Draft Corporate Insurance Agents Regulations 2020

Part II
Statutory Notification (S. R. O)
GOVERNMENT OF PAKISTAN
SECURITIES AND EXCHANGE COMMISSION OF PAKISTAN NOTIFICATION Islamabad, the 28 th April, 2020 S.R.O. 343 (I)/2020: In exercise of the powers conferred by sub-section (3) of section 167 of Insurance Ordinance, 2000 (XXXIX of 2000) read with clause (ii) of sub-section (1) of
section 40 and clause (u) of sub-section (4) of section 20 of the Securities and Exchange
Commission of Pakistan Act, 1997 (XLII of 1997), the Securities and Exchange Commission of Pakistan is pleased to publish the draft regulations for information of all persons likely to be affected thereby and notice is hereby given that objections and suggestions, if any, received within thirty days of this notification shall be taken into consideration by the Securities and Exchange Commission of Pakistan.
CHAPTER 1
PRELIMINARY

1. Short title, commencement and applicability.– (1) These Regulations may be called
   the Corporate Insurance Agents Regulations, 2020.
   (2) They shall come into force at once.
   (3) These Regulations are applicable to all corporate insurance agents of life and non-life insurers including the family and general takaful operators. The relevant provisions of these Regulations are also applicable to the distribution of insurance through technology based channels. (4) These Regulations shall be applicable on all new insurance business written on or after January 1, 2021 by insurers under their agency agreements with corporate insurance agents. However, the insurer and the corporate insurance agent shall make amendments in the existing agency agreements, wherever necessary, to comply with these Regulations no later than December 31, 2020. The insurer shall send a written confirmation, signed by the designated insurance executive, to the Commission mentioning that the necessary changes have been completed and the relationship with the corporate insurance agent complies with the requirements of these Regulations.
2. Definitions.- (1) In these Regulations, unless there is anything repugnant in the subject
   or context,-
   (a) “annexure” means annexures appended to these Regulations;

(b) “agency agreement" called by whatsoever name or title, means a legal contract between the corporate insurance agent and the insurer, under which, the former acts as the corporate insurance agent of the latter, meeting all the requirements of the applicable provisions of the Ordinance, Insurance Rules and these Regulations; (c) "bancassurance" means the offering, advertising, distributing, selling and/or marketing of insurance products by a bank licensed by State Bank of Pakistan to their account holders / customers / general public through their sales and distribution channels including but not limited to branches, telemarketing centres, websites or any digital platform etc. by virtue of agency agreement(s) between the insurer and the bank; (d) "bank" for the purpose of these regulations, includes,- (i) a "banking company" as defined in clause (vii) of section 2 of the Ordinance; or (ii) a “scheduled bank" as defined in clause (lvii) of section 2 of the Ordinance; or (iii) any other institution or organisation directly or indirectly regulated by the State Bank of Pakistan; (e) "bank insurance executive" means an employee of the bank, by whatever name, title or designation called, directly or indirectly responsible for managing the bancassurance arrangement for the bank who shall comply with the requirements imposed through these regulations; (f) "certification" means the process by which a specified person is issued a certificate by the insurer entitling him to solicit and procure insurance business on behalf of the Insurer under the agency agreement; Provided that in the case of bancassurance business, the certificate for certification of specified person shall be issued jointly by the insurer and the bank; (g) “Commission” means the Securities and Exchange Commission of Pakistan established under section 3 of the SECP Act 1997 (XLII of 1997); (h) “corporate insurance agent” means all persons, excluding individuals, who have entered into agency agreement with any life or non-life insurer registered under the Ordinance and facilitate insurance products distribution for the insurer with which they have entered into an agency agreement;

(i) “corporate insurance executive” means an employee of the corporate insurance agents (excluding banks), by whatever name, title or designation called, directly or indirectly responsible for managing the arrangement for the corporate insurance agent who shall comply with the requirements imposed through these regulations; (j) "designated insurance executive" means an employee of the insurer, called by whatever name, title or designation, directly or indirectly responsible for managing the business arrangement with the corporate insurance agent on behalf of insurer; (k) “direct sales model” in relation to business through corporate insurance agents means a particular distribution model where the corporate insurance agent uses its own sales force to market and distribute insurance products through its network; (l) “group life insurance policies” means a life insurance contract having a term not exceeding one year, offered on yearly renewable term and group underwriting basis through a master policy document. The policyholder is a company, body corporate, bank, registered association or any enterprise. It excludes group life policies with cash values and individual life policies which may be sold to a group of individuals; (m) "insurer" means an insurance company registered under the Ordinance to carry on insurance business; (n) “insurance consultant” in relation to business through corporate insurance agent means a specified person who is an employee of the insurer and is responsible for soliciting and procuring insurance business under the agency agreement; (o) "Insurance Rules" means the Insurance Rules, 2017, and/or the Takaful Rules 2012 or any other rule(s) issued under the Ordinance; (p) “loyalty insurance product” means the products which are complimentary with any product or service and which policyholder becomes automatically entitled to insurance coverage upon meeting certain pre-specified conditions and for which, premium is not paid by the policyholder; (q) “misselling” means the deliberate, reckless, or negligent sale of insurance products in circumstances where a product sold is either misrepresented or unsuitable for the customer's needs; (r) “mobile network operators” means the corporate entities which are licensed by the Pakistan Telecommunication Authority to provide cellular mobile communication service under the applicable laws.

(s) "Ordinance" means the Insurance Ordinance, 2000 (XXXIX of 2000); (t) "persistency" means the ratio of renewal year premiums collected in a calendar year to the premiums due in the same calendar year (the premiums due being inclusive of any increases as a result of a policy provision). The premium due in that calendar year shall include the premium in respect of policies discontinued (lapsed or surrendered) during that calendar year; Provided that the renewal year premium received during the grace period provided in the insurance policies issued by the insurer shall be considered for the purpose of calculation of persistency; (u) "policyholder" shall have the same meaning as assigned to it under clause (xlvi) of section 2 of the Ordinance; (v) “protection products” means individual insurance products with no element of savings or investments for the policyholder; (w) “referral model” in relation to business through corporate insurance agent means a particular distribution model where the insurer uses its own insurance consultants to market and distribute insurance products through the distribution network of the corporate insurance agent based on sales leads generated by the corporate insurance agent; (x) “Regulations” means the Corporate Insurance Agents Regulations, 2020; (y) “savings products” means regular premium individual life insurance products which have a savings or investment portion for the policyholder. This includes investment linked unit linked policies, investment linked account value policies, universal life policies, and with/without profits conventional endowment and whole life plans; (z) “schedule” means schedule appended to these Regulations. (aa) "specified person" means either an employee of the corporate insurance agent or an employee of the insurer who has undergone the required practical training, examination, certification in respect of insurance products and the arrangement between the insurer and the corporate insurance agent, and who is responsible for soliciting and procuring insurance business for the insurer under the agency agreement. (bb) “technology based distribution channels” means sale of insurance through channels involving technology including, but not limited to, mobile, internet or other technology based platforms etc. whether through involvement of corporate insurance agents or otherwise. The technology provider may or may not be working in the capacity of corporate insurance agent;

