Protection gap
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. Consumer research showed that a higher proportion of policyholders are male, working, under 65 years and with dependent children. Policyholders typically have higher levels of income and savings, and have a mortgage, considering themselves savvy and confident in financial matters. A higher proportion of those without cover had vulnerabilities relating to low resilience, low capability and poor health. Initiatives have been suggested, such as awareness campaigns, using more prompts or trigger points, or extending the targeted support that is being introduced for pensions and retail investments.
Income protection claims ratios
These are lower than other pure protection products (40% as opposed to 50%+). The FCA stated that this was largely explained by product features. For example, income protection is riskier to insurers and costlier to sell and administer. Income protection premiums have been falling faster than other products which may increase the claims ratio. The FCA will therefore revisit its assessment of claims ratios using 2025 data.
Incentives to switch consumers
The FCA was concerned that some intermediaries are encouraging customers to switch to a new policy to generate repeat commission (‘churn’). Data on policy lapses indicated a spike after commission clawback periods ended, which was likely influenced by commission incentives rather than consumer need. Some intermediaries could not distinguish sales to new consumers from sales to existing consumers, which makes monitoring churn difficult. The FCA wants the sector to collect, monitor and report better information on customers switching. The FCA proposes to work with industry to develop proportionate and effective reporting metrics.
Claims experience
Some intermediaries go further than others to support customers at the point of sale (such as placing policies in trust, setting up wills and powers of attorney), which can improve consumers’ experience if they need to claim. The FCA would like to make this widespread.
Other points raised
Value for guaranteed acceptance over 50s
The FCA found that purchasers of underwritten whole of life policies generally received better value than those who bought guaranteed acceptance over 50s products. Take-up of these products was highest among social renters, low-income households and those with vulnerabilities, who may not be able to, or choose not to, access underwritten insurance. Firms highlighted the simplicity and certainty of acceptance as a primary benefit for customers. The FCA’s research found that customers were positive overall and largely satisfied with their purchase decision.
Fair value assessments showed that firms had improved product design. For example, by changing premium caps, which determine when a consumer is no longer required to pay premiums but remains entitled to the policy benefit. The FCA noted that guaranteed acceptance over 50s policies paid the highest commission rate as a percentage of premiums.
Intermediary commission
Commission revenues and costs differed between intermediary business models, but the FCA did not see evidence of high profitability. When looking at the relationship between commission rate (%) and annual premiums, the FCA did not find that loaded premiums [2] resulted in higher premiums for consumers. Premiums were also similar across restricted panel and whole of market arrangements. However, there was evidence of poor practice from certain intermediaries, leading to potentially unsuitable sales and written off clawbacks.
Bereavement claims
The FCA mentioned findings from its 2024 review of bereavement claims [3] that few insurers capture end-to-end claim journey times by product type, limiting visibility of service outcomes and value. Where data was available, bereavement claim times were lengthy – typically 53 to 122 days for term assurance.
Get in touch with our insurance experts |
References
[2] Where higher commissions are negotiated between insurer and intermediary.
[3] Findings of our multi-firm review of life insurers’ bereavement claim process | FCA
This website uses cookies.
Some of these cookies are necessary, while others help us analyse our traffic, serve advertising and deliver customised experiences for you.
For more information on the cookies we use, please refer to our Privacy Policy.
This website cannot function properly without these cookies.
Analytical cookies help us enhance our website by collecting information on its usage.
We use marketing cookies to increase the relevancy of our advertising campaigns.