Purpose of this Guidance | Purpose | The purpose of this Guidance is to assist the understanding of risks and effective performance by CBUAE licensed insurers, agents, and brokers of their AML/CFT obligations. |
Applicability | This Guidance applies to all insurance and re-insurance companies, agents, and brokers that are licensed and supervised by the CBUAE. |
Understanding and Assessing ML/FTRisks | Overview of Insurance Sector Activities and Participants | Under Article 2.16 of the AML-CFT Decision, as amended, only direct insurance and re-insurance operations with respect to insuranee of persons and funds accumulation (referred to as life insurance and other investment-related insurance products' hereafter) are subject to the UAE's AML/CFT legal and regulatory framework, with the exception of the targeted financial sanctions' requirements applicable for all insurance operators. Insurance sector participants include operators in the insurance sector, which sell or facilitate the sale of insurance products and must be licensed by the CBUAE, and customers, who own, pay for, and/or are covered by or the beneficiaries of insurance products.• | Operators principally include insurers, re-insurers, insurance agents, and insurance brokers. Operators also include consultants, actuaries, loss and damage adjusters, third-party administrators, insurance producers, and price comparison websites (or "insurance aggregators"), although due to their reduced risk exposure these operators are not subject to the Guidance with the exception of the requirements relating to targeted financial sanctions. | • | Customers principally include policy holders (or "policy owners), policy payers, insureds, and beneficiaries. |
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ML/FT Risks relevant to life insurance and other investment-related insurance products | • | Criminal actors may use life insurance and other investment-related insurance products to place illicit proceeds into the financial system, especially (though not exclusively) where the insurer or intermediary accepts premium payments in cash. | • | Reimbursed premiums, withdrawn contributions, and payout proceeds (whether legitimate or fraudulent) can be deposited into a bank account or used to purchase other financial instruments without necessarily revealing the ultimate origin of the funds. | • | Life and other investment-related products are generally considered to present higher ML/FT risk, particularly where they have high cash values upon surrender (e.g. assigning policies and payments to third parties, borrowing against the cash surrender value of permanent life insurance policies, selling units in investment-linked products or buying products with insurance termination features without concern for the product's investment performance). |
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Product Risk Factors | Higher-risk productscan include those: whose design allows the insurance operator to hold funds or transact large sums on behalf of the customer; provides for customer anonymity or third-party transactions; has no (or very small) fees or penalties for early withdrawal; allows the product to be held for a shorter period of time; and makes it difficult to identify if products are not being used as intended. |
Service and Transaction Risk Factors | Higher-risk services and transactions can include those: for which it is difficult to trace the ownership of funds; where the customer is not the payer or recipient of the funds; where the payment source or recipient is based outside the country; or involving a large number or transactions back and forth or significant, unexpected, and unexplained changes in the customer's typical activity. |
Distribution Channel and Intermediary Risk Factors | Higher-risk distribution channels can include those: involving a distributor or other intermediary that is not subject to AML/CFT requirements; where the customer pays a distributor, who then pays the insurer; or where the customer has a purely non-face-to-face relationship with insurers or agents (e.g., insurance sold online without adequate safeguards to confirm identity). |
Customer Risk Factors | Higher-risk customers can include those: with incomplete or questionable identification; who are controlled by third parties; that are legal entities with a complex structure: in high-risk industries; making high-value transactions without a confirmed source of funds or wealth; who are new to the insurer; who only hold non-registered policies or accounts; who are politically exposed persons; or who are sanctioned, have ties to sanctioned persons, or are associated with negative news. |
Geographic Risk Factors | Higher-risk geographies can include: regions with high frequency and severity of crimes with ML risk; regions that experience a higher incidence of high-risk activity or fraud; countries risk-rated as high by the insurer; or countries on the NAMLCFTC's or FATF's lists of high-risk jurisdictions or FATF's list of jurisdictions under increased monitoring. |
Mitigating Risks | Risk-Based Approach and Enterprise Risk Assessment | Any insurance operator is required to perform, document, and keep up to date an enterprise risk assessment for the purposes of identifying, assessing, and understanding its ML/TF risks for life insurance and other investment-related insurance products and to ensure that identified risks are within the institution's risk appetite and that identified deficiencies are appropriately tracked and remediated. |
