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AIA Premier Academy Rev02 dated 01/10/2013 AIA confidential and proprietary information. Not for distribution. Rev02 dated 01/10/2013 MY BASICS Sales Compliance Training (Part 1)
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  • AIA Premier AcademyRev02 dated 01/10/2013

    AIA confidential and proprietary information. Not for distribution. Rev02 dated 01/10/2013

    MY BASICS Sales Compliance Training (Part 1)

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED ProgramMY BASICS

    IMPORTANT NOTICE

    MY BASICS section is part of the 4 main modules in SEED program.

    This is a facilitator-assisted program. Training using this participant guidebook

    must only be conducted by facilitators certified by AIA Premier Academy.

    The contents of this guidebook is meant to be used as individual reference during

    and after the classroom training. It is not intended to be used as part of group

    visual presentation aids. Where applicable, the contents shall not be the absolute

    reference on any subject related herein.

    Thank you.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED ProgramMY BASICS

    Modules cover for MY BASIC

    Sales Compliance Training Part 1

    Product Transparency and Disclosure

    AIA Code of Ethics and Conduct

    Anti Money Laundering and Counter Financing of Terrorism

    Replacement of Policy (ROP)

    Persistency

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    AIA confidential and proprietary information. Not for distribution.

    Sales ComplianceProduct Transparency and Disclosure

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Objectives of Product Transparency and Disclosure Guidelines

    To establish a consistent and comprehensive disclosure regime aimed

    at improving information disclosure on products and services offered by

    Agent

    Objectives of Product Transparency and Disclosure Guidelines:-

    Promote consumers awareness and understanding

    Facilitate consistency in disclosure of essential information on financial

    products and services to enable comparison

    Minimize mis-selling of financial products and services and ensure that financialproducts and services sold are appropriate to the needs and resources of the

    consumer

    Promote informed decision-making by the consumer

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Product Disclosure for Ordinary

    Life & Investment-Linked

    Insurance Product

    A

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Disclosure by Agent to Customer

    - licensed under the IA and regulated by Bank Negara Malaysia

    - disclose the name and address of the intermediary and the Agent

    - e.g Name of Agent, Name of Product & Date

    Advising and Selling to Customer- importance of providing sufficient and accurate information to

    propose products that suit customers needs

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Product Features

    FSP should provide the customer with a description of the life

    insurance product, including:-

    - Types and Purpose of Life Insurance Policy

    ALL is a Regular Whole Life Non Par Plan with Investment element

    - Brief explanation of types of bonuses payable and show the illustration

    - General explanation on how the bonuses are determined

    - Nature of investment, objectives of the fund and investment strategy

    - Availability of top-up facility

    A- Basic insurance cover age for investment-linked products

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Benefits Payable and Exclusions

    The following information should be disclosed to the customer:-

    i) Benefits payable

    E.g, ALL covers - Death: RMxx(e.g, basic sum assured plus investment value)

    TPD : RMxx

    Fund Chosen - AIA Equity Fund (xx%)

    - AIA Fixed Fund (xx%)

    (indicate any other additional cover provided such as rider)

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    ii) Limitation on benefits and duration of the policy

    ALL - maturing at age xx

    iii) restrictions of benefits (including lien imposed on the policy)

    and exclusions

    iv) surrender value payable under the policy and whether it is

    guaranteed or not guaranteed

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Premium Payments

    Must provide customer the details of the premium payments

    including:-

    i) Amount of Premium

    E.g, Estimated total premium : RM xx, annually/semi-annually/

    quarterly/monthly

    Premium duration : until age xx

    Premium allocation : 1st year 40% allocated premium

    (For investment-linked products only)

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    ii) Premium rate is guaranteed or non guaranteed

    iii) Fee and charges

    E.g, Stamp Duty, Annual fund management charge, Fund

    switching charge and etc

    iv) Grace Period

    Disclosure of Commission and Charges

    - disclose and explain the nature, amount and frequency of the payment

    - commission borne by the customer

    - other fees and charges borne by customer which are not included in the premium

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    At the Point of Entering Into a Contract

    Contractual rights and obligations

    - any significant condition or obligation which customer must meet

    - duty of the customer to disclose all information material

    - ensure the proposal form is completed accurately

    - requirement for proof of age to be provided

    - date of commencement, duration and maturity of policy

    - consequences of failure to pay premiums

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    At the Point of Entering Into a Contract

