Compulsory Membership

Recently we have had a number of instances in which the issue of compulsory membership on group schemes has come into question, both at quote stage and unfortunately even later. The principle of compulsory membership exists in order to mitigate the risk of anti-selection against the insurer and it requires that the qualification criteria for… Read More

Direct access to us

We are pleased to inform you that you will now be able to contact people directly at TSA should you know the extension of the person you wish to speak to. All extension numbers will now appear in the signature of TSA staff’s emails but you can see a list of our extension numbers here should… Read More

TSA Complaints Process

In accordance with the FAIS Act (Financial Advisory and Intermediary Services Act) we have introduced a TSA Complaints Process document, per insurer, which provides the client, broker or member with a better understanding of the process of how a complaint can be directed and who to contact.  We will be sending out these documents going… Read More

Key Group Risk Requirements Series – Conclusion

We hope the series showcasing each team’s requirements at each stage in the life cycle of a group scheme has been helpful.  If there’s anything else you would like us to cover, be it on this topic or another, please let us know. Thank you and regards, The TSA Team You’ll find all back issues… Read More

Key Requirements Series – Reviews

The rates that are accepted initially are annually renewable and so our reviews team perform a reassessment, across insurers, as part of our service to brokers every year: Their main requirement is: Acknowledgment (from the broker or client) that timeous communication of the review details has been made which results in payment of premiums, using… Read More

Key Group Risk Requirements Series – Requotes

Although each group’s structure and rates are reviewed on an annual basis, we understand that the client’s needs also change outside of the review. This team’s key requirements are: Revised structure details Member data in Excel – this is if it’s different to the most recent data on record. The requirements are the member’s full… Read More

Key Requirements Series – Claims

The purpose of group risk is to have valid claims paid as quickly and as simply as possible. Our claims team is dedicated to making sure this happens but the following are key requirements to help get this done: Timeous notification of claims Fully completed details on all claim forms (blank fields or incomplete information… Read More

Key Requirements Series – Medicals

The medical team’s aim is to do everything possible to get members to accept a correct medical decision as quickly and simply as possible. The key requirements for this process are: Fully completed details on all medical forms. Blank fields or incomplete information results in delays in underwriting. To be notified when additional medicals have… Read More

Key Requirements Series – Scheme Accounts (Process Enhancement)

Following on from our TSA Connect yesterday we will also be making some changes in line with new Policy Holder Protector Rules (PPR 15A) issued under the Long-term Insurance Act. It is now a regulatory requirement by all parties to make clients aware of outstanding premiums and the potential repercussions of this for e.g. claims being… Read More

Key Requirements Series – Scheme Accounts

Monthly maintenance of member data and premiums are handled by our Scheme Accounts team. The key information they need is: Member Data (in Excel Format) i.e. member’s full name(s), gender, dates of birth, ID number, annual and/or monthly salary, category and any other relevant information. For ease of use, you can download our excel member data… Read More

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