The insurance ombudsman scheme launched in October 1992 is funded by the insurance industry. To ensure the independence of the Ombudsman the operation of the service was divided into three component parts. The first is a board comprising executives who are elected from those insurers taking part in the scheme. The second is a council made up of nominees from within and outside the insurance industry. The council in the second part recruits and appoints the Ombudsman subject to the approval of the board in the first part. The third part is the Office of the Ombudsman where policyholder disputes are referred and resolved. The member companies of the scheme are bound by the Ombudsman's decisions.
The present Ombudsman was appointed at the outset of the scheme in 1992. In seeking the endorsement of the Minister for Industry and Commerce for the launch of the scheme at the time, the insurance industry expanded the draft terms of reference at the behest of the Minister to provide greater discretion to the Ombudsman in the determination of issues in dispute between policyholders and insurers.
As documented in its recent five year review, the Office of the Insurance Ombudsman has proved an outstanding success as an alternative dispute resolution mechanism. It has settled disputes and complaints by mediation and conciliation in addition to issuing written adjudications in more intractable cases. It has provided an invaluable service to the consumer and has led to improved sales practices and claims handling by insurance companies participating in the scheme.
As the insurance ombudsman service is a private sector scheme, it would not be appropriate for me to comment on matters related to the conditions and duration of the appointment of the Ombudsman. Neither would it be appropriate for me to comment on the resignation of a member of the council. Our primary concern is to ensure, in the interests of the consumer as policyholder, that whoever holds the office of Ombudsman is enabled to discharge the responsibilities of that office in accordance with the terms of reference. I will be meeting members of the council at their invitation to discuss the existing arrangements for the operation of the scheme in light of experience gained over the past five years and to satisfy myself these arrangements are being operated in a way which enables the Ombudsman to independently and effectively discharge the functions of the office in accordance with the terms of reference.