    Free-look Period

    - 15 days cooling-off period

    - return the premiums paid after deducted all the expenses incurred

    Replacement of Policy

    - warn customer the disadvantages of switching policy from one type

    of life policy or from one FSP to another FSP

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    During the Term of the Contract

    Non-forfeiture OptionsMust inform customer within 30 calendar days after the premium due

    date :-

    - Automatic Premium Loan (APL) that has been applied to keep the

    policy in-force

    - Loan amount will be deducted from the cash value

    - Various non-forfeiture options available for customer

    Cash/surrender value

    Reduced Paid Up

    Extended Term Insurance

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Product Disclosure for Medical

    and Health Insurance (MHI)

    A

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Disclosure by Agent to Customer

    - licensed under the IA and regulated by Bank Negara Malaysia

    - disclose the name and address of the intermediary and the Agent

    - e.g Name of Agent, Name of Product & Date

    Advising and Selling to Customer- importance of providing sufficient and accurate information to

    propose products that suit customers needs

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Product Features

    FSP should provide the customer with a description of the life

    insurance product, including:-

    - Types and Purpose of MHI

    E.g, ECP/MCP is for hospitalization and surgical expenses

    - Details of benefits covered under MHI policy

    E.g, HIS covers hospital accommodation and nursing expenses,

    surgical

    expenses and etc

    - Details of riders attached

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Exclusions and Limitations of Benefits

    - benefit exclusions and limitations, pre-existing conditions, specified

    illnesses and qualifying/waiting period must be adequately disclosed

    - inform the customer whether any cover ceases at pre-determined age

    or policy anniversary

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    Premium Payments

    Must provide customer the details of the premium payments

    including:-

    i) Amount of Premium

    E.g, Standard cover : RM xx, annually/semi-annually/

    quarterly/monthly

    Additional cover : RM xx

    Total Estimated Premium : RM xx

    Premium duration : until age xx

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Pre Contractual Stage

    ii) Possible conditions that would lead to the following

    scenarios on policy renewals:

    Renewed with a level premium

    Renewed with an increased premium

    Not renewed

    iii) Agents right to revise the premiums on policy renewal

    Disclosure of Commission and Charges

    - commission borne by the customer

    - other fees and charges borne by customer which are not includedin the premiums

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    At the Point of Entering Into a Contract

    Contractual rights and obligations

    - any significant condition or obligation which customer must meet

    - duty of the customer to disclose all information material

    - ensure the proposal form is completed accurately

    - requirement for proof of age to be provided

    - period of coverage

    - consequences of failure to pay premiums

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    At the Point of Entering Into a Contract

    Free-look Period

    - 15 days cooling-off period

    - return the premiums paid after deducted all the expenses incurred

    Replacement of Policy

    - warn customer the disadvantages of switching policy from one type

    of life policy or from one Agent to another Agent

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    During the Term of the Contract

    Termination of Coverage

    - issue a notice of the expiry of the existing policy to the customer,

    at least 30 calendar days before the expiry date

    Change to Benefits and Premiums- notify the customer in writing of all changes to critical benefits and

    premiums, at least 30 calendar days before the change is made

    Change to Panel Hospitals/Clinics

    - ensure that customer is informed of any change in its panel

    hospitals/clinics at least of 30 calendar days prior to the effective

    date of the change

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    AIA confidential and proprietary information. Not for distribution.

    Sales ComplianceAIA Code of Ethics and Conduct

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    23

    An AIA Agent is

    Productive

    Participative

    Professional

    Positive

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    24

    Duties & Responsibilities

    Obedience

    Care and Skill

    Personal Performance

    Good Faith

    Accounting for MoneyReceived

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    25

    Insurance Act 1996

    Section 151

    1. A person who is authorized by a licensed insurer to be its

    insurance agent and who solicits or negotiates a contract of

    insurance in that capacity shall be deemed, for the purpose of

    the formation of the contract of insurance, to be the agent of

    the licensed insurer and the knowledge of that insurance

    agent shall be deemed to be the knowledge of the licensed

    insurer

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    26

    Insurance Act 1996

    Section 151

    2. A statement made, or an act done, by the insurance agent

    shall be deemed for the purpose of the formation of the

    contract of insurance, to be a statement made, or act done, by

    the licensed insurer notwithstanding the insurance agentscontravention of subsection 150(4) or any other provision of

    this Act

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    27

    Insurance Act 1996

    Section 151

    3. Subsection (1) shall not apply :

    a) where there is collusion or connivance between the

    insurance agent and the proposer in the formation of the

    contract, or

    b) where a person has ceased being to be an insurance agent

    of a licensed insurer and it has taken all reasonable steps to

    inform, or bring to the knowledge of, potential policy owners

    and the public in general of the fact of such cessation

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    28

    Insurance Act 1996

    Section 150 (4)

