“Manual processes used to identify customers with more than one policy failed, and customers eligible for discounts were not identified,” Unger said.
“This resulted in AIOI [Aioi Nissay Dowa Insurance] issuing incorrect invoices and contravening the fair dealing provisions set out in part two of the FMC Act, with a significant number of customers impacted by the issue.”
Unger said in this case AIOI acted responsibly in notifying the FMA at its earliest opportunity, and self-reported the issues three days after it became aware.
She said they had taken proactive steps to identify and notify all affected policyholders, with steps made to make remediation payments.
AIOI has also made efforts to prevent the issue from recurring.
“There is no evidence of deliberate misconduct, and the root cause of the issue can be attributed to either poor controls or ineffective systems.
“The FMA has a number of tools available, and we consider that a public warning is appropriate in this case.”
Unger said she expected financial institutions to invest in quality systems and controls that enable them to deliver on advertised promises.
She added that they should be able to identify issues and be capable of resolving those issues effectively and quickly.
“We also expect that financial institutions are proactively reviewing their products and services to ensure that they perform in the way they are described.
“Over the past several years, the FMA has clearly communicated its expectations around ensuring premiums are accurate, transparent, and administered correctly. However, we continue to encounter issues with discounts and premiums not being correctly applied.”
Tom Raynel is a multimedia business journalist for the Herald, covering small business, retail and tourism.
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