1
Application and Definitions
1.1
This Part applies to the FSCS, and:
- (a) for the purposes of Chapter 5A, this Part also applies to insurers under write-down and insurers that have been so, but not to affected market participants or the Society; and
- (b) for the purposes of chapter 21, 22.6 - 22.8 and Annex 2, this Part also applies to participant firms and the Society.
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1.1A
This rule is effective from 23:00 on 31/12/2020.
For the purposes of Chapter 21 and Annex 2, references to “firm” includes CRO insurers.
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1.2
In this Part, the following definitions shall apply:
has the meaning given in article 2(2) of the compensation transitionals order.
means (in accordance with the compensation transitionals order) a person who was, at any time before 1 December 2001, authorised under section 3 or 4 of the Insurance Companies Act 1982 to carry on insurance business of any class in the UK.
means management expenses which are not attributable to any insurance class.
means a levy, forming part of the management expenses levy, to meet the base costs in the financial year of the compensation scheme to which the levy relates, each participant firm's (and, where applicable, the Society’s) share being calculated in accordance with the FSCS Management Expenses Levy Limit and Base Costs Part.
means a contract of general insurance providing building guarantee, construction warranty and/or structural defects cover in relation to newly built, converted or renovated residential property, including but not limited to the risk of physical damage and/or defect arising from non-compliance with relevant building or fire regulations or standards.
means a valid claim made in respect of a civil liability:
- (1) owed by a relevant person; or
- (2) owed by a relevant person which has been assumed by a successor and which is based on the acts or omissions of the relevant person;
under a contract of insurance.
means the Compensation Sourcebook of the PRA Handbook in force immediately prior to 3 July 2015.
means the costs incurred:
means a levy imposed by the FSCS on participant firms to meet compensation costs, each participant firm’s share being calculated in accordance with 21.37 – 21.41.
compensation transitionals order
means the Financial Services and Markets Act 2000 (Transitional Provisions, Repeals and Savings) (Financial Services Compensation Scheme) Order 2001 (SI 2001/2967).
means one of the groups of participant firms within a sub-scheme in existence prior to 1 April 2008 set out in FEES 6.5.7 R at the time, being groups that carried on business of a similar nature, to which compensation costs and specific costs were allocated in accordance with FEES 6.4 and FEES 6.5 in force at the relevant time.
means the class of contract of insurance, specified in paragraph 14 of Part I of Schedule 1 to the Regulated Activities Order.
a person to whom Regulation 47 of the EEA Passport Exit Regulations applies in respect of the activities of effecting contracts of insurance or carrying out contracts of insurance.
has the meaning given to it in regulation 2 of the Alternative Investment Fund Managers Regulations 2013.
means a friendly society that is a UK Solvency II firm.
means the EEA Passport Rights (Amendment, etc., and Transitional Provisions) (EU Exit) Regulations 2018.
means a person who is eligible to bring a claim for compensation under 7.1.
means the Fees Manual of the PRA Handbook in force immediately prior to 3 July 2015.
means an incorporated friendly society or a registered friendly society.
Friendly Societies Protection Scheme
means the Friendly Societies Protection Scheme established in accordance with section 141 of the Financial Services Act 1986.
has the meaning given to it in section 421 of FSMA and where the context requires, includes reference to Gibraltar as appropriate.
means:
- (1) if the policyholder is an individual, the address given by the policyholder as his residence if it reasonably appears to be a residential address and there is no evidence to the contrary;
- (2) if the policyholder is not an individual or a group of individuals, the State in which the policyholder has its place of establishment, or, if it has more than one, its relevant place of establishment; or
- (3) in respect of the variation of a life policy, or the purchase of a pension annuity related to a life policy, unless there is evidence to the contrary, the habitual residence of the policyholder at the date on which the policyholder signed the proposal for the life policy.
has the meaning given to it in section 1159(1) of the Companies Act 2006 (Meaning of “subsidiary” etc).
means the status of being in default following a determination under 10.2 for a relevant person (or where applicable, under 11.2 for a successor).
means one of the classes set out in Annex 1.
means a body corporate which does not qualify as a small company under section 247 of the Companies Act 1985, or section 382 of the Companies Act 2006 as applicable.
means an unincorporated mutual association or an unincorporated association (which is not a mutual association) with net assets of more than £1.4 million (or its equivalent in any currency at the relevant time).
means a partnership with net assets of more than £1.4 million (or its equivalent in any other currency at the relevant time).
means the maximum aggregate amount of compensation costs and specific costs that may be allocated to a particular insurance class in one financial year as set out in Annex 1.