    No licensed insurer or insurance agent, in order to induce a person to enter into

    or offer to enter into a contract of insurance with it or through him :

    a) Shall make a statement which is misleading, false or deceptive, whether

    fraudulent or otherwise;

    b) Shall fraudulently conceal a material fact; or

    c) In the case of an insurance agent, use sales brochure or sales illustration

    not authorized by the licensed insurer

    Penalty : RM1,000,000

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    29

    Insurance Act 1996

    Section 148

    1. A policy owner, within 15 days after the delivery of a life policy of any

    description to him or to a person who resides at his residence, may

    return the life policy to the licensed life insurer and it shall

    immediately refund any premium which has been paid in respect of

    the life policy and the life policy shall be cancelled subject only to the

    deduction of expenses incurred for the medical examination of the

    life insured

    Penalty : RM500,000

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    30

    Insurance Act 1996

    Section 148

    2. Subsection (1) shall not apply to a life policy insuring 3 or more

    persons

    3. For the purpose of subsection (1), a life policy shall be deemed to

    be returned to a licensed life insurer on the date the life policy is

    received by it or posted to it by registered post

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    31

    Ethics

    Ethical traits:

    Integrity

    Competency

    Personal Responsibility

    Continuous Service

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    32

    Agents/Prospect Communication

    Truthful

    avoid misrepresentation

    use needs analysis

    Complete

    give all information

    present pluses & minus

    Straight forward

    communicate clearly

    make sure they understand

    repeat major points

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    33

    Agents/Prospect Communication

    Use Plain Language

    Educate & help client tounderstand what is

    insurance

    Use proper terms. Avoidjargons

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    34

    Code Of Ethics

    Rebating

    Practice of sharing an agentscommission with the policyholder.

    Constitutes discrimination.

    Twisting

    Persuading a policyholder to

    discontinue or lapse a present

    policy in order to buy a new policy

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    35

    Code Of Ethics

    Misrepresentation

    Telling something that is not true

    Insurer Agent Prospect

    Prospect Company

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    36

    Code Of Ethics

    Attitude Towards Competition

    Enthusiastic

    Open-mind

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    37

    Compliance & Market Conduct

    The agent shall :

    1) Make known to prospective policyholder that he is an agent ofAIA and produce his Registered Intermediary Authorization

    Card to identify himself

    2) Ensure that the policy proposed is suitable to the needs and

    affordability of the client

    3) Give advice only on those matters in which he is competent todeal with

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    38

    Compliance & Market Conduct - cont.

    4) Treat all information of prospective policyholder as completely

    confidential to himself

    5) If comparison is being carried out, make clear the different

    characteristics of each policy / investment

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    39

    Compliance & Market Conduct - cont.

    6) Policy

    Explain all the essential provisions of the contract

    Draw attention to any restrictions

    Draw attention to the long term nature of the

    policy and to the consequent effects of early

    discontinuance and surrender

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    40

    Compliance & Market Conduct - cont.

    6.1) Policy Explanations

    For participating policy, descriptions of the benefits shall

    distinguish between fixed and projected benefits

    Any assumption in the projected benefits should be made clear

    Shall use the whole illustration in respect of the contract whichhe is discussing with the prospective policyholder

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    41

    Compliance & Market Conduct - cont.

    7) Disclosure of Underwriting Information

    Answers and statements are the proposers own responsibility

    Consequences of non-disclosure and inaccuracies are pointedout

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    42

    Compliance & Market Conduct - cont.

    8) Maintain Proper Account

    All monies received by agents in connection with an insurance

    policy shall be distinguished from the premium from any other

    payment included in the monies

    Agent should forward to the company without delay any moneyreceived for life insurance

    9) Provide continuous service to the policyholder

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    AIA confidential and proprietary information. Not for distribution.

