PI COVER: HOW MUCH IS ENOUGH?

It is compulsory in terms of the Financial Advisory and Intermediary Services act of 2002 (FAIS Act) for all Financial Services Providers (FSPs) to have Professional Indemnity (PI) cover. The FAIS Act stipulates that FSPs should have a suitable level of PI insurance in place.


It is the duty of the FSP to assess the risk associated with their own professional services and also to determine what level of cover is required over and above the minimum levels set


MINIMUM LEVELS:


þ  CAT I OR IV (FSP RECEIVES CLIENT FUNDS)

Suitable guarantee of minimum of R1 million or PI and Fidelity cover minimum R1 million

 

þ  CAT II (FSP DOESN’T RECEIVE CLIENT FUNDS)

Suitable guarantee of minimum of R1 million or PI cover minimum R1 million

 

þ  CAT II (FSP RECEIVES CLIENT FUNDS)

Suitable guarantee of minimum of R5 million or PI and Fidelity cover minimum R5 million

 

þ  CAT IIA (FSP DOESN’T RECEIVE CLIENT FUNDS)

Suitable guarantee of minimum of R5 million or PI cover for a minimum R5 million

 

þ  CAT IIA (FSP RECEIVES CLIENT FUNDS)

Suitable guarantee of minimum of R5 million or PI and Fidelity cover minimum of R5 million

 

þ  CAT III

Suitable guarantee of minimum of R5 million or PI and Fidelity cover minimum R5 million

 

FSPs require PI cover in order to protect themselves against unforeseeable and unexpected PI exposures. PI cover is intended to protect FSPs against legal costs and claims for damages to third parties which may arise out of an act, omission or breach of professional duty in the course of its business. PI risk exposures stem from the provision of professional advice to insurance policy holders such as individuals and businesses. The FSPs PI cover will protect against; Negligent errors, negligent omissions; Negligent wrongful acts; Negligent breach of professional duty or contracts; Breach of respective warranty; Breach of trust committed in good faith; Defamation or injuria; Loss or damage to any documents; Related defense costs and any other costs incurred in mitigating or preventing a claim that is likely to occur.

 

If an incident were to occur that results in a financial loss to a third party, and legal action is taken against your FSP to recover losses, your PI insurance will protect both the assets and reputation of your FSP.


The most important aspect to consider when taking out PI cover is to determine whether the minimum cover will be sufficient. Considering the number of complaints that are being heard by the FAIS Ombud, it becomes apparent that South African consumers are very keen to take FSPs to court if they feel they are not being treated fairly. Our society is a lot more litigious than we both like to believe, or remember. Insurance and Financial products are multifaceted and there will be a time when not all exclusions, definitions or some minor details are explained to a consumer, then Murphy’s Law interjects, and your PI cover comes into play. The cover will ensure that you are guided accordingly and legal advice is provided should you need to be defended.

The requirement for how much you may need when that gloomy day should come, may not be sufficient. As the claim’s frequencies are becoming higher and the severity of these claims are also increasing, having adequate PI cover has become overpoweringly important. More claims result in more litigation between parties but the defense costs are covered by your PI policy, but are limited to the amount of cover you have purchased. Litigation usually consumes a huge amount of the limit available to the FSP and this could leave you underinsured for a certain portion of the loss incurred.


HOW MUCH PI COVER IS ENOUGH? WHICH FACTORS DO YOU NEED TO CONSIDER?

1.       SIZE OF YOUR BOOK:

This is the first point of reference. Does your FSP advise 10, 100 or 1000 clients? How many individual policies does your FSP have on its books? The question is really relating to how many times your FSP could potentially be, or have given negligent advice. The probability increasing with the greater the number of clients your FSP has, and the greater the number of products your FSP advises those clients on.

 

2.       COMPLEXITY OF FINANCIAL PRODUCTS:

All insurance products and investment schemes have a degree of difficulty to them, some more than others. Some products may be less frequently dealt with and here you will need to make sure you are updated with the latest developments. It is vital that you remember that a potential claim may arise from how well your client understood the financial product and as an intermediary providing financial advice and intermediary services, the responsibility falls upon your shoulders to ensure you explain to your clients what they are buying into. Therefore, it is expected that each representative within the FSP is capable in respect of giving advice on the products or investments being sold.


3.       SUM INSURED:

The question here is would your PI Cover amount be sufficient to cover a PI claim. In this regard the idea is to ensure that the PI limit that your FSP has, is sufficient enough to cover the highest limit of indemnity that your FSP has brokered or highest value of investment placed after considering all other factors described above.

 

4.       NATURE OF THE FINANCIAL SERVICES:

Do you render financial advice and/or intermediary services or only one of the two? The answer to this question is important especially when you need to determine whether the claim is as a result of incorrect advice being given, or the correct advice being given, but your FSP failed to render the correct documents to the third parties insurers. The discretionary mandate that your FSP has been given by a client is also a very important consideration here. Ensuring that your FSP does not act outside of this mandate, or does not fulfil all the requirements of this mandate is crucial.

 

5.       DEGREE OF RISK INVOLVED:

The degree of the risk involved really relates to all of the above factors when deciding on whether or not your FSP is adequately protected against the risks involved.

 

IN SUMMARY, WHEN AN FSP REVISITS ITS PI COVER ON ITS FSP, IT IS WELL WORTH CONSIDERING AND EVALUATING ALL THESE FACTORS FIRST TO ENSURE THAT YOU ARE SUFFICIENTLY PROTECTED

 

-Andrea Venter