(cc) “telemarketing” means sales of insurance products through recorded telephone lines; and (dd) "voluntary insurance product” means the products which policyholder opts to purchase with his own will and also pays the premium. (2) All words and expressions used in these Regulations but not defined shall have the same meaning as assigned to them in the Ordinance and the Insurance Rules. (3) In these Regulations, the word "Takaful” may be used interchangeably with the word `insurance', 'Family Takaful' with ‘Life Insurance’, ‘General Takaful’ with ‘General Insurance’, ‘contribution’ with ‘premium', ‘insured’ with ‘policyholder’ and 'Company' & ‘Insurer’ with ‘Takaful Operator’. Similarly other terms used in the Takaful Rules, 2012 associated with the Takaful business may be used interchangeably with their conventional counterpart words/terms.
CHAPTER II
NATURE AND SCOPE OF ARRANGEMENTS FOR CORPORATE INSURANCE AGENTS
3. Basis of contract.- (1) The sale of all insurance products by any corporate insurance
agent (on behalf of an Insurer) must be done in such a manner which demonstrates that the prospective purchaser makes an offer to enter into the insurance contract, and either the corporate insurance agent on behalf of the insurer signifies acceptance or the insurer directly signifies acceptance. Provided that the offer made under sub-regulation (1) shall be made either by signing a proposal form or recording verbal consent or in the case of technology based channel consent obtained through acceptance of the policyholder on a secure web-based “I agree” or “I accept” button or any similar mechanism. (2) Without the evidence of offer and acceptance, no insurance sale shall be deemed to be completed and the insurance contract shall be considered null and void. (3) The role and function of the corporate insurance agent shall be subject to the provisions of Ordinance including but not limited to eligibility, qualification and liability of insurance agents.
4. Arrangement between insurer and corporate insurance agent.- (1) Any arrangement
between insurer and the corporate insurance agent shall not be valid unless it incorporates the following components in the agency agreement, namely,- (a) It shall not contain any provisions which reduce in any way the liability or responsibility of the insurer towards the policyholder under the Ordinance and the Insurance Rules;

(b) It shall specify any functions which the insurer, as a part of such arrangement, intends to delegate to the corporate insurance agent; (c) It shall clearly define the certification process which shall include a definition of the training required prior to certification; (d) It contains a provision which clearly states the "termination of agreement' clause and rights and obligation of the corporate insurance agent and the insurer subsequent to such termination and such clause shall also state the treatment to be given to existing policyholders and remuneration to the corporate insurance agent subsequent to the termination; (e) It contains a provision whereby the corporate insurance agent explicitly agrees to adhere to the provisions of these Regulations and the provisions of the Ordinance in its capacity as an agent of the insurer; (f) It contains a provision whereby the corporate insurance agent explicitly agrees that in case of dispute, the corporate insurance agent will appear before the Insurance Tribunal, Federal Insurance Ombudsman and Small Dispute Resolution Committees. (2) In case where the insurance broker acts in the capacity of corporate insurance agent or an administrative support provider or the services of a third party administrator or of a mobile network operator are involved, the agency agreement shall clearly stipulate the roles and responsibilities of each of the parties involved in respect of the following areas, at a minimum:
(a) policy acquisition/enrollment;
(b) administration and servicing;
(c) claims processing and;
(d) complaint handling.
5. Premium collection.- (1) The insurer may assign the responsibility of collecting
premiums due on policies once issued through the corporate insurance agent but before it does this, the Insurer shall ensure that the corporate insurance agent has the necessary premium collection system. (2) Where the insurer is not satisfied with the capability of the corporate insurance agent to collect regular premiums and to effectively follow up on premiums due but not paid, the premium collection function shall be taken over by the insurer. (3) The insurer shall also ensure that the premium collection system of the corporate insurance agent is effectively working and, if it is not, shall take such action as is required to

ensure that it is effective, including the withdrawal of the premium collection function from the corporate insurance agent. (4) The corporate insurance agent shall always pay the gross premium to the insurer and shall not retain any part of the insurance premium received from the policyholders for payment to the insurer. (5) The corporate insurance agent and/or the insurer shall make every attempt to ensure remittance of the premiums by the policyholders within the stipulated time, by notifying the policyholders orally and in writing, or through other means such as call centre, email or SMS and the insurer shall advise the corporate insurance agent of its desired level of business persistency from time to time and the corporate insurance agent shall make all reasonable efforts to ensure that its systems and processes are in place to meet these levels. (6) In the case of life Insurance, the insurer shall also ensure that notices under section 93 of the Ordinance are sent to the policy holders. (7) Any payment for premium made by the policyholder and received by the corporate insurance agent shall be deemed to constitute payment to the Insurer. (8) The policyholder shall have a right to pay premium to the insurer through any means legally permitted in respect of the policies purchased through a corporate insurance agent. (9) In the case of bancassurance business, the option of premium deduction through direct debit shall be at the written consent of the policyholders and the bank and/or insurer shall provide free SMS and/or email alert to the policyholders for premium payment through direct debit. Provided that in the case of distribution through telemarketing, the consent for deduction through direct debit shall be obtained verbally on recorded line and in the case of sales through other technology based distribution channels, the consent for deduction through direct debit shall be obtained through acceptance of the policyholder on a secure web￾based “I agree” or “I accept” button.
6. Marketing Brochures and Sales Material.- (1) The content and layout of all marketing
and sales related materials used to solicit business through corporate insurance agents shall be approved both by the corporate insurance agent and the insurer and should not be in conflict with applicable insurance laws and regulations. The insurer shall be primarily responsible for the accuracy of all contents of advertising and sales material. (2) In all such sales material the relative roles of the corporate insurance agent and the insurer shall be clearly stated at a prominent place including but not limited to policy servicing, claims lodgement and claims processing and must clearly state that the corporate insurance agent is acting on behalf of the insurer, who is the principal and responsible for all liabilities under the policy and the name, address and contact details of the insurer shall also be mentioned at a prominent place.

(3) The market conduct rules and rules issued in respect of the insurance agent by the Commission shall be observed by the corporate insurance agent. (4) For life insurance, wherever applicable, illustration of benefits, on the prescribed format provided by the insurer shall be signed by the specified person and the intending policyholder and any insurance proposal, where the illustration of benefits is missing, unsigned or is not based on the product parameters mentioned in the proposal form, shall not be accepted by the insurer for any further process. (5) The marketing brochures, sales material and products information available on the websites of the insurer and the corporate insurance agent should be consistent with each other and the corporate insurance agent shall disclose their agency status on their websites and during the call back confirmation with the policyholder that they are acting as agent for the insurer in compliance with section 100 of the Ordinance.
7. Claims Handling.- (1) Under the arrangement with the corporate insurance agent, the
claim adjudication and settlement shall be the responsibility of the insurer and the corporate insurance agent shall play a facilitating role by assisting the policyholder or nominee(s), as the case may be, in claim processing. The contact details of the insurer for claim settlement shall be prominently displayed on the insurance contract and also be made available by the insurer to the corporate insurance agent so that the information can be cascaded to the policyholder or nominee(s) at the time of claim intimation. (2) The corporate insurance agent shall facilitate the insurer in all possible manner in collecting the necessary documents and information related to claims, as requested by the insurer and the corporate insurance agent shall not question the information requested by the insurer for claim adjudication and settlement, and shall not interfere with or influence the decision of the insurer regarding the payment or repudiation of a claim. (3) The process of claim lodgement shall be appropriately communicated to the policyholder along with the policy document and the insurer shall acknowledge receipt of claim within seven working days along with communication of all the required documents or information for claim processing. The insurer shall settle a claim within a period of ninety days as provided in in
section 118 of the Ordinance. Before declining a claim, on account of deficiencies in claim
documents submitted, the insurer shall communicate to the beneficiary (or the guardian as the case may be) such deficiencies within fourteen days from the date of provision of said documents to the insurer. (4) The insurer shall make the claim settlement directly in the name of the policyholder or his nominee, as the case may be.
8. Commission payable to corporate insurance agents.- (1) The level of commission
payable to the corporate insurance agent for its role of soliciting and procuring insurance business may vary based on any performance criteria which the insurer and corporate insurance agent may agree and the rates and structure of the commission shall be clearly mentioned in the agency agreement.