    Sales ComplianceAnti Money Laundering &

    Counter Financing of Terrorism 2001

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Anti-Money Laundering

    Definition

    Money laundering is any activity or procedure intended tochange the identity of illegally obtained money so that it

    appears to have originated from legitimate source

    105

    AIA confidential and proprietary information. Not for distribution. 105

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    106

    Stages of Money Laundering

    Step 1: Placement

    The physical disposal of cash proceeds derived from illegal activity into

    the financial system e.g. the payment of premium for policies, including

    top-ups, especially for single premium policies

    Step 2: Layering

    Separate illicit proceeds from their source by creating complex layers of

    financial transactions designed to disguise the audit trail and provide

    anonymity. Layering can include: Borrowing against insurance policies,

    termination of policies or sales of unit in investment-linked policies

    Step3: Integration

    The turning of criminally derived wealth into legitimate funds

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Counter Financing of Terrorism

    Definition

    Carrying out transaction involving funds that may or may not be owned by terrorist, or that have been, or are intended

    to be, use to assist in the commission of terrorism

    107

    AIA confidential and proprietary information. Not for distribution. 107

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    108

    Financing of Terrorism

    Includes:

    a. Providing or collecting property for carrying out an act of terrorism;

    b. Providing services for terrorism purposes;

    c. Arranging for retention or control of terrorist property; or

    d. Dealing with terrorist property.

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    109

    Know Your Customer Policy

    What to verify ?The agent is required to verify details such as the customers name,place of residence, legal capacity, occupation or business purpose

    How to verify?These may be obtained from the customer e.g. customers identitycard/passport/birth certificate or memorandum and articles of

    association (where the customer is a company or trust deed ( where the

    customer is a trustee)

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    110

    Know Your Customer Policy

    When to verify?Details of a customer must be verified when:

    - Establishing or conducting business relations e.g. accepting new

    policy- Entering into any fiduciary transaction

    - Performing any cash transaction of suspicious nature

    Why verify?- To ensure the company does not authorize the acceptance of an

    anonymous policyholder or a policyholder with a fictitious / false /

    incorrect name

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    111

    Aliases

    If a customer is known by more than one name,

    no acceptance of another policy under such

    other name unless such other name has

    previously been disclosed

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    112

    Suspicious Transactions

    - An unusual or disadvantageous early redemption of an insurance

    policy

    - An unusual employment of an intermediary in the course of some

    usual transaction or financial activity. Such as payment of claims or

    high commission to an unusual intermediary

    - An unusual method of payment

    - The customer attempts to purchase an insurance policy or to

    make an investment in an amount that is beyond his apparent

    means, that has no obvious purpose or where the source or

    nature of the funds to be used is suspicious or unclear.

    - The customer wishes to buy an insurance or investment product

    but is less interested in long-terms.

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    113

    Suspicious Indicators

    - The customers wishes to make purchases or investments using large

    amounts of cash or by making top-up payments with cash

    - The customer purchases an insurance policy and thereafter seeks to

    borrow the maximum cash value

    - The customer uses a check that has been withdrawn on an account

    other that his own or pays with checks drawn on different accounts

    - The customer makes a payment with numerous money orders, travels

    checks or cashiers purchased from different selling locations or at

    different times

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    Offences under Anti Money Laundering &

    Counter Financing of Terrorism Act 2001

    LaunderingMoney

    (RM 5 Mil max. &/or

    114

    Accepting Businessfrom A Designated

    Terrorist Under the Act

    (RM 1 Mil max &/or

    Jail Max. 1 years)

    Not Co-operatingwith Regulators

    (RM 1mil max &/or

    jail max. 1 year)

    Jail Max. 5 years) Not Reporting

    Suspicious Transactions

    (RM 250k max)

    Tipping off tomoney launderers(RM 1 Mil max &/or

    Jail Max. 1 years)Not Comply with RecordRetention Requirements

    (RM 1 Mil max &/or

    Jail Max. years)

    AIA confidential and proprietary information. Not for distribution.

  • AIA confidential and proprietary information. Not for distribution. Rev02 dated 01/10/2013

    Replacement of Policy (ROP)Sales Compliance

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    My BasicsReplacement of Policy (ROP)BNMs Definition of Policy Replacement

    Your client purchase new policy from you

    Today

    Upon buying the new policy

    12 months before

    12 months after

    Your client have an existing policy that has been:

    a) Lapsed, surrendered, partially surrendered or forfeitedb) Changed or modified into paid-up insurance policy, continued as extended term insurance or placed under automatic

    premium loan for a continuous period of 6 months, or under another form of non-forfeiture benefits or otherwisereduced in value by the use of non-forfeiture benefits, dividend accumulations, dividend cash values or other cashvalues or

    c) Changed or modified so as to effect a reduction in the amount of premiums of more than 25% arising from thereduction of sums insured and/or reduction of rider or removal of rider, or in the period of time the existing lifeinsurance will continue in force.

