MGAA Supplier Showcase: Regulatory, Legal & Compliance: best practices.
Regulatory change is a constant feature of insurance, home emergency and legal expenses markets.
For MGAs and coverholders operating in legal expenses and liability, the challenge is not simply keeping up with new rules. It is showing that those rules are understood, built into everyday processes and reflected in the way we deliver good outcomes for customers.
The most effective MGAs are therefore moving away from treating compliance as a periodic document-led compliance operating model. Instead, they are making it an integral part of how the business operates day to day.
Putting customers first
Customer clarity should be the bedrock of compliance.
The Consumer Duty has shifted the focus onto the delivery of good outcomes across products and services, price and value, consumer understanding and consumer support.
However, legal expenses products can be complex and difficult for customers to understand what’s covered and what’s not. Cover may depend on exclusions or conditions that only become evident when legal support is needed.
Liability and indemnity policies can raise similar questions around excesses and the difference between legal defence costs and compensation payments.
Good compliance practice should start with a simple question: does the product work in the way the customer expects? If they will get a nasty surprise in the event of an insured event or claim, then the answer is no.
MGAs should therefore look closely at whether the policy wording is clear, whether distributors are explaining the cover accurately and whether claims decisions are consistent with both the wording and the intended purpose of the product.
Keep a close eye on partners
An MGAs compliance framework is only as strong as the wider network of businesses supporting it.
Implementation should go beyond contractual assurances. Capacity providers need confidence that underwriting, claims handling, complaints, financial crime controls and data protection are all being managed properly.
This means agreeing responsibilities clearly from the outset, setting practical and measurable service standards.
Useful measures might include claims turnaround times, complaint levels, repudiation rates, policy cancellations, breaches of underwriting authority and overdue bordereaux.
Data driven decisions
Good-quality data is essential to support regulatory reporting, but it also helps MGAs identify unusual underwriting patterns, claims leakage and possible conduct concerns.
Claims and complaints data can be particularly revealing.
Reviewing the complaints alongside claims outcomes may show that the same issue is appearing repeatedly with a particular policy. A rise in disputes around one exclusion may suggest that the issue lies in the wording or sales journey rather than with customers failing to understand the policy.
Can AI deliver compliance fit for the future?
The proliferation of AI appears to be unstoppable in all areas of the financial and legal sector. Digital solutions will undoubtedly play a bigger role in helping businesses comply with evolving regulation.
Artificial intelligence and automation are increasingly being used to review documents, triage claims, identify unusual patterns and support underwriting decisions.
However, used without proper oversight, they can create new risks around accuracy, personal data, transparency and poor outcomes. Used well, these tools can improve speed and consistency.
But can AI truly put customers first? Can AI really deliver consumer understanding? Can it genuinely support vulnerable customers?
Technology can support professional judgement, but it should not replace human judgement. An MGA should still be able to explain how an underwriting or claims decision was reached – in person.
Best in class compliance
Attracting the right people into compliance roles is also becoming increasingly important.
As regulation, technology and distribution models grow more complex, MGAs need compliance professionals who can do more than interpret rules. They must be able to understand the commercial realities of the business, communicate clearly with colleagues and help turn regulatory expectations into practical action.
Offering compliance teams a visible role in strategy, product development and innovation can help attract high-calibre candidates and position the function as a business partner, rather than a final checkpoint.
Final thoughts on compliance best practice
A strong compliance framework is not measured by the length of a policy manual. It is measured by less claims rejections, less complaints and more loyal customers.
To deliver this, compliance teams need Continuing Professional Development.
They need to understand where – and what risks are emerging and how they impact customer segments. They should also be aware of how trends like tech-led compliance considerations and AI-based underwriting decisions are framing our industry.
CPD should therefore reflect real situations and compliance reviews should test what happens in practice – rather than simply checking that the right documents exist. Ongoing training should also look beyond insurance-specific regulations to consider how wider legal and commercial developments will impact the compliance function.
In a market built on trust, good compliance has to be positioned as more than a regulatory requirement. It must be a company mantra which focuses on good outcomes for customers.
By Chris Breakwell, Chief Risk Officer August 26