(2) Any commission to be paid by the insurer to the corporate insurance agent must be computed on premiums received by the insurer and under no circumstances the commission on premiums to be received in future, be paid. (3) The corporate insurance agent shall not charge, to the policyholder, any service fee, processing fee, administration charge or any other charge unless such a charge has been included by the insurer in the premium and communicated to the policyholder in advance. (4) Nothing in regulation 8(1) shall prevent the insurer from sharing any third party costs incurred by the corporate insurance agent related to advertising or development of marketing material subject to the limits specified under regulation 13. (5) The following shall be applicable for life insurers, in addition to those stated above:
(a) The commission payable to the corporate insurance agent shall be in the form as set out in these Regulations and shall not exceed the limits set out in these Regulations; and (b) Any sharing of third party costs incurred by the corporate insurance agent related to advertising or development of marketing material shall be subject to the limits specified under regulation 13.
9. Pricing, Risk Assessment, Insurance Related Documents.- (1) Pricing of insurance
products shall be the sole domain of the insurer and the corporate insurance agent shall not interfere in this process. (2) Risk assessment, determining the risk premium and insurance underwriting shall be the responsibility of the insurer and the corporate insurance agent shall not interfere in this process. (3) Where the insurer has provided automated underwriting software to the corporate insurance agent to accept and underwrite insurance proposals, the corporate insurance agent may use the system based on the exact guidelines provided by the insurer. (For insurance proposals underwritten through such a system, and where the policy can be issued immediately without referring the proposal to the insurer, the corporate insurance agent, based on the guidelines provided by the insurer, may issue policy/certificate/document to the policyholder). (4) The corporate insurance agent shall abide by the guidelines provided by the insurer for usage of the automated underwriting computer system and the use of the system by any sales channel of the corporate insurance agent does not imply in any way, or entitle the corporate insurance agent to represent itself or act as the insurance underwriter. (5) The name of the corporate insurance agent shall not appear in the policy document as this could mislead or deceive the buyer of the insurance product and all requirements for new products (for life insurance), as mentioned in the Ordinance, shall be complied with by the insurer.

Provided that in case of bancassurance business, within three months of the coming into effect of these Regulations, insurers shall remove the names of the banks from their name of the products and policy documents. The name and logo of the insurer should be placed prominently in all the marketing material including the product brochure such that it becomes clear to the intending policyholder that the product is a product of the insurer and not of the bank. Moreover, the word “insurance” along with the name of the insurer shall be made part of the product name. Provided further that the requirement provided in proviso 1 above shall apply mutatis mutandis on other corporate insurance agents as well. (6) The Insurer shall submit a copy of the agency agreement that it has entered into with the corporate insurance agent for the record of the Commission within fifteen days of its execution. This requirement shall apply to both life and non-life insurers.
CHAPTER III
CODE OF CONDUCT FOR CORPORATE INSURANCE AGENT, INSURER AND SPECIFIED PERSONS
10. Code of conduct for corporate insurance agent.- Every corporate insurance agent
shall, -
(a) ensure that the bank insurance executive or the corporate insurance executive and all specified persons are properly trained as per the relevant provisions of the Ordinance and these Regulations and possess sound knowledge of the insurance products they would market, and have undergone the process of the certification. (b) ensure that the bank insurance executive or the corporate insurance executive and the specified person do not make any misrepresentation or make misleading statement to the prospect on policy benefits and returns available under the policy which may tantamount to misleading or being deceptive under the relevant provisions of the Ordinance in respect of the market conduct. (c) ensure that no prospect is coerced by the bank insurance executive or the corporate insurance executive or specified Person to buy an insurance product. (d) give adequate pre-sale and post-sale advices to the prospective insured in respect of the insurance product. (e) extend all possible assistance and cooperation to an insured/nominee in completion of all formalities and documentation in the event of a claim; and (f) give due publicity to the fact that the corporate insurance agent does not underwrite the risk or act as an Insurer;

(g) ensure that the proper training of persons engaged in sales of insurance products and also enlighten such persons about the consequences of being engaged in misselling, misleading or deceptive conduct under these Regulations.
11. Code of conduct for bank insurance executives or corporate insurance executives
and specified persons.- (1) Every bank insurance executive or the corporate insurance executive or specified person shall,- (a) identify that the corporate insurance agent is acting as an agent of the insurer at every meeting with the prospect and shall always ensure mentioning the name of the insurer to the prospect; (b) disseminate the requisite information in respect of the insurance products offered for sale by the insurer and take into account the needs of the prospect while recommending/tailoring a specific insurance plan; (c) indicate the premium to be charged by the insurer for the insurance product offered for sale; (d) for an insurance product which is bundled with any other product offered by the corporate insurance agent, mention the cost of the insurance product and the other product separately; (e) guide the prospect about the content, purpose and manner of filling the proposal form, explain to him the importance of disclosure of material information required under the relevant insurance contracts and that non-disclosure and/or misrepresentation of material information on the proposal form may lead to refusal of claim by the insurer; (f) assist the prospect in filling the proposal form, however, utmost efforts shall be made that the proposal form is, preferably, filled by the prospective policyholder himself. (g) obtain the requisite documents at the time of completion of the proposal form by the prospect and other documents subsequently asked by the Insurer in connection therewith; and (h) render such assistance to the policyholder or claimant or nominee, as may be required in complying with the requirements for settlement of claims by the Insurer. (2) No Specified person shall,- (a) solicit or procure insurance business without undergoing the certification process;

(b) give information to the prospect which deviates from the information provided by the Insurer with regard to the insurance product; (c) induce or misguide the prospect to avoid disclosing any material information in the proposal form; (d) induce or misguide the prospect to submit incorrect information in the proposal form or documents submitted to the Insurer for acceptance of the proposal; (e) behave in a discourteous manner with the prospect; (f) interfere with any proposal introduced by any other Specified Person or any insurance agent of the Insurer; (g) offer different rates, benefits, terms and conditions other than those offered or agreed by the Insurer; (h) demand or receive a share of proceeds from the policyholder or claimant or nominee under an insurance contract; (i) force a policyholder to terminate the existing policy and to effect a new proposal from him within three years from the date of such termination; and (j) become or remain a director of any Insurer; (3) In case of bancassurance business, the insurer shall require the bank to seek an undertaking from the specified persons selling insurance products at the front desk of the bank branch to comply with the code of conduct provided above. CHPATER IV LIMIT ON THE COMMISSION PAYABLE TO CORPORATE INSURANCE AGENT
12. Direct sales model.- Where a corporate insurance agent uses its own sales force to
market and distribute insurance products through its own distribution channel then such model shall be referred to as direct sales model. (a) Regular premium individual life plans.- (savings products and protection products) (i) First policy year commission to corporate insurance agent.- In the first policy year the commission to the corporate insurance agent will be subject to the maximum limit given as per table A1 in schedule to these Regulations;

(ii) Renewal years commission to corporate insurance agent.- For the efforts of the corporate insurance agent in collecting second year and subsequent year’s premium the second policy year commission and subsequent policy year commission to the corporate insurance agent (as a percentage of the corresponding policy year collected premium) will be subject to the maximum limit given as per table A1 in schedule to these Regulations; (iii) Share in investment management charge (as an alternative to second policy year and onwards commission rate).- Starting from the second policy year onwards, for investment linked unit linked and investment linked account value products, the insurer shall be allowed to share with the corporate insurance agent, a part of the investment management fee as a percentage of the net asset value (NAV) of the underlying unit linked fund, or the investment fund up to the extent of the fund attributable to the policies procured through the corporate insurance agent. The maximum share of the corporate insurance agent in the NAV shall at any time not exceed 50% of the total investment management fee charged by the insurer on the fund to the extent of the policies procured through the corporate insurance agent, up to a maximum of 0.75% per annum of the NAV. (iv) Production bonus.- In lieu of a lower first policy year commission, an insurer shall be allowed to pay production bonus to the corporate insurance agent linked to achievement of mutually agreed new business targets. The sum of the production bonus percentage and first policy year commission shall not exceed the maximum commission rate mentioned in schedule to these Regulations. The production bonus in aggregate as a percentage of the first policy year collected premium shall not exceed 5%. (v) Persistency bonus.- For the efforts of the corporate insurance agent in collecting renewal premium, and improving and maintaining persistency, an insurer shall be allowed to pay persistency bonus to the corporate insurance agent based on minimum persistency level achieved and the rates as per as per table A2 in schedule to these Regulations. An insurer may split 4 th year and onward commission rates into upfront commission and targeted persistency level. (vi) Maximum aggregate commission.- The maximum commission payable, i.e. cumulative first policy year, second policy year and subsequent policy year onwards commission, as stated above, over the entire premium paying term of a policy shall not exceed the maximum limits prescribed as per schedule to these Regulations. For policies with premium paying terms between 10 and 20 years, or terms less than 10 years, these limits shall be prorated according to premium paying term.