    However, this excludes any withdrawal or utilization of cash bonus to pay premium for the existing life insurancepolicies.

    Replacement of Policy means

    Any transaction involving the purchase of a life insurance policy is construed as a replacement of policy if within 12 months beforeor after a new policy is effected, an existing life insurance policy has been:

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    My BasicsReplacement of Policy (ROP)AIA Scope of Replacement of Policy

    ROP shall cover Basic Term (P) or Son policies, WSM plans, Telemarketing plans, Bancassurance,

    Investment - linked plans, and Family Takaful.

    Existing policies under automatic premium loan (APL) for a continuous period of six (6) months and

    above.

    Existing ROP rules for single premium products shall remain unchanged. ROP rules shall apply if a

    single premium policy is replaced by another single premium policy within three (3) Months (Refer to

    Agency Circular: 14/02/2008)

    The latest implementation includes the following: -

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsReplacement of Policy (ROP)Disadvantages of ROP

    In the event of ROP is applied:

    Your client and youwill lose more since:

    Your client or you have to pay for:

    Termination charges of existing policy

    Entry charges for the replacement of policy

    Administrative costs

    Agents commission and production affected

    Policyholder may also stand to lose certain benefits such as a bonus credit/ dividendsunder the existing policy

    Policyholder may not get a new policy due to deteriorating health conditions or payshigher premium rates.

    All contestable clauses and health insurance waiting period begins. If cash values of one policy are used to pay premiums on a new policy; the valuesused may not be sufficient to support the new policy in future years, and this mayresult in the need to make additional premium payments to keep the insurance inforce. Policyholder may not have immediate access to his/her money in a new policy. He/She may have to wait a considerable period of time to access the cash value in thepolicy.

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsReplacement of Policy (ROP)If ROP happened within AIA

    Your client

    Control Mechanism in place to detect Internal Replacement of Policy

    Policy owner indicates in the proposal form on whether he/sheintends to replace or has replaced the existing policy/rider.

    Policy owner indicates in the Confidential Personal Financial Review(CPFR) booklet the reasons for replacement.

    Upon submission of the new policy and if a Replacement of Policy hasbeen detected, a letter known as Replacement of Policy Letterwould be issued and sent to policy owner and agent to explain on:

    a) Disadvantages and limitations of Replacement of Policy.

    b) Asking the policy owner to respond by answering whetherhe/she accepts the new policy or not; and return the letterto us 30 days from the date of the letter.

    Financial Health Review (FHR) Form

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    My BasicsReplacement of Policy (ROP)If ROP happened within AIA

    Letter to Policy Owner on Discovery of Replacement

    If the policy owner responds, the Company

    shall proceed with the option requested

    accordingly.

    Agents are urged to advise policy owner on policy conservation. Policy owner is required to return the letter to the company within 30 days from date of the

    letter confirming his/ her choice of option provided.

    If the policy owner does not respond to the ROP letter, the Company shall proceed to process the new application, and ROP rules shall apply accordingly.

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    My BasicsReplacement of Policy (ROP)If ROP happened within AIA

    Production & Commission Adjustments

    Reinstatement of the existing policy, Repayment of APL, Increase of the gross premium equivalent to the original level or higher, due

    to addition of rider sum assured and/or inclusion of riders Waiver category (*) (Refer to Appendix 1)

    FYP production, FYC, renewal commissions, overriding commissions and other overriding benefits shall be credited upon the occurrence of the following: -

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    My BasicsReplacement of Policy (ROP)If ROP happened within AIA

    Waiver Category (*)

    ROP will be waived if Policy owner confirms placing a new policy by signing and returning the ROP letterto Conservation Unit (under POS Dept) for the following types of replacement (Kindly refer to AgencyCircular: 155/11/2006):

    An existing policy is changed or modified into a RPU, ETI or placed under APLfor a continuous period of 6 months, or under another form of non-forfeiturebenefits or otherwise reduced in value by the use of non-forfeiture benefits,dividend accumulations, dividend cash values or other cash values.

    An existing policy is changed or modified as to effect a reduction in theamount of premiums of more than 25%.

    However, where a replacement is due to an existing policy being lapsed, cash surrendered,the normal appeal via Conservation Unit shall apply.

