Sales and prospecting

Material facts over WhatsApp: capturing a fair presentation of the risk

A voice note can carry a material circumstance. What the Insurance Act 2015 and CIDRA expect brokers to capture in a chat thread, and how to make it stick.

Published on 7 min readFCB.ai
Contents
  1. Two clients, two different duties
  2. A reasonable search now includes your inbox
  3. What a bad presentation costs
  4. A capture routine that survives a coverage dispute
  5. Where this sits next to demands and needs
  6. Frequently asked questions

The message arrives at 19:40 on a Thursday, as a voice note: Oh, and we picked up that unit in Rochdale in March, that is all sorted your end, yeah? The account handler listens to it on the train, means to deal with it, and does not. Fourteen months later there is a fire at the Rochdale unit and a coverage argument in which the only contemporaneous record is a forty-second audio file on somebody's personal phone.

Nothing in the Insurance Act 2015 mentions messaging apps. But the way a client now tells their broker things has changed faster than the way most brokerages capture them, and the duty of fair presentation is unforgiving about the difference.

Two clients, two different duties

The first thing to get straight is which regime you are in, because the answer changes what your questions have to do.

QuestionConsumer (CIDRA 2012)Business (Insurance Act 2015)
What the client owesA duty to take reasonable care not to make a misrepresentationA duty of fair presentation of the risk
Volunteering informationNo general duty to volunteer; the consumer answers the questions askedYes — disclose every material circumstance, or give enough to put a prudent insurer on notice to enquire
Who has to do the askingEffectively the insurer and the broker, through clear questionsShared: the insured must search, the broker must frame the presentation
Standard appliedThe reasonable consumer, adjusted for what the insurer knew about this oneReasonably clear and accessible to a prudent insurer
Consequence for the threadAsk specific questions; a vague "any changes?" earns you nothingCapture what the client tells you casually — it counts as their knowledge

If you place business in Ireland, note a third position: the Consumer Insurance Contracts Act 2019 abolished the consumer's duty of utmost good faith and reduced disclosure to answering specific questions honestly and with reasonable care. Where the insurer fails to follow up an obviously incomplete answer it is treated as having waived the point, and ambiguous questions are read in the consumer's favour. The direction of travel in both jurisdictions is the same: the burden of asking well has moved towards the firm.

A reasonable search now includes your inbox

Section 4 of the Insurance Act 2015 defines what a commercial insured knows. It covers what is known to its senior management and to the people responsible for its insurance — and that expressly includes the insured's agents, which means you. It also covers what the insured ought to know, being what a reasonable search of information available to it would reveal, which can include enquiries of its staff and its broker.

Read that against the Rochdale voice note. The client told their broker. Under section 4 that information is capable of being the insured's knowledge whether or not it reached the underwriter. If it never reached the underwriter, the presentation may not have been fair — and the person who will be asked to explain why is not the client.

The conclusion is unwelcome but simple: once a brokerage takes client conversations on WhatsApp, those threads are part of the disclosure trail, not an informal side channel. They need to be owned by the firm, searchable, and attributable to a named handler — the same conclusion we reached about mid-term adjustments agreed in a chat.

What a bad presentation costs

The Act replaced all-or-nothing avoidance with proportionate remedies. The outcome depends on what the insurer would have done had the presentation been fair.

BreachWhat the insurer would have doneRemedy
Deliberate or recklessNot relevantAvoid the contract, refuse all claims, keep the premium
Neither deliberate nor recklessWould not have written the risk at allAvoid the contract, refuse claims, return the premium
Neither deliberate nor recklessWould have written it on different termsContract treated as if it had contained those terms
Neither deliberate nor recklessWould have charged a higher premiumClaim reduced proportionately to reflect the premium actually charged

The last line is the one clients never see coming. Illustratively: where the premium charged was a little over half of what would have been charged on a fair presentation, the insurer may reduce the claim payment in roughly the same proportion. The policy is not void; the client is simply paid a fraction of the loss. CIDRA follows a similar logic for consumers, separating deliberate or reckless misrepresentation from careless misrepresentation, with proportionate outcomes for the latter.

A capture routine that survives a coverage dispute

  1. Ask question by question, in writing. "Any changes since last year?" is the weakest question in broking. List them: premises, occupancy, turnover, headcount, subsidiaries, work away, prosecutions, previous losses, directors' history.
  2. Transcribe voice notes into the thread before acting on them. "Confirming your voice note: you took a lease on a unit in Rochdale in March, used for storage, no manufacturing. Is that right?" You now have a written record and the client has a chance to correct it.
  3. Make the client confirm rather than merely receive. A summary the client has replied to is materially better evidence than a summary you sent and they ignored. Our document collection use case covers the same chase-and-confirm pattern for paperwork.
  4. Move confirmed facts to the file the same day. The thread is evidence; it is not a record system. If a fact lives only in the app, it will not be found when it matters.
  5. Present it to the underwriter in a form a prudent insurer can read. Forwarding a chat export is not a fair presentation; a structured, indexed submission is. "As per WhatsApp" has never persuaded anybody.
  6. When the client says do not mention it, record the advice you gave. Set out the consequence in plain terms, in writing, and record their instruction. That paragraph is the cheapest professional indemnity protection you will ever buy.

None of this requires new software, but it does require the conversation to sit somewhere the firm controls. A shared inbox where the thread carries the client record, where a colleague can search "Rochdale" across two years of history, and where an AI-drafted summary is checked by the handler before it goes anywhere, turns a scattered set of handsets into something you can put in front of an underwriter or a court. That is the whole of the ORIS argument here: no automation of the duty itself, just conversations that do not evaporate.

Where this sits next to demands and needs

Brokers routinely conflate two separate obligations. A statement of demands and needs records what the client wants from the cover and why the product suits them; it protects the client against being sold the wrong thing. Fair presentation runs the other way: it records what the client has told the insurer about the risk, and it protects the client's claim. A file can be immaculate on one and empty on the other. Renewal is when both are tested at once, which is why the disclosure questions belong early in the timetable rather than in the final week — see our 60-day commercial renewal playbook.

Frequently asked questions

Is a WhatsApp message enough to evidence disclosure?

It can be, provided the firm holds it rather than an individual's handset, it is attributable to a named person and a date, and it has not been altered. What fails is not the channel but the custody: a thread that left with a departing account executive proves nothing at all.

Does telling our account handler count as telling the insurer?

No, and this is the trap. Under section 4 of the Insurance Act 2015 the broker's knowledge is attributed to the insured, not to the insurer. Telling you makes the client's non-disclosure harder to excuse and makes your failure to pass it on harder to defend.

What about voice notes — do we have to keep them?

Keep them within your normal retention policy, but do not rely on them. Transcribe the material content into the thread and get it confirmed. A voice note is hard to search, hard to review at renewal and easy to misremember eighteen months later.

Can we contract out of the Insurance Act with commercial clients?

For non-consumer contracts the Act permits terms that put the insured in a worse position, but only where the transparency requirements are met: the term must be clear and unambiguous as to its effect, and the insurer must take sufficient steps to draw it to the insured's attention before the contract is concluded. Check the wording at each renewal and tell the client in writing where such a term applies.

Our client is a small company. Is that consumer or commercial?

Insurance taken out wholly or mainly for purposes related to a trade, business or profession falls under the Insurance Act 2015 regime, however small the business. Mixed-purpose cases exist — a vehicle used for both — so where it is genuinely unclear, ask the questions to the commercial standard and document them.

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