(b) The maximum commission limits as per schedule to these Regulations will also be applicable for single premium savings products, regular premium annuities, regular premium personal accident type policies, group term life policies for retail customers of corporate insurance agent, including yearly renewable term policies, personal accident policies, group credit life and similar products.
13. Sales and marketing incentives to corporate insurance agents.- (1) To promote
business through corporate insurance agents, an insurer shall be allowed to share with the corporate insurance agent in the costs of sales and marketing incentives including sales conventions and awards called by whatever name in respect of business through corporate insurance agent. The share of the Insurer in such activities shall not exceed 5% of the first policy year collected premium. Provided that sales and marketing incentive shall not be applicable on contracts having term of not more than one year (including yearly renewable plans) and on single premium products. (2) For the purpose of sub regulation (1) above, an insurer shall incorporate the minimum persistency benchmarks, as given in table A2 and A3 to the schedule, with all sales and marketing incentives including sales convention at each corporate insurance agent level. (3) All insurers shall provide a separate disclosure of expenses incurred under sub-regulation (1) above to be included in the statement of expenses as specified under regulation 31(b).
14. Referral model.- (1) If an insurer uses its own insurance consultants to market and
distribute insurance products through the corporate insurance agent distribution channel based on sales leads generated by the corporate insurance agent such a model shall be referred to henceforth as the referral model. (2) The total direct expenses incurred by the insurer in respect of new business as commission to the corporate insurance agent, salaries and commission to its Insurance Consultants, sales and marketing incentives to the corporate insurance agent or its insurance consultants and production bonuses shall be within the aggregate of all first year limits prescribed in regulation 12 and 13 above for each type of product. (3) The following shall apply to regular premium individual life plans (savings products and protection products), in addition to sub-regulations (1) and (2) where relevant:
(a) First policy year commission to corporate insurance agents (as % of first year collected premium).- The first year commission to the corporate insurance agent shall be as per Table A1 in Schedule. The insurer may, based on the product structure, link the commission rate to the premium paying term of the policy, subject to the condition that the maximum commission at any premium paying term shall not exceed the above maximum limit).

(b) Renewal year commission to corporate insurance agent.- For the efforts of the corporate insurance agent in collecting second year and subsequent year’s premium, the second policy year commission and subsequent policy year commission to the corporate insurance agent (as a percentage of the corresponding year collected premium) will be subject to the maximum limits given as per Table A1 in Schedule to these Regulations. (c) Persistency bonus.- For the efforts of the corporate insurance agent in collecting renewal premium, and improving and maintaining persistency, an insurer shall be allowed to pay persistency bonus to the corporate insurance agent based on minimum persistency level achieved and the rates as per table A3 under schedule to these Regulations. An insurer may split 4 th year and onward commission rates into upfront commission and targeted persistency level. (d) Where the corporate insurance agent agrees to a commission rate which is less than the maximum prescribed in schedule, the insurer shall have the option to pay the difference in the commission rate as part of the second or later years' commission, provided the product structure permits such a commission structure. (4) An insurer shall not give commission to a corporate insurance agent in any manner other than as described above in this regulation and regulation 12.
15. Commission claw-back.- (1) This provision shall apply to the life insurance policies and
non-life insurance personal lines products, sold through the corporate insurance agent. (2) Where a policyholder has intimated within the specified time period, to the insurer or the corporate insurance agent that the policy was missold and the insurer subsequently determines that the policy was missold in accordance with sub-regulation (3) to (4), then the entire commission paid by the insurer to the corporate insurance agent will be clawed back and 100% of the premium paid by the policyholder shall be refunded to the policyholder. For the purposes of this sub-regulation, the specified time period shall be as follows:
(a) Within twenty five (25) months after issuance of life insurance policies in respect of regular premium individual life investment plans offered as investment contracts (i.e. either investment linked unit linked policy or investment linked account value policy) or conventional non-linked policy; (b) Within thirty (30) days after issuance of life insurance policies with term equal to or less than one year and non-life personal lines insurance policies; and (c) Before commencement of insurance coverage in respect of travel insurance policies. Provided that for the purposes of automatic commission claw-back under regulation 16 below, establishment of misselling by the Insurer is not required for application of automatic commission clawback, however, this shall not in any case be considered to

preclude the insurer to undertake investigation in to any alleged misselling under any such policy. (2) Upon receipt of intimation from a policyholder regarding misselling, an insurer shall be responsible to investigate that the policy was actually missold within 30 days from the date of receipt of such intimation. (3) For the purpose of these Regulations, an insurance policy shall be considered as missold if any of the regulatory requirements, including but not limited to training of specified person, disclosures in marketing and sales material, sales process and additionally in case of life insurance policies, financial underwriting, after sales-call and recycling of life insurance policies have not been complied with in letter and spirit. (4) Sub-regulation (2) shall not preclude an insurer to entertain misselling intimations received after the aforementioned time period, excluding clause (c) of sub-section (2) above. (5) In case of regular premium individual life investment plans including endowment products, if during second policy year, the annual premium of a regular premium individual life insurance policy is reduced by more than 25% of the original annual premium, then the excessive reduction i.e. the difference between actual reduction and allowed reduction of 25% will deemed to be an adhoc premium paid by the policyholder in the first policy year. The excessive reduction in the annual premium (after adjusting for the first year allocation of premium in respect of the aforementioned excessive reduction) will be transferred to the policyholder’s investment account or unit value to give an effect that such differential premium is paid by the policyholder along with the most recent premium payment. Explanation: For the purposes of this sub-section the term “adhoc premium” means the additional lump sum amount of premium (in addition to the regular premium) paid by the policy holder to increase the investment component (i.e. cash value) of the policy. (6) The differential commission will be calculated by applying the difference in commission rate in the first year between a regular premium plan and single premium plan on the excessive reduction. The differential commission will be clawed back from the corporate insurance agent and retained by the Insurer.
16. Automatic commission claw-back.- (1) Where a regular premium individual life
insurance policy lapses due to non-payment of second year premium due under the policy (after the lapse of the grace period provided under the policy), due to any reason whatsoever, the policy shall be subject to automatic claw-back of commission as per the sub-regulation (2) below. Provided that the provision of sub-regulation (1) shall not apply in the case of those policyholders which had undergone medical examination for the purchase of the insurance policy. Provided further that in the case of bancassurance business, the provision of sub￾regulation (1) shall also not apply in the case of those policyholders whose account with the bank became inactive or dormant or had insufficient account balance due to which

the bank was not able to deduct premium from the account of such policyholder and the policyholder on being approached by the insurance company agreed in writing to either pay the premium after removing of dormancy of such bank account or through any other instrument as deemed fit by the policyholder. Provided further that where an insurance policyholder himself deliberately discontinues his policy by not paying the second year premium, the provisions of sub-regulation (1) shall not apply, however, it shall be the responsibility of the insurer and the corporate insurance agent to seek a written confirmation from the policyholder in this regard. The insurer shall also make a call back to such policyholder seeking his consent on discontinuance of his policy and shall retain the record of such calls for a period of at least three years. (2) Where a policy becomes subject to automatic claw-back of commission under sub￾regulation (1), the commission paid to the corporate insurance agent shall be clawed back and the full amount of premium, after deduction of costs incurred for protection charges deducted during the period under which the policy was inforce, shall be paid to the policyholder. (3) If after the refund of premium, as per sub-regulation (2) above, the policyholder approaches the insurer for reinstatement of the policy, the Insurer shall reinstate the policy subject to receipt of all due premiums under the policy and meeting of policy conditions by the policyholder. (4) The policies subject to automatic claw-back of commission under this regulation shall be included in the calculation of premium due for the purposes of calculation of second year persistency of the insurer.
17. Minimum Cash Values.- (1) Notwithstanding the terms and conditions of the life
insurance policy all insurers are required to pay the minimum cash values according to these Regulations. (2) In case of an investment contract (i.e. investment linked unit linked policy or investment linked account value policy) or conventional non-linked policy with cash value, if an Insurer has determined that the policy was missold as per sub-regulations (3) and (4) of regulation 15, then 100% of the premium shall be refunded back to the policyholder by the Insurer.
18. Sales Process for Business through Corporate Insurance Agent.- The following
requirements shall apply to all regular premium individual life insurance policies sold through corporate insurance agents:
(a) Documents to be provided to policyholder in Urdu or English language.- All documents provided to the policyholder such as proposal form, marketing brochure, sales material, policy documents and any other pre-sale or post-sale document provided to the policyholder or the prospective policyholder shall either be in English language or Urdu language. The decision of the policyholder to have