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    My BasicsReplacement of Policy (ROP)If ROP happened within AIA

    Appealing Channel

    Requests must be documented in official writing to Conservation Unit. Conservation Unit will vet,review and co-ordinate the necessary actions. In order to consider waiver of ROP, Conservation Unitwould require the following:

    1. ROP Appeal Form (To be obtained from ALPP)2. Any other document(s) / evidence(s) in supporting your appeal case

    (Log in to ALPP -> Resources -> Forms Library -> AIA Service)

    Even all the evidences/documents are obtained, waiver of ROP is not guaranteed. Theultimate decision rests with the Company. Once a decision is finalized; Conservation Unit willinform appealer via memo. Conservation Unit will revert to agent within 30 days uponreceiving the complete document(s) / evidence(s).Any consideration of appeal must be forwarded to Conservation Unit within three (3)Months from the date of ROP letter. Failure of notification may result in non-credit of theabove.

    Conservation Unit Policyowner Service Department (POS)Level 8, Menara AIANo: 99 Jalan Ampang50450 Kuala LumpurEmail: [email protected]: 03-20563891

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    My BasicsReplacement of Policy (ROP)If ROP happened between different insurance company

    External Replacement of Policy (between different insurers)

    BNM/LIAM does not handle complaints from agents directly. Should an agent would like to feedback regarding an External ROP; he/ she may

    forward them in writing directly to Conservation Unit.

    Conservation Unit Policyowner Service Department (POS)Level 8, Menara AIA99 Jalan Ampang50450 Kuala LumpurEmail: [email protected]: 03-20563891

    (1) Details can be accessed through Policy Details - ALPP

    Insured Name IC Number Effective Date Paid To Date / Terminated Date Premium Amount & Mode of Payment Policy Number Plan Name Plan Type (ie. Medical / Endowment / Life) Payment Mode Your Contact Number (Conservation Unit will call you where necessary)

    The agent will need to provide the following details to facilitate in the External Replacement of Policies investigation:

    (2) Details of other life insurer(s)

    Name of Insurer/Life Insurance Company Agent of other insurer (Optional) Policy No of other insurer (Optional) Evidence(s). Example: Policy Contract

    (Optional) (Kindly refer to Agency Circular: 07/01/2007)

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsReplacement of Policy (ROP)BNM/LIAMS Resolution

    FYP, FYC, Renewal Commissions & Overriding Benefit

    When a policy is detected as an (internal replacement); FYP, FYC, all subsequentrenewal commissions, overriding commissions and other overriding benefits willNOT be credited.

    In instances where an agent or agency leader has been or is involved in thereplacement of a policy or policies from one company to another (externalreplacement); the insurer shall be required to undertake the following action:

    Cease payment of all commissions, including overriding commissions and bonuseson all policies replaced and re-booked in the new company and if any payment hasbeen made, the new company shall claw back all payments made.

    Enforcement Action A

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    My BasicsReplacement of Policy (ROP)BNM/LIAMS Resolution

    Disciplinary Actions

    If an agent is found to be repeatedly involved in the practice of replacement of policies:

    Insurers may also exercise one or more of the following disciplinary actions:

    i. Deferment of promotion for one year together with a warning letter (after 5 instances ofreplacement of policies);

    ii. Demotion and a warning letter (after 10 instances of replacement of policies)

    iii. Termination (after 15 instances of replacement of policies). An agent who has been terminatedunder (iii) shall be placed under the Referred Listing of LIAM.

    Enforcement Action B

    Any member company involved in any instances of replacement of policies that FAILto enforce the actions as stated in above A & B would be fined.

    The quantum of fine shall be up to a multiple of 10 times the premiums of each new policy that has been replaced, subject to a maximum of RM200,000.

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsReplacement of Policy (ROP)Conservation on Policy Replacement

    1. Taking out a new policy in addition to existing policy if the intention is merely to increase the sum insured or extend the scope of their insurance coverage.

    2. Convert a whole life policy into an endowment policy.

    3. Shorten or extend the term of the

    policy.

    4. Add riders to existing

    policy.

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

    ROP Detection Search Engine

    A search engine on potential ROP is made available for agents reference and this will be based on real time checking. The result ofthis potential ROP search will depend on the info keyed in by agent. For more accuracy, agents are encouraged to input more info inthis search engine where possible.

    ROP Enquiry Tool

    For pre-Single License JRC policy and post Single License AIA policy (at the moment)

    ROP Enquiry Tool

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    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

    Can select what to search, New / Old IC, Passport, Birth Cert, click Submit.

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    Adequate information is provided as per screen.

    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

  • AIA confidential and proprietary information. Not for distribution.

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    Potential ROP

    73

    Potential ROPFor pre-Single License AIA policy only

    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

  • AIA confidential and proprietary information. Not for distribution.