New Products, Practices, and Technologies | An insurance operator is required to identify, assess, and take steps to mitigate the ML/TF risks for life insurance and other investment-related insurance products that may arise in relation to: (i) the development of new products and new business practices, including new delivery mechanisms; and (ii) the use of new or developing technologies for both new and preexisting products. The operator must undertake such risk assessments prior to the launch or use of the new products, practices, and technologies and must take appropriate measures to manage and mitigate the identified risks |
Customer Due Diligence ("CDD") | For life insurance and other investment-related insurance products, all insurance operators must perform general CDD on their customers, including customer identification and verification, beneficial ownership identification and verification, understanding the nature of the customer's business and the nature and purpose of the relationship, ongoing monitoring, and name screening.• | Additionally, insurance operators are expected to collect and verify the identities of: (i) any natural persons appointed to act on the customer's behalf and (ii) the beneficiaries or other payees of an insurance policy and their beneficial owners. | • | In low-risk scenarios, insurance operators may perform certain simplified due diligence ("SDD") measures, such as verifying the customer's or beneficial owner's identity after establishing the business relationship, unless there is a suspicious of ML/TF. | • | In higher-risk scenarios, insurance operators must perform enhanced due diligence ("EDD")measures, such as establishing the source of wealth or funds or conducting enhanced monitoring during the course of the business relationship. |
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Transaction Monitoring and STR Reporting | When conducting operations related to life insurance and other investment-related insurance products, Insurance operators must monitor activity by all customers to identify behavior that is potentially suspicious. Insurance operators must file without any delay an STR or SAR with the UAE FIU when they have reasonable grounds to suspect that a transaction, attempted transaction, or certain funds constitute, in whole or in part, regardless of the amount, the proceeds of crime, are related to a crime, or are intended to be used in a crime. Please consult CBUAE's Guidance for Licensed Financial Institutions (LFI) on Transaction Monitoring and Sanctions Screening as well as CBUAE's Guidance for LFIs on Suspicious Transaction Reporting. |
Sanctions Obligations and Freezing without delay | All insurance operators without any exception, are obliged to apply policies, procedures and controls to implement TFS to those sanctioned and designated in the Local Terrorist List and the UN Consolidated List. Please consult the Executive Office for Control and Non-Proliferation (previously known as the Executive Office of the Committee for Goods and Materials Subjected to Import and Export Control's - referred to as the Executive Office) "Guidance on TFS for Financial Institutions and designated non-financial business and professions"; the CBUAE's Guidance for LFIs on the Implementation of Targeted Financial Sanctions as well as the CBUAE's Guidance for LFIs on Transaction Monitoring Screening and Sanctions screening. Insurance operators should also consult the CBUAE's and the Executive Office's websites as updated from time to time (in particular the Executive Office's list of FAQ for the insurance sector). |
Third-Party Reliance and Outsourcing | Insurers are permitted to delegate the performance of specified controls to insurance agents or other intermediaries, using either a third-party reliance model (whereby a third-party licensed financial institution carries out CDD measures following its own AML/CFT policies and procedures) or an outsourcing model (whereby insurers engage a third-party service provider to apply all or some of the insurer's own AML/CFT policies and procedures). Under either model, the insurer retains ultimate responsibility for the implementation of applicable AML/CFT preventive measures. |
Employee, Officer, Agent, and Broker Risk Management | Insurance operators should have in place screening procedures to ensure high standards when hiring employees, appointing officers, or engaging agents or brokers. Operators should also monitor on an ongoing basis for possible indicators of suspicious or illicit behavior. |
Training | An operator's AM L/CFT training program should ensure that employees are aware of the risks facing the insurance sector for life insurance and other investment-related insurance products, are familiar with the obligations of the operator, and are equipped to apply appropriate riskbased controls. |
Governance and Independent Audit | The preventive measures discussed above should take place within, and be supported by, a comprehensive institutional AML/CFT program that is appropriate to the risks the operator faces and organized in accordance with the "three lines of defense" model, comprising business unites, a compliance function, and an independent audit function. |