documents in Urdu or English language shall be taken from the policyholder during the after sales call to the policyholder. (b) Free look period to be mentioned at prominent place on policy document, participant specific schedule and marketing material.- The insurer shall ensure that it is mentioned in bold font, at a prominent place on first page of the policy document, participant specific schedule and marketing material that the policyholder can cancel the policy within fifteen (15) days of the receipt of the policy documents by the policyholder. (c) Audio-visual clip for guidance on proposal form and key product features.- The insurer shall ensure that a brief audio-visual clip, of at least two (2) minute duration is shown to the prospective policyholder prior to providing him/her the proposal form for filling. The audio-visual clip shall cover the following:
(i) key features of the insurance product being offered covering premium payment, coverage extended, minimum financial component, free look period, surrender options and partial withdrawals etc. (ii) contents of the proposal form, its significance, duty to provide accurate information and implication of non-disclosure and/or material misrepresentation of material information on claim adjudication; and (d) Communication during policy cycle.- (i) The insurer shall maintain continuous communication with the policyholder so as to provide him pertinent information about the policy and any ancillary matters related thereto, in a timely and effective manner through the communication channel, chosen by the policyholder, throughout the policy cycle. The insurer will, at the least, communicate with the policyholder in the following instances as follows:
(a) The insurer shall send a “welcome message” through SMS at the registered mobile number of the policyholder containing information about issuance of insurance policy, dispatch of insurance policy documents, and free look period clause. (b) The insurer shall send the renewal notice to the policyholder prior to the due date through mail/courier or email at his/her active email address, or both, as specified by the policyholder in writing at the time of policy inception, or later. The insurer will also send follow￾up SMS for collection of renewal premium, two days after sending the renewal notices. The insurer shall send the renewal notices for policies with variable premium payment frequencies, at the following intervals, as provided through the table below:

Premium payment frequency No. of days prior to due date Annual Thirty days Semi annual Fifteen days Quarterly One week Monthly One week (c) After premium payment is received by the insurer from the policyholder, the insurer shall send an SMS for acknowledging the receipt of payment to the policyholder, in addition to any other payment acknowledgment receipt provided to the policyholder; (d) The insurer shall send intimation of effectuating endorsement for any change in the insurance policy through email at the active email address of the policyholder or SMS, or both, as preferred by the policyholder. Thereafter, the insurer shall also send the endorsement through mail/courier or email, or both, as specified by the policyholder in writing. (e) If renewal premium is not received one month after premium due date despite renewal notices and follow up SMS sent by the insurer, the insurer will make an interactive telephonic call to the policyholder, within three (3) working days, to remind him about the deposit of renewal premium, inquire the reason for not depositing the renewal premium, and guide him about the non￾forfeiture options that the policy may acquire in case of non￾payment of premium. (ii) The SMS required to be sent by the insurer under this clause shall be in both Urdu and English language. (e) Acknowledgment of receipt of policy documents/ terms.- (i) In case of issuance of insurance policies with saving component, the insurer shall obtain acknowledgment of the receipt of documents or policy terms, as the case may be, from the policyholder preferably through email or SMS. This requirement shall apply on all policies issued through all modes inter alia branch visit, telephone or internet. (ii) The insurers are encouraged to obtain such acknowledgement in case of issuance of protection insurance policies with no saving component. (f) Insurance need analysis document.- (i) No life insurance policy will be sold through corporate insurance agent unless the specified person has carried out an “insurance need analysis” of the prospective customer. A general format has been given in Annexure -

I to these Regulations containing the minimum aspects to be covered by such a document. An insurer may use a different format for additional information. (ii) The specified person shall be responsible for filling the insurance need analysis document on the basis of information obtained from the potential policyholder. Based on the findings from the insurance need analysis document, the policyholder shall be pitched the most suitable product that meets the identified needs. (iii) insurers and the corporate insurance agent are encouraged to ensure that the insurance need analysis of the potential policyholders is conducted through an automated application/software, which is able to provide rating relating to policyholder’s risk appetite. The insurance product to be pitched shall be on the basis of risk appetite rating given to the potential policyholder by the automated application/software. (g) Format of illustration.- The insurer and the corporate insurance agent shall ensure that no life insurance policy shall be sold through the corporate insurance agent unless the specified person has provided the illustration as per the format prescribed by the Commission from time to time. The corporate insurance agent shall also obtain from the intending policy an undertaking as per Annexure –II to these Regulations, which shall be made part of the illustration document. (h) Illustration to be given as a stand-alone document.- The corporate insurance agent shall ensure that the illustration has been given to a prospect as a stand￾alone document enabling him to take an informed decision considering the appropriateness of a particular insurance product with his identified insurance needs. The corporate insurance agent shall ensure that there must be a reasonable time period available to a prospect to understand the illustration before purchasing a life insurance product. Explanation: Clause (h) above is not intended to breakdown the sales process into two phases. The objective of this regulation is to ensure that the specified person has properly explained the product illustration to a prospective customer. (i) Minimum financial protection. The minimum financial protection component (i.e. sum cover payable on death due to any cause) for regular premium individual life plans and single premium plan, sold through corporate insurance agents, shall be in accordance with the minimum financial protection prescribed under Unit Linked Products and Fund Rules, 2015 as amended from time to time. This shall be applicable to conventional non-linked products, unit linked investment linked products as well account value universal life products.

(j) Minimum term of the regular premium individual life plans.- No insurer shall issue an individual life insurance regular premium (saving) plan of a term shorter than 5 years through the corporate insurance agent. (k) Recycling of life insurance policies.- (i) Where a regular premium individual life policy is lapsed / surrendered during the first three policy years, then unless that policy is reinstated (in case of lapsation), a corporate insurance agent will not sell any new individual life policy to the same policyholder through the same insurer or through a different insurer within a year from the effective date of the policy acquiring lapsed / surrendered status. (ii) Where a regular premium individual life policy is lapsed / surrendered after the third policy year, then unless that policy is reinstated / revived or the policyholder has separately consented to that effect, a corporate insurance agent will not sell a similar new individual life policy to the same policyholder through the same insurer or through a different insurer within a year from the effective date of the policy acquiring lapsed / surrendered status. (l) Minimum financial underwriting.- (i) An insurer shall consider the regular income of the proposed policyholder in determining the affordability of the policy from the perspective of policyholder as per their existing financial underwriting guidelines applicable to direct sales force distribution channel. (ii) In the case of bancassurance business, an insurer should consider, amongst other pertinent factors, the average balance maintained by the prospect at the concerned bank during at least the last year in assessing his annual regular income. (iii) At the time of policy issuance, the insurer will carry out and document an assessment as to whether the insured would be able to pay subsequent premiums as and when falling due, based on insured’s current financial resources. (iv) The underwriting committee of the insurer shall, on a sample basis, analyse the assessment carried out in accordance with clause (iii) above, and incorporate the findings so made, in the insurer’s underwriting guidelines/policy. (m) After sale call by the insurer to all policyholders.-