liability subject to compulsory insurance
means any liability required under any of the following enactments to be covered by insurance or (as the case may be) by some other provisions for securing its discharge:
- (1) section 1(4A)(d) of the Riding Establishments Act 1964 (or any corresponding enactment for the time being in force in Northern Ireland);
- (2) section 1 of the Employers' Liability (Compulsory Insurance) Act 1969 or Article 5 of the Employers' Liability Order (Defective Equipment and Compulsory Insurance) (Northern Ireland) Order 1972;
- (3) Part VI of the Road Traffic Act 1988 or Part VIII of the Road Traffic (Northern Ireland) Order 1981;
- (4) section 19 of the Nuclear Installations Act 1965.
means (in accordance with the definition of a 'qualifying contract of insurance' in article 3(1) of the Regulated Activities Order) a contract of long-term insurance (other than a reinsurance contract and a pure protection contract) and a long-term care insurance contract.
means:
- (1) a body corporate incorporated under the Limited Liability Partnerships Act 2000;
- (2) a body corporate incorporated under legislation having the equivalent effect to the Limited Liability Partnerships Act 2000.
means a contract of insurance written at Lloyd’s.
long-term care insurance contract
means a contract of long-term insurance:
- (1) which provides, would provide at the policyholder's option, or is sold or held out as providing, benefits that are payable or provided if the policyholder's health deteriorates to the extent that he cannot live independently without assistance and that is not expected to change; and
- (2) under which the benefits are capable of being paid for periodically for all or part of the period that the policyholder cannot live without assistance;
where 'benefits' are services, accommodation or goods necessary or desirable for the continuing care of the policyholder because he cannot live independently without assistance.
means (in accordance with section 223 of FSMA (Management expenses)) expenses incurred or expected to be incurred by the FSCS in connection with its function under FSMA, other than compensation costs and costs incurred under Part 15A of FSMA .
means a levy imposed by the FSCS on participant firms to meet the management expenses and which is made up of one or more of a base cost levy and a specific costs levy, each participant firm's share being calculated in accordance with 21.28 – 21.35.
means The Compensation Act 2006 (Contribution for Mesothelioma Claims) Regulations 2006 (SI 2006/3259).
means (in accordance with section 3 (1) of the Compensation Act 2006) a person who has contracted mesothelioma as a result of exposure to asbestos by a responsible person.
has the meaning given in Article 1(3) of the Money Laundering Directive 2015/849/EU.
means in relation to a member of a personal pension scheme or an occupational pension scheme or the widow or widower or surviving civil partner of a member of such a scheme, benefits the rate or amount of which is calculated solely by reference to the schemes assets which (because of the nature of the calculation) must necessarily suffice to provide the benefits which fall within section 181 of the Pensions Scheme Act 1993 and section 99 of the Pensions Act 2008, each as amended by section 29 of the Pensions Act 2011.
means a body corporate whose business consists solely of acting as a nominee holder of investments or other property.
occupational pension fund management business
means the business of carrying on:
- (1) pension fund management;
- (2) (other than in connection with a personal pension scheme) pension fund management written as linked long-term business, for an occupational pension scheme or for an institution referred to in article 2 of the Council Directive of 3 June 2003 on the activities and supervision of institutions for occupation retirement provision (No 2003/43/EC), but only to the extent that:
- (a) there is no transfer to the participant firm of:
- (i) investment, market or credit risk;
- (ii) mortality or expense risk prior to any annuity being effected; and
- (b) any annuity options provide for the participant firm to change the annuity rates without prior notice.
means a scheme specified in article 3(1) of the Regulated Activities Order which is, in summary, a pension scheme established for the purpose of providing benefits to people with service in employments of a prescribed description.
means (in relation to a personal pension scheme or a stakeholder pension scheme) the person who carries on the regulated activity specified in article 52 of the Regulated Activities Order (Establishing a pension scheme etc).
overseas financial services institution
means an institution authorised to carry on any regulated activity or other financial service by an overseas regulator.
means:
(1) a firm which is an insurer, or a member (except:
(a) 21, 22.6 - 22.8 and Annex 2 in respect of a member; and
(b) 21 and Annex 2 in respect of a relevant person which is an insurer under write-down); or
(2) a CRO insurer.
means an investment purchased with the sums derived from the vesting (partial or full) of a pension policy or pension contract, for the purposes of securing the beneficiary's entitlement to immediate or future benefits.
