are set, the FCA decided that market-wide intervention was not necessary. The FCA concluded that loaded premiums did not inherently lead to poor outcomes for consumers.

The emphasis is instead on fair value in line with the requirements in PROD 4 and demonstrating fair value to customers in the target market. Firms should consider the impact of commission arrangements on the overall price, and how these support the intended value of the product, rather than focusing on the structure or label of the remuneration arrangement.

The FCA reviewed firms’ fair value assessments and set out good examples and areas for improvement. A key message for firms is to strengthen the evidence that underpins their assessments.

When considering value, the FCA applied its GI value measures as part of its analysis. Pure protection products do not come within scope of these reports. However, the FCA’s commentary shows that firms should be considering the value measures as part of their fair value assessments, if they are not already.

3. Claims handling

The FCA found that preparatory tools [4] are promoted inconsistently, and consumers may not understand their importance. This contributes to a ‘beneficiary gap’ [5]. As a result, the FCA expects firms to take steps to improve customer understanding and the consistent take-up of preparatory tools, both at the point of sale and later in the customer journey.

The FCA wants firms to consider how they can offer a more integrated insurer‑intermediary journey.

4. Guaranteed acceptance over 50s

Guaranteed over 50s products received much focus from the FCA in the interim and final reports. Despite concerns raised, the FCA ultimately concluded that these products can provide fair value for customers in the target market with different preferences and objectives.

It is worth noting that the FCA had mentioned (in the interim report) that there could be potential findings relating to income protection claims ratios and incentives to switch customers. While there is much consideration of both these areas within the final report, the FCA does not plan to take specific action to address them. Instead, the FCA will continue to monitor outcomes from switching through its supervision.

What’s next?

Although the market study has not resulted in rule changes, firms should not treat the final report as requiring no action. They should benchmark their approach against the FCA’s good and poor practice annex, address any gaps and consider whether to participate in the FCA’s wider initiatives, with the proposed TechSprint being the most immediate opportunity.

 

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References

[1] There are many customers (58% of adults) who would benefit from pure protection, but who do not have cover. The FCA calls this the ‘protection gap’ that it wants to help close.

[2] A TechSprint is a structured innovation programme bringing together firms and others to work on a defined market challenge and develop tech based solutions.

[3] There are already FCA rules that require firms selling travel insurance to signpost consumers with serious pre-existing medical conditions to a directory of specialist firms.

[4] Such as trusts and beneficiary nominations.

[5] The percentage of policies that are not placed in trust or set up without named beneficiary nominations.

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