(i) The insurer shall make a structured telephonic call to all policyholders to confirm their understanding of the product, appropriateness of the product considering the identified insurance needs and affordability of the product for the entire term. The insurer will retain the record of such calls, preferably using interactive voice response system, for at least 7 years or maturity of the product whichever is earlier; (ii) The after sale call mentioned at sub-clause (i) above shall be made at least one day after the sale is closed within a period of seventy two (72) hours. For ensuring that the call back confirmation is with the policyholder himself, the insurer shall devise policyholder identification mechanisms such as, telephone personal identification number (T-PIN), question about mother’s maiden name etc. (iii) In the case of bancassurance business, as an alternative to sub-clause (i) above, an insurer may integrate their after sale call scripts with the bank’s call back confirmation mechanism to the bancassurance policyholders. However; the product specific scripts of such calls needs to be submitted to the Commission along with agency agreement; (iv) If a policyholder gives an adverse response; the insurer will return the premium to the policyholder within 30 days of such call. (v) The after sale call made in accordance with this clause, whether made by the Bank or the Insurer, shall allow cross questioning from the policyholder in Urdu or his native language. The minimum aspects of every after sales call, to be communicated to the policyholder are provided as Annexure – III to these Regulations. Provided that the Commission shall have the power to revise/ amend Annexure – III to the Regulations from time to time. (vi) The insurer shall ensure that the call centre representatives authorized to make after sales call on behalf of the insurer are well conversant with the insurance policy contents and elements required to be communicated to the policyholder during the call. The insurer shall also ensure that the call centre representatives are well acquainted with subject of insurance such that they are able to respond to the queries made by the policyholder during the interactive after sale call. (vii) The after sale call will not be made by the sales staff which has been engaged in sale of insurance policies. (viii) The requirement to make after-sale call under this clause is applicable in case of insurance policies with savings component and not in case of protection products.

19. Minimum allocations of insurance policies with saving component.- With effect from
    January 1, 2021, in all individual life regular premium policies with savings/ investment component sold through the corporate insurance agent, the Insurer shall ensure that minimum allocations into investment account of insurance policyholder have been made as per table given below:
    Policy
    Year 1
    Policy
    Year 2
    Policy
    Year 3
    Policy Year 4 and onwards
    Issued on or after January 1, 2021 60% 80% 90% 100%
    CHAPTER V
    TRAINING AND DEVELOPMENT
20. Fit and Proper Criteria for Bank Insurance Executive.- Every Bank shall ensure that
    the Bank Insurance Executive fulfils the following fit and proper criteria:
    (a) Comply with section 96 of the Ordinance; and (b) Has at least 5 years work experience in an insurance company at a functional head level with direct or indirect responsibility for products and sales management or has at least 5 years work experience within the Wealth Management segment of a bank with exposure to banking products and sales management.
21. Training Requirement for Bank Insurance Executive.- (1) At the time of on-boarding
    a Bank, the Bank Insurance Executive shall undergo a training of at least 8 hours, organized by the Insurer, covering at a minimum the following:
    (a) Introduction to concept of insurance and takaful; (b) Principles of insurance; (c) Overview of the Insurer; (d) Details of products; (e) Product and portfolio management; and (f) Compliance with regulatory aspects (SECP and SBP). (2) The Commission shall have the power to revise/amend the content of training of the bank insurance Executive from time to time.
22. Certification Requirement for the Specified Person.- (1) The specified person, at the
    time of joining an Insurer or a corporate insurance agent, being assigned job of sale of insurance

products, shall undergo a foundation training course organized by the insurer of at least eighteen (18) hours duration covering at a minimum the following:
(a) Introduction to concept of insurance/takaful; (b) Principles of insurance; (c) Introduction of the insurance company, the corporate insurance agent and products specific to the corporate insurance agent; (d) Sales process as provided in the Regulations and as amended from time to time; (e) Need based selling; (f) Operational processes and documentation (insurer and corporate insurance agent); (g) Client retention and persistency; (h) Regulatory aspects of corporate insurance agents; (i) Sales pitch and objection handling; (j) Career path with the Insurer; (k) Ethical aspect; (l) Grievance handling mechanism of insurer, corporate insurance agent and alternate grievance handling forums; and (m) His duties towards the policyholder being representative of insurer. (2) At the end of the foundation training course, the specified person shall be certified by the insurer and the corporate insurance agent after undertaking an examination conducted by the insurer to solicit and procure insurance business as per the terms of the agency agreement. (3) The insurer shall periodically carry out refresher trainings as per the training protocols of the insurer. (4) On joining a different insurer or corporate insurance agent, the specified person who has completed foundation training course with one insurer, will be required to undergo only refresher course comprising of corporate insurance agent/insurer specific content, product details, and update on regulatory requirements, if any, and will not require to undergo full-fledge foundation course. (5) The refresher course will not be of duration lesser than six (6) hours and will be followed by certification by the insurer and the corporate insurance agent.

(6) The Commission shall have the power to revise/amend the content of training of the specified persons from time to time.
CHAPTER VI
PROMOTING DIGITALIZATION
23. Training through distance learning modes.- The training of bank insurance executive
and foundation/refresher course required to be completed by the specified persons may be conducted through distance learning modes including, but not limited to online lectures, pre￾uploaded content on the website, mobile applications or other digital platforms, etc.
24. Digital issuance of insurance policies.- (1) The insurer can issue policies for protection
products and non-life insurance products in physical form (hard copy) or in electronic form (through email/ web portal/ mobile app/ SMS etc.), whichever is agreed by the policyholder. The insurers will send SMS for confirmation of policy issuance in Urdu and English language to all policyholders, in both instances. (2) The insurer may meet the offer acceptance requirement as envisaged in regulation 3 through digital modes using advanced digital signatures as defined in the Electronic Transactions Ordinance, 2002 or as prescribed by the Commission from time to time.
CHAPTER VII
SUITABLE INSURANCE PRODUCT MIX
25. Availability of diversified products in the insurance market.- (1) In order to ensure the
availability of diversified products in the insurance market so that needs of policyholders with variable risk appetite can be catered, life insurance companies are encouraged to diversify their product portfolio to be offered through corporate insurance agents. (2) For the purposes of sub-section (1) above, the agency agreement of life insurers with corporate insurance agents shall stipulate the percentage of business comprising of conventional insurance products to be sold through the corporate insurance agent.
CHAPTER VIII
SPECIAL REQUIREMENTS RELATING TO SALE OF INSURANCE THROUGH TECHNOLOGY BASED DISTRIBUTION CHANNELS
26. Provisions to be complied with when mobile network operator or internet is involved
in insurance distribution.– The distribution of insurance products through mobile network operator or internet, will be governed by the provisions of this Chapter. The mobile network operator may, or may not be working in the capacity of an insurance agent.

27. Storage and safety of data. – The mobile network operator or the broker may be entrusted
    with responsibility of data storage and management on behalf of the insurer. However, it is responsibility of insurer to ensure safety of policyholder data. The insurer will ensure that suitable mechanism, including the data backup system, is in place to store data and maintain its safety before delegation of this function to mobile network operator or the broker.
28. File and use procedure for products distributed through mobile network operators
    and internet. – (1) All life insurers are required to submit the details of the products as stipulated in sub-regulation (2) which they intend to distribute through mobile network operator, whether as loyalty or voluntary product, to the Commission at least thirty (30) days before the intended date of launch of that product as per “file and use” procedure. (2) In addition to the existing product submission requirements for the life insurance products, the life insurers are required to submit the complete distribution plan with respective roles and responsibilities of each intermediary involved, the enrollment process and the premium payment mechanism. The information regarding responsibility of each party in respect of claim processing and complaints handling is also required to be submitted.
29. Communication of all terms and conditions through mobile and internet. – (1) In
    addition to the product details submitted as required by regulation 28 above, the life insurer is required to submit the manner and process to communicate all terms and conditions of policy to the policyholder through the chosen mode of communication whether through SMS, call or internet, or otherwise. (2) The life and non-life insurer is required to ensure that the key facts such as sum assured/ policy benefits, premium amount, free look period, period of coverage and any other material fact, are communicated to the prospective policyholder before the offer to insurance contract is made. The detailed terms and conditions are required to be communicated to the policyholder after issuance of insurance policy and the onus of such communication as stated in this sub-regulation lies on insurer. (3) In case of loyalty products, insurer is required to ensure that mechanism is in place to make policyholder aware about coverage to which he is entitled, and manner of communicating complete terms and conditions to the policyholder is in place soon after he becomes entitled to the coverage.
30. Manner of exiting the agency agreement. – (1) In case of involvement of MNO in the
    distribution arrangement, whether in capacity of corporate insurance agent or otherwise, the insurer is required to clearly stipulate the roles and responsibilities of each party involved such as the insurer, insurance broker, mobile network operator and third party administrator, if any, in the agency agreement required to be submitted to the Commission under these regulations. (2) In case the mobile network operator or broker intends to exit the agency agreement, it will continue to perform its role in policy administration cycle for the policies distributed during the time when he was part of distribution arrangement under the valid agency agreement.

