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Client Complaint Handling Procedures
A “complaint” shall be deemed to include any written or verbal statement of grievance, including electronic communications from a client, former client, or any person who is acting on behalf of a client and has written authorization to so act, or of a prospective client who has dealt with Viver Health Inc. (Viver), alleging a grievance involving Viver, or a Representative of Viver including an employee of Viver, an MGA or Branch of Viver, an Advisor of Viver or former Representative of Viver, if the grievance involves matters that occurred while the Representative was a Representative of Viver.
Any communication, whether verbal or written, which implies any of the following, must be brought to the attention of Viver for documentation:
Each client who submits a complaint to Viver must be treated with dignity and respect and his/her complaint must be dealt with in good faith.
Representatives are required to report all client complaints to Viver as soon as they are aware of the complaint by supplying the following to Viver:
Upon receiving the complaint from either the client or the Representative, Viver shall:
Viver will maintain the ‘Complaint Log’ by electronic means. Viver will keep the ‘Complaint Log’ and correspondence for each complaint in a separate ‘Complaint File’ for each MGA/Branch Office. Viver will advise the MGA/Branch of any additional procedures and keep the MGA/Branch informed as to the status of the complaint. It is best business practice to disclose to FSRA any complaint involving allegations of theft, misappropriation or forgery. As well as all private settlements, judgments or arbitrations made to a client by Viver that are greater than $25,000 should be reported to FSRA. As well as all private settlements, judgments or arbitrations made to a client by an Officer, Employee or Representative that are greater than $15,000 should be reported to FSRA.
No Representative or Employee of Viver may engage outside legal counsel on behalf of Viver. Any legal or court document or correspondence from lawyers must be forwarded immediately to Viver.
Duty to Assess All Complaints
Viver has the duty to engage in an adequate and reasonable assessment of all complaints. All complaints are subject to the complaint handling requirements as set out by FSRA.
Any complaints that are subject to informal resolution must be handled fairly and responded to promptly (i.e. generally in less time than it would take for more complex and serious complaints. Where a complaint subject to informal resolution is received in writing Viver must provide its substantive response in writing.
Viver should be prepared to assist clients in documenting verbal complaints where it is apparent that such assistance is required.
Viver must ensure that information about its complaint handling process is made generally available to clients so that clients are informed as to how to file a complaint and to whom they should address a complaint.
Viver’s complaint handling procedures provide a specific point of initial contact at head office, the Compliance Officer, for complaints or information about Viver’s complaint handling procedures. Clients may also be advised to address their complaints to the Representative servicing their account and to the MGA/Branch supervising that Representative.
To achieve the objective of handling complaints fairly, Viver’s complaint handling procedures include standards that allow for a factual investigation and an analysis of the matters specific to the complaint. Viver does not allow complaints to be dismissed without due consideration of the facts of each case. There must be a balanced approach to the gathering of facts that objectively considers the interests of the complainant, the Representative and Viver.
Viver’s obligation to handle complaints in accordance with FSRA Rules is not altered when a complainant engages legal counsel in the complaint process and where no litigation has commenced. Where litigation has been initiated by the complainant, Viver is expected to participate in the litigation process in a timely manner in accordance with the rules of procedure of the applicable jurisdiction and to refrain from acting in a way that is clearly unfair. Viver’s review of the complaint must result in Viver’s substantive response to the complainant.Examples of an appropriate substantive response include a fair offer to resolve the complaint or a denial of the complaint with reasons.
Prompt Handling of Client Complaints
Viver must handle the complaint and provide its substantive response within a reasonable time period expected of an insurance MGA acting diligently in the circumstances. The time period may vary depending on the complexity of the matter. Viver should determine its substantive response and notify the complainant in writing in most cases within three months of receipt of the complaint.
Further, if the complainant fails to co-operate during the complaint resolution process, or if the matter requires an extensive amount of fact-finding or complex legal analysis, time frames for the substantive response may need to be extended. In cases where a substantive response will not be provided within three months, Viver must advise the complainant as such, provide an explanation for the delay, and also provide Viver’s best estimate of the time required for the completion of the substantive response.
It is not required that the complainant accept Viver’s substantive response. Where Viver has communicated its substantive response, Viver must continue to proactively address further communications from the complainant in a timely manner until no further action on the part of Viver is required.
General Complaint Handling Requirements
Settlement Agreements
No Representative shall, without the prior written consent of Viver, enter into any settlement agreement with, pay any compensation to or make any restitution to a client. Viver nor any Representative may impose confidentiality restrictions on clients or a requirement to withdraw a complaint with respect to FSRA, regulatory authority or law enforcement agency as part of a resolution of a dispute or otherwise.
Additional Complaint Handling Requirements
Supervisory Investigations
Viver must monitor, through its supervisory personnel, all information that it receives regarding potential breaches of applicable requirements on the part of Viver and its current and former Representatives that raise the possibility of risk to Viver’s clients or other investors. Applicable requirements include FSRA By-laws, Rules and Policies, other applicable legal and regulatory requirements and Viver’s related internal policies and procedures. This applies to information received from both internal and external sources. For example, such information may come from client complaints, be identified during Viver’s routine supervisory activity, or come from other Representatives of Viver or individuals outside of Viver who are not clients.
For purposes of clarity, where the information is received by way of a client complaint, the supervisory duty goes beyond addressing the relief requested by the complainant and extends to a consideration of general risk at Viver. The duty to deal with the supervisory aspects of the matter continues when a complainant purports to withdraw the complaint or indicates satisfaction with the results of Viver’s complaint handling.
Viver must take reasonable supervisory action in relation to such information, the extent of which will in part depend on the severity of the allegation and the complexity of the issues. In all cases, Viver must track such information and note trends in risk, including those related to specific Representatives or MGA/Branches, subject matter, product types, procedures and cases, and take necessary action in response to those trends as appropriate. In some cases, it will be necessary to conduct an active supervisory investigation in relation to the information received in specific situations and the level of the investigation must be reasonable in the circumstances.
Viver has the duty to conduct a detailed investigation in all situations where there is information from any source, written or verbal, whether from an identified source or anonymous, to raise the possibility that such conduct occurred. This duty applies to all conduct by the current or former Representative, whether it occurred inside or outside of Viver.
The investigation must be sufficiently detailed and must include all reasonable steps to determine whether the potential activity occurred. Examples of the activities that Viver may need to take include:
Internal Discipline
Breaches of FSRA By-laws, Rules and Policies are subject to appropriate internal disciplinary measures.
Documentation associated with Viver’s client complaint activity shall be maintained for a minimum of 7 years from the creation of the record and made available to FSRA upon request.
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