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    Another window will pop out, key in EITHER New IC or Old IC or Birth Cert No.

    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

  • AIA confidential and proprietary information. Not for distribution.

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    If there is potential ROP, then message Potential ROP detected will prompt, else No Record Found will prompt.

    My BasicsReplacement of Policy (ROP)ROP System Enhancements in ALPP & AIA DashBoard

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    PersistencySales Compliance

  • AIA confidential and proprietary information. Not for distribution.

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    Persistency is the percentage of an agents existing policies remaining in force, without lapsing or being replaced by policies of own company or other insurers.

    Its no good to anyone if they dont keep it. A life insurance policy, as part of a program designed to meet an insureds financial need, is of no value if its not there when its needed.

    Persistency is the key to developing and building a successful sales practice. What an agent will say and do before, during and after the sale to get the business and keep it requires a religious use of a process that will foster superior policy persistency.

    My BasicsPersistencyUnderstanding Persistency

    What is Persistency?

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    My BasicsPersistencyUnderstanding Persistency

    Improving Your Persistency

    There are several actions the agent can take to improve persistency to top-notch,money making, service-after-the-sale persistency. Lets see some of them:

    Be professional

    Think about persistency up front

    Use a fact-finder and sell needs

    In-Person delivery

    Stay In Touch

    Provide Value-added Services

    Keep the coverage up-to-date

    Know the competition

    Implement a Policy Conservation Plan

    Reinstate whenever possible

    Measure it yourself

    Finding qualified prospects

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyUnderstanding Persistency

    How to improve Quality of Business?

    Look for quality prospects

    Sell on a needs basis

    Sell appropriate policies at proper amounts

    Try for annual or automatic premium payments

    Get payment with the application

    Resell the policy on delivery

    Follow-up when second or third premiums are due

    Keep in touch with your policy owners and be a professional.

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyUnderstanding Persistency

    Types of Persistency Measurement

    2 Types of Persistency Measurement

    DGI Persistency(Government Std)

    Persistency Bonus

    LIMRA 19 Months

    (Company Std)

    Contests, Awards,

    Conventions

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyTypes of Persistency Measurement

    LIMRA 19 Months Persistency

    LIMRA 19 is the 19 months persistency rate which analyses the lapse performance within the previous 12 months.

    Life span of a policy < 19 months

    Policy Date

    19 months

    Critical Period

    All contests, conventions & awards are based on Past 12 months (P12M) Case Count

    Average Persistency is derived from Past 12 months Case Count

    Son policies, WSM* & Single Premium are excluded

    Refer to EB8 report or AIA Direct

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    My BasicsPersistencyTypes of Persistency Measurement

    LIMRA 19 Months Persistency

    Factors Affecting Persistency

    New Business (Father Policy Only)

    Past 12 Month lapses

    To Improve Persistency

    Increase New Business (Counted 3 months later)

    Reinstate ALL lapsed cases Focus on FL (First Year Lapse) and

    RL (Renewal Lapse)(EB8 report)

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    My BasicsPersistencyTypes of Persistency Measurement

    Definitions of Terms

    First Year Lapse (FL) = policies lapsed due to 2nd to 13th month premium being unpaid.

    Renewal Lapse (RL) = policies lapsed due to 14th to 19th month premium being unpaid.

    First Year Reinstatement (FR) = reinstatements of policies lapsed due to 2nd to 13th month premium being unpaid.

    Renewal Reinstatement (RR) = reinstatements of policies lapsed due to 14th to 19th month premium being unpaid.

    Grace Period (GP) = policies under grace period due to 2nd to 19th month premium being unpaid.

    Current Month Exposure = past 3rd to 20th Months New Business / 18

    Current Month Lapse = policies lapsed in current month due to the 19th months premium or prior premium being unpaid.

    Current Month Lapse Rate = Current Month Lapse X 100 %

    Current Month Exposure

    Current Month Persistency Rate = 100 % - Current Month Lapse Rate %

    Past-12-month Exposure = Total of exposure for the past-12-months up to the current report month

    Past-12-month Lapse = Total of lapse for the past-12-month up to the current report month

    Past-12-month Lapse Rate = Past-12-month Lapse X 100 %

    Past-12-month Exposure

    Past-12-month Persistency Rate = 100 % Past-12-month Lapse Rate %

    Average Persistency = Total Monthly P12M Persistency in Qualification Period

    Months in Qualification Period

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyTypes of Persistency Measurement

    SURVEY Findings:

    The longer a policy is in force, the more commission itgenerates for the agent

    An agent with 95% persistency will earn 20% morethan an agent who has 85% persistency

    of all lapses are never contacted in an attempt toconserve the business

    The cost of reinstatement; clerical, postage materials& phone calls equaled approximately 1% of thepremium that was saved

    Nearly 50% of lapsed policies can be reinstated withpersonal contact

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyTypes of Persistency Measurement

    DGI Persistency

    AGENTS PERSISTENCY BONUS:

    In the year following determination of persistency by the Company, a monthlyPersistency Bonus of 5% shall be paid as follows:

    YEAR BONUS

    1ST Year 5% of 2nd Year Renewal Premiums

    2nd Year 5% of 3rd Year Renewal PremiumsPayment subjected to persistency requirement as specified by Bank Negara Malaysiaand the Company from time to time. Persistency requirement shall be defined in theDGIs Guidelines on Operating Costs of Life Insurance Business[JPI/GPI 6 (Revised)]

    As stated in AIAs Agents Schedule of Commissions:

    D1 D1 measures 1st Year Persistency FULL FYP must be collected on or before policy

    anniversary date Meaning policy must be in force at least 12 months If D1 > 90%: 5% will be paid on the 2nd Year

    Renewal Premium (2RP)

    D2 D2 measures 2nd Year Persistency Full 2RP must be collected on or before the next policy

    anniversary date Meaning a policy must be in force at least 24 months If D2 > 80%: 5% will be paid on the 3rd Year Renewal

    Premium (3RP)

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    My BasicsPersistencyTypes of Persistency Measurement

    DGI Persistency

    D persistency is weighted by Annualized Premiums

    If a policy is lapsed, D Persistency of the policy is = 0

    If a lapsed policy is reinstated within the anniversary date or the premium is decreased, D persistency of the policy remains = 100%

    D Persistency is computed at January 15 in calendar year

    Father & Son Policy (Basic Term) affects D Persistency

    Riders are excluded from D Persistency Count

    2 agents sharing a policy - calculated on a pro-rated basis

    Reinstatement by another agent:a) Included in the original agent as LAPSEDb) b) Included in the new agent using the original effective date

    D1 = B1A1

    A1 = Total Annualized FYP (base)B1 = FULLY Collected FYP

    D2 = B2A2

    A2 = Total Annualized RP (base)B2 = FULLY Collected 2RP

    1st Year Persistency: Premium on new policies sold which remain inforced at the end of the 1st policy year

    2nd Year Persistency: Premium on new policies sold which remain inforced at the end of the 2nd policy year

  • AIA confidential and proprietary information. Not for distribution.

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    My BasicsPersistencyTypes of Persistency Measurement

    Commission Statement

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

    AIA Premier Academy (APAc)SEED Program

    NO LIMRA 19 M D PERSISTENCY

    1. Case Count Premium Count2. Reinstate 19M Lapsed

    Cases (FL & RL)

    4. EB8Contests, Awards, Conventions

    EDDPersistency Bonus

    Cases must reinstate within policy anniversary date D1 - 12 monthsD2 - 24 months

    3. Son policy will not affect persistency

    Son policy affects persistency(Basic Term)

    LIMRA Persistency vs DGI Persistency

    My BasicsPersistencyTypes of Persistency Measurement

  • AIA confidential and proprietary information. Not for distribution.

    Rev02 dated 01/10/2013

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    You have completed the Persistency module and ready to be a qualifier for Quality Business Awards!

  • AIA confidential and proprietary information. Not for distribution.

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    Quality Business Awards (Refer to your Club Membership Guidelines)

    ObjectiveTo give recognition to Agency members who are both persistent and quality conscious in their business

    EligibilityAgents/Leaders

    Qualifying PeriodPast 24 months of Average Persistency (ending November)

    CategoryAverage 24monthsEB8 Persistency

    Min FYP (Life Only) Qualifying Year

    Rewards

    Agent 95% 100,000*Cash rewards:

    DM&UM = RM600

    Agent = RM200*Certificate

    Unit Manager 90% 280,000

    District Manager 90% 400,000

    My BasicsPersistencyQuality of Business

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    Recognition: Club Membership Guidelines

    Ranking: Credited FYP

    Benefits: Conventions, Contract Maintenance, Group Benefits etc

    Income: Renewal Commission, Persistency Bonus, Quality Business Award, Career Benefit etc

    Why monitor your Persistency?

    My BasicsPersistencyQuality of Business


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