(3) If the mobile network operator or insurance broker cannot continue to play its role due to an unavoidable reason, it is required to obtain approval of the Commission for exit of such mobile network operator or insurance broker from policy administration cycle while submitting to the Commission the mechanism through which the existing policyholder will be informed about change of roles between the parties involved. (4) If there is a change in the roles of any of the parties involved, the policyholder will be communicated in the most effective manner and utmost effort shall be made to ensure that this information has been effectively communicated to the policyholder.
CHAPTER VIII
REGULATORY REPORTING OF BUSINESS WITH CORPORATE INSURANCE AGENTS
31. Financial Reporting.- (1) Every insurer shall at the expiration of each year prepare
and deliver to the Commission, with reference to that year’s annual business with corporate insurance agents, the following statements:
(a) Statement of premiums;
(b) Statement of expenses;
(c) Statement of claims; and
(d) Statement of commission claw-back and minimum surrender value.
(2) The statements to be furnished under sub-regulation (1) above shall separately provide the business underwritten through bank and other corporate insurance agents. Provided that in relation to reporting of bancassurance business, the information to be provided shall be provided for each bank, with whom the insurer has an agency agreement.
32. Information to be provided in Financial Condition Report (FCR) in respect of
Bancassurance Business.- Every life insurer carrying out Bancassurance business shall prepare and file with the Commission the following statements which shall be annexed to the financial condition report, as required under section 50 of the Ordinance and the formats of these forms should be in accordance with the Annexure IV to the Insurance Rules, 2017 or any subsequent modification. If this information relates to a shorter period than a year, the forms may be adjusted accordingly.- (a) in respect of Investment Linked Business,- (i) Form LB-1; (ii) Form LB-2;

(iii) Form LB-3;
(iv) Form DD;
(v) Form DDD; and
(vi) Form DDDD;
(b) in respect of Non-Investment Linked Business:
(i) Form NLB-1;
(ii) Form DD;
(iii) Form DDD;
(iv) Form DDDD;
(c) in respect of Universal Life and Universal Life Hybrid Business:
(i) Form ULB-1;
(ii) Form DD;
(iii) Form DDD; and
(iv) Form DDDD;
(d) in respect of Accident and Health Insurance Business, - (i) Form NLB-1; and (e) Summary statements:
(i) Form H;
(ii) Form I; and
(iii) Statement of Composition and Distribution of surplus in respect of Policyholders’ fund.
33. Reporting of Statement of Maximum Management Expenses.- In addition to the
information required under Regulation 31and 32, every life insurer once a year, along with the Statement of Maximum Management Expenses as required under Sections 22(9) and 23(9) of the Ordinance, file an itemized computation for each Bank and product. This statement shall be certified by the Appointed Actuary.
CHAPTER IX
OFFENCES AND PENALTIES
34. Penalty for default in complying with, or acting in contravention of these
Regulations.- (1) Any insurer who makes default in complying with or acts in contravention of any of the requirements of these Regulations, the Commission shall have the power to impose fine on the insurer and its directors, chief executive officer or any other officer of the insurer, who is knowingly a party to the default, shall be punishable with fine which may extend to one million rupees and, in the case of a continuing default, with an additional fine which may extend to ten thousand rupees for every day during which the default continues.

(2) Where any specified person or the insurance consultant or the bank insurance executive or the corporate insurance executive or the designated insurance executive is found to be engaged in misselling, misleading or deceptive conduct or has been found by the insurer or the corporate insurance agent or by the Commission, to be abetting and aiding in misselling of insurance policies, the Commission shall have the power to levy a fine on such person equal to twice the loss determined to be suffered by the policyholder or a group of policyholders with whom misselling was done. (3) Where it has been established that a specified person or the insurance consultant or the bank insurance executive or the corporate insurance executive or the designated insurance executive was engaged in misselling, misleading or deceptive conduct in the sale of insurance products, such persons shall be disqualified for a period of not less than three years and the insurer shall enter the details of such persons in the centralized agents (s-reference) maintained by the Central Depository Company under the Centralized Information Sharing Solution for the Insurance Industry.
CHAPTER IX
REPEAL AND SAVINGS
35. Repeal.- The Bancassurance Regulations, 2015 and the Securities and Exchange
Commission Directive for Corporate Insurance Agents (excluding Banks) and Technology Based Distribution Channels, 2017 are hereby repealed.
36. Savings.- Save as otherwise specifically provided, nothing in these Regulations, or any
repeal effected thereby, shall affect or be deemed to affect anything done, action taken, investigation or proceedings commenced, order, appointment, conveyance, mortgage deed, document or agreement made, fee directed, resolution passed, direction given, proceedings taken or instrument executed or issued, under or in pursuance of any regulations or notifications repealed by these Regulations and any such thing, action, investigation, proceedings, order, appointment, conveyance, mortgage deed, document, agreement, fee, resolution, direction, proceedings or instrument shall if in force at the coming into force of these Regulations and not inconsistent with any of the provisions of these Regulations, continue to be in force, and have effect as if it were respectively done, taken, commenced, made, directed, passed, given, executed or issued under these Regulations.

Schedule
Maximum Limits on Commission Payable to Bank in a Specific Policy Year (These limits are subject to the aggregate limits as per Table B below whereas the proportionate reduction to be applied on each year’s maximum commission rate)
Table A1: Commission Schedule for Direct Sales Model and Referral Model
Sales Model Product Type Year 1 Year 2 Year 3 Year 4+ Direct sales Model (DSM) Regular premium individual life 35% 5% 5% 5% Referral sales Model (RSM) Regular premium individual life 25% 5% 5% 5% Direct and Referral Sales Model Single premium investment plans 3% NA Regular premium annuities 5% 5% 5% 2.5% Group life, group health plans & similar plans 25% NA Long term health insurance plans 30% 15% 7.5% 5% Short term health insurance plans 25% NA Long term health insurance saving plans Same as Regular Premium Individual Life Plans Non-Life insurance and term life insurance 25% NA Single premium long term protection plans 25% NA
Table A2: Persistency Bonus Schedule for Direct Sales Model
Product
2020 2021 and onwards
Policy Year 2 Policy Year 3 Policy Year 2 Policy Year 3 Persistency Level Bonus Rate Persistency Level Bonus Rate Persistency Level Bonus Rate Persistency Level Bonus Rate Regular Premium Individual Life & Regular Premium Personal Accident Plans Less than 75% 0% Less than 85% 0% Less than 80% 0% Less than 87.5% 0% 75% or more but less than 80% 5% 85% or more but less than 90% 2.5% 80% or more but less than 85% 5% 87.5% or more but less than 92.5% 2.5% 80% or more 10% 90% or more 5% 85% or more 10% 92.5% or more 5% Regular Premium Annuities Less than 75% 0% Less than 80% 0% Less than 80% 0% Less than 85% 0% 75% or more 2.5% 80% or more 2.5% 80% or more 2.5% 85% or more 2.5%