means a contract under which rights to benefits are obtained by the making of contributions to an occupational pension scheme or to a personal pension scheme, where the contributions are paid to a regulated collective investment scheme.
means in relation to a class of contract of insurance the class of contract of insurance specified in paragraph VII of Part II of Schedule 1 to the Regulated Activities Order (Contracts of long-term insurance).
means a contract under which a right to benefits results from contributions made to an occupational pension scheme or to a personal pension scheme, where the contributions are paid to a long-term insurer.
means a scheme under which a right to benefits results from contributions made under a pension contract or pension policy.
means a scheme or arrangement which is not an occupational pension scheme or stakeholder pension scheme and which is comprised in one or more instruments or agreements having or capable of having effect so as to provide benefits to or in respect of people:
- (1) on retirement;
- (2) on having reached a particular age; or
- (3) on termination of service in an employment.
means (as defined in article 3 of the Financial Services and Markets Act 2000 (Meaning of "Policy” and "Policyholder") Order 2001 (SI 2001/2361)) the person who for the time being is the legal holder of the policy, including any person to whom, under the policy, a sum is due, a periodic payment is payable or any other benefit is to be provided or to whom such a sum, payment or benefit is contingently due, payable or to be provided.
professional indemnity insurance
means contracts of insurance, including directors’ and officers’ liability and error and omissions liability, against the risks of the persons insured incurring liabilities to third parties arising from wrongful acts (such as breach of duty, breach of trust, negligence, error or omissions) by professionals, named individuals or businesses occurring in the course of the insured’s professional activities.
protected contract of insurance
means a contract of insurance which is covered by the policyholder protection scheme as defined in 9.2.
means:
- (1) a contract of long-term insurance in respect of which the following conditions are met:
- (a) the benefits under the contract are payable only on death or in respect of incapacity due to injury, sickness or infirmity;
- (b) the contract has no surrender value, or the consideration consists of a single premium and the surrender value does not exceed that premium; and
- (c) the contract makes no provision for its conversion or extension in a manner which would result in it ceasing to comply with (a) or (b); or
- (2) a reinsurance contract covering all or part of a risk to which a person is exposed under a contract of long-term insurance.
means the date as at which the liability of the relevant person in default is to be determined under 19.8 – 19.10.
means in relation to an article 9 default, one of the following that applied to the default before 1 December 2001:
- (1) the Policyholders Protection Scheme established by the Policyholders Protection Act 1975; or
- (2) the Friendly Societies Protection Scheme established in accordance with section 141 of the Financial Services Act 1986.
relevant general insurance contract
means any contract of general insurance other than a contract falling within any of the following classes:
- (1) aircraft;
- (2) ships;
- (3) goods in transit;
- (4) aircraft liability;
- (5) liability of ships; or
- (6) credit.
means a person for claims against whom the policyholder protection scheme provides cover, as defined in 10.1.
means any form of remuneration, including salaries, discretionary pension benefits and benefits of any kind.
means (in accordance with section 3(1) of the Compensation Act 2006) a person who has negligently or in breach of statutory duty caused or permitted another person to be exposed to asbestos (including an insurer of such a person).
means a partnership, body corporate, unincorporated association or mutual association with an annual turnover of less than £1 million (or its equivalent in any other currency at the relevant time).
small self-administered scheme
means an occupational pension scheme of a kind described in article 4(4) or 4(5) of the Financial Services and Markets Act 2000 (Carrying on Regulated Activities by Way of Business) Order 2001 (SI 2001/1177).
means management expenses other than base costs.
a levy, forming part of the management expenses levy, to meet the specific costs in the financial year of the compensation scheme to which the levy relates, each participant firm's share being calculated in accordance with 21.34.
means a scheme that meets the conditions in section 1 of the Welfare Reform and Pensions Act 1999 or article 3 of the Welfare Reform and Pensions (Northern Ireland) Order 1999.
means one of the sub-schemes to which the FSCS allocated liabilities for compensation costs prior to 1 April 2008, as described in FEES 6.5.7 R at the time.
means a person for claims against whom the policyholder protection scheme provides cover, as defined in 11.1.
means the Supervision Manual of the PRA Handbook in force immediately prior to 3 July 2015.
has the meaning given in 5A.4(2).
means in relation to a contract of insurance, a person to whom Regulation 8 or 11 of the EEA Passport Exit Regulations applied, at the time at which the contract of insurance was issued.
means the bank account referred to in 5A.2(1)(c).
means the trust deed referred to in 5A.2(2)(a).
means a claim as reduced by virtue of a write-down order.
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