Table A3: Persistency Bonus Schedule for Referral Model
Product
2020 2021 and onwards
Policy Year 2 Policy Year 3 Policy Year 2 Policy Year 3 Persistency Level Bonus Rate Persistency Level Bonus Rate Persistency Level Bonus Rate Persistency Level Bonus Rate Regular Premium Individual Life & Regular Premium Personal Accident Plans Less than 80% 0% Less than 87.5% 0% Less than 82.5% 0% Less than 90% 0% 80% or more but less than 85% 5% 87.5% or more but less than 92.5% 2.5% 82.5% or more but less than 87.5% 5% 90% or more but less than 92.5% 2.5% 85% or more 10% 92.5% or more 5% 87.5% or more 10% 92.5% or more 5% Regular Premium Annuities Less than 80% 0% Less than 82.5% 0% Less than 85% 0% Less than 87.5% 0% 80% or more 2.5% 82.5% or more 2.5% 85% or more 2.5% 87.5% or more 2.5%
Table B. Maximum Limits on Aggregate Commission Payable to a Bank over Entire Policy Term
Maximum Aggregate Commission
(excluding persistency bonus) for regular premium paying plans For Individual Life Insurance Policies with a Premium Payment Term of 20 Years or more 10 Years 5 Years Between 10 to 20 or 5 to 10 years Direct Sales Model 100% 70% 30% On linear Referral Model proportionate basis 90% 60% 25%

Annexure - I
Insurance Need Analysis of Mr. _____________________ Basic Information Name Address Telephone (Landline / Mobile) E-mail Id Date of birth Marital status State of health Excellent/Very good/Good/Moderate/Poor Smoker Yes/No Family Details Number of dependents Details of dependents 1 2 3 4 5 Name Relationship Age State of Health (Excellent/Very Good/ Good/ Moderate/Poor) Occupation Income if any Whether financially dependent Any scope of expansion of family Yes/No Employment Details Occupation Length of service Annual Income Covered under pension scheme? Normal retirement age Financial Details Value of Savings and Assets Details of Liabilities/ Outstanding Loan Expected Inheritance Pension Details Employer’s Scheme/Insurance Personal Contribution/Premium Retirement Age Anticipated Value Future Saving Needs For Education for Children For Wedding For House Purchase Others Existing Life Assurance Plans Company Policy No. Sum Assured Premium Start Date Maturity Date Purpose

Financial Priorities and Objectives
What is more important for you? (Please number in order of priority) Financial Security for family in the event of death Financial Security in the event of Critical Illness Providing Retirement Income Planning for your children’s education Planning for your children’s wedding Building capital through regular saving Investing existing capital for better return Identified Insurance Needs Life Insurance (Death/Maturity) Desirable Sum Assured Health Insurance Desirable limit of coverage per annum Savings and Investment Planning Desirable returns per annum Pension planning Desirable pension per annum Any Additional Information Recommendation Life stage Childhood/Young unmarried/Young married/ Young married with children/married with older children/post-family or pre￾retirement/ retirement Protection needs Life & Health/Savings and Investment/Pension Appetite for risk Low/Medium/High Policy recommended, including name of Insurer Commitment for the current/future years Whether all risk elements and details of charges to be incurred and all other obligations have been explained Why you think this policy is most suited prospect Agent’s Certification:
I /We hereby certify that I/we believe that the product/s recommended me/us above is suitable for the prospect, based on the information submitted by him/her, as recorded above. Dated: ________________ (Name and Signature of Agent) Prospect’s Acknowledgement:
The above recommendation is based on the information provided by me. I have been explained about the features of the product and believe it would be suitable for me based on my insurance needs and financial objectives. Dated: ________________ (Signature of Prospect)

ANNEXURE – II
[See regulation 18(h) of the Regulations]
UNDERTAKING ON UNDERSTANDING INVESTMENT RISK
FOR INVESTMENT LINKED INSURANCE PRODUCTS
To be submitted by the Insurance Policyholder
Statement in English
“I have been given complete information about the risks in the investment I have made through this insurance product [insert product name] by the insurance company representative namely Mr. ___________ s/o __________. I am fully responsible for the profit or loss made in this investment. I am fully aware and informed about the inherent risks, which are in-line with my risk appetite and after thorough analysis and understanding, I am ready to purchase this product [insert product name].” Statement in Urdu بیان میں اردو بارے کے خطرات والے جانے پائے میں کاری سرمایہ اپنی والی جانے کی میں[ لکھیں نام ]پروڈکٹ بیمہ اس مجھے سرمایہ اس میں ہے۔ دی کر فراہم گاہی ا مکمل نے ــــــــــــــــــــــــــ ولد ــــــــــــــــــــــــــ نمائندے کے کمپنی بیمہ میں ہوں مطلع و گاہ ا سے خطرات موجود میں کاری سرمایہ میں ہوں۔ دار ذمہ پر طور مکمل کا نقصان اور نفع میں کاری یہ میں بعد کے تفہیم و جزیہ مکمل اور ہیں رکھتے مطاقبت سے استعداد و رجحان کے لینے خطرہ میرے کہ جو ہوں۔ تیار لئے کے خریدنے[ لکھیں نام ]پروڈکٹ Name _____________________ __نام Signature __________________دستخط

ANNEXURE – III
[See regulation 18(m)(v) of the Regulations]
MINIMUM ASPECTS OF CALL BACK CONFIRMATION
(a) You have bought an insurance policy from ____ [Name of Corporate Insurance Agent], which is acting as an agent of ____ insurance company. Please note that it is an insurance product under which ____ risk(s) are covered. For pre-requisite checks, kindly confirm your CNIC number and mother’s name*. (any other authentic identification mechanism may be used.) (b) Total term of the policy is __ years, premium paying term is ___ years, and you are required to pay premium amounting to Rs. __ every year/ quarter/ month, as the case may be. (c) Please note that during first two years, the insurance policy will not acquire any cash/ surrender value. You must be aware that an amount of Rs. ____ and Rs. ____ shall be deducted from your first and second year premium respectively and the remaining amounts shall be deposited into your policy. You are entitled to receive the prevailing value of your premium allocated to your policy account, if the policy remains enforce for more than two years. The premium of your policy may increase due to indexation option chosen by you from second year onwards . (This statement shall accordingly be amended for those insurance products, which acquire cash value during first two years.) (This information would only be provided to customers who have chosen the indexation option as YES.) (d) Please note that this insurance product [insert product name] is an investment linked product and cash value of your policy may go up and down according to performance of _____ fund(s) in which you have opted to invest. Therefore, you may earn profit or bear loss on the investments made in the said fund. [name of the unit-linked fund(s) or the statutory fund(s) as the case may be.] (e) Please note that you will be covered for an amount of Rs _____ for death due to any cause and [Rs ____ for ___ risk]. Please note that the value of your insurance policy is projected to be equal to total premium(s) paid by you in ___ to ___ years. If you cancel the policy before this period, you may not get the total amount paid by you. It is requested to carefully read the illustration sheet specifically the charges and the policy value during the initial years. (*for relevant riders’ amount, if any.) (projected at the average of three-month growth rate scenarios notified by the Commission, applicable at that time.)

(f) As per the information provided by you in the policy form, you are not suffering from any chronic/terminal illness such as any form of Cancer, Heart Failure, Renal Failure, Chronic Liver Disease etc. or have not received treatment for any such illness.* *(If the policy is issued on standard terms and conditions without any extra mortality loading.) (g) As per proposal form you have mentioned your profession as ______ and your monthly income is Rs. _______. Please confirm. (h) The link/ soft copy of your policy schedule is being sent to your registered mobile number via SMS for you to take timely decision about continuation of the policy or otherwise. You can cancel the policy within fifteen (15) days of receipt of policy documents. (i) The documents under the policy can be provided in Urdu or English language. Please confirm the language i.e. Urdu or English in which all documents under the policy be provided to you. (j) Please read the terms and conditions of the policy. If your agent has given you any verbal commitment, other than the terms and conditions of the policy, please ask for a written confirmation duly signed and stamped by the insurance company. [FILE NO. ID/PRDD/BANCASSURANCE/2020] ( Ejaz Alam Khan ) Secretary to the Commission