3. The Legal Status of Digital Insurance Platforms: Distribution and Regulatory Boundaries.
This section examines the legal status of digital platforms, a fundamental aspect of understanding their regulatory implications within the insurance sector. The overall regulatory framework regarding digital transformation emphasises the protective purposes of these provisions rather than imposing limitations on the activities of those to whom they apply. Consequently, it often overlooks the activities that industry-sector regulations reserve for entities within the scope of this overarching regulatory framework.
The DSA provides the only formal definition of an “online platform” within the EU framework. It defines an online platform as a hosting service that stores and disseminates information to the public at the request of a service recipient (Article 3). The DSA applies broadly to all digital intermediaries, including e-commerce platforms and social media, without imposing sector limitations.
This broad and adaptable definition intersects with sector-specific regulations. EIOPA has introduced a working definition of platforms as “an interconnected set of services that allows users to fulfil a variety of needs in one integrated experience.” (EIOPA, 2024, p. 55). This definition aligns with a regulatory framework that includes IDD and Solvency II. These regulations impose strict limitations on entities engaged in insurance and distribution activities to ensure that only authorised entities meeting specific criteria can operate within the insurance sector.
EIOPA’s definition encompasses digital distribution channels such as insurance company websites, comparison sites, online platforms, and mobile applications. These platforms create a diverse and dynamic environment for distributing insurance products. EIOPA acknowledged an essential distinction between platforms acting as intermediaries and those purely providing tools to facilitate relationships between insurers and their (prospective) customers (EIOPA, 2024, p. 47).
EIOPA’s approach aligns with the IDD, which defines insurance distribution as activities limited to insurance undertakings, insurance intermediaries, and ancillary intermediaries. In line with its predecessor, the Insurance Mediation Directive (IMD), the IDD establishes a comprehensive regulatory framework that categorises insurance distribution as a regulated activity, including when conducted via a website or other media (Article 2(1). The broad definition adopted by the IDD allows for the inclusion of digital platforms within the expression “other media” (Marano, 2019, p. 295-296). This interpretation is supported by EIOPA, which acknowledges the growing role of digital platforms and artificial intelligence in insurance distribution and highlights the need for further regulatory clarity in this area (EIOPA, 2022b, p.5).
The IDD imposes compliance obligations on all entities engaged in such activities, referred to as “insurance distributors” (Article 2(8)). Consequently, these platforms are regarded as insurance distributors and must comply with IDD requirements. These obligations coexist with general digital platform regulations, resulting in a dual compliance framework.
These insights underscore the necessity to delineate the boundaries of insurance distribution under the IDD. A comprehensive assessment is vital for differentiating platforms that qualify as insurance distributors—thereby subject to sector-specific regulations—from those that facilitate interactions between insurers and customers without engaging in distribution. The latter may fall outside the insurance regulatory framework and be governed exclusively by the general digital platform standard. The following paragraphs will explore this distinction.
3.1. Ownership and Liability of Insurance Platforms
Under the IDD, entities that distribute insurance products through digital platforms are generally classified as insurance distributors (Article 2(1)(1)(3)). If the platform owner is different from the entity carrying out the insurance distribution activities, only the latter is recognised as an insurance distributor and is subject to the IDD requirements.
This distinction indicates that general digital platform regulations apply to owners who do not directly manage or execute the business conducted through their platforms. The liability exemptions for hosting services under Article 5 of the DSA and Article 14 of the E-Commerce Directive also extend to these owners. As a result, platform owners are obliged to fulfil specific responsibilities.
They must clarify their terms of service as mandated by Article 12 of the DSA and Article 3(1) of the Platform-to-Business Regulation. Additionally, they are required to disclose how platform-generated data is utilised under the provisions of Article 9 of the Platform-to-Business Regulation. Hosting service providers must implement systems for individuals or entities to report illegal content, as Article 14 of the DSA stipulated. Furthermore, if platform owners control the processing of user data, they are classified as data controllers under Article 4(7) of the GDPR. Consequently, they must inform users about their data processing practices clearly, concisely, and transparently, as specified in Article 12(1) of the DSA and the GDPR.
The regulatory framework explicitly assigns platform owners the responsibilities outlined, thus relieving insurance undertakings or distributors using these platforms from liability for any non-compliance by those owners. However, insurers/insurance intermediaries must remain vigilant regarding the reputational risks associated with partnering with platform owners who fail to adhere to applicable regulations. Conducting thorough due diligence is essential when selecting compliant and trustworthy partners to protect the reputation of insurers and intermediaries and maintain customer trust.
Furthermore, insurance undertakings and large insurance intermediaries—those not classified as micro, small, or medium-sized enterprises as defined by EU Recommendation 2003/361—must implement ICT risk management practices when using third-party digital platforms to offer their products (Article 27 of DORA). This is essential for ensuring the security and resilience of these platforms. It includes conducting due diligence on providers, establishing contracts that address operational continuity requirements, and continuously monitoring provider performance. The insurer or large intermediary is also responsible for reporting significant ICT incidents to the national competent authority and ensuring that the provider facilitates such reporting (Clausmeier, 2023, p. 84-86, Buttigieg and Zimmermann, 2024, p. 14-16). Consequently, it must ensure that the agreement with the third-party provider includes provisions allowing it to comply with this duty. Moreover, periodic testing of the platform’s operational resilience and integrating DORA into the insurer or large intermediary’s governance framework are crucial for ensuring regulatory compliance and protecting customers (Kourmpetis, 2023, p. 217-219).
If platform owners allow cross-selling practices—offering non-insurance products or services alongside insurance—Article 6(1)(d) of the DMA explicitly prohibits gatekeeper platforms from engaging in self-preferencing. This provision requires platform owners to avoid favouring their products or services over similar offerings from third parties, whether in rankings or other contexts.
Clearly defining the roles and responsibilities of platform owners and insurance distributors enhances the understanding of regulatory arbitrage risks in the digital distribution of insurance products. The following paragraphs analyse specific scenarios in insurance distribution where regulatory arbitrage may arise.
3.2. Group Policyholders and Their Regulatory Status
Group insurance policies are contracts that cover a defined group of individuals under a single policy. While these contracts are typically issued to an employer, association, or similar entity for the benefit of its members, they are utilised in various contexts. In certain EU Member States, providers of products or services through digital platforms have traditionally acted as the policyholder—the entity that enters the insurance contract with the insurer—distinct from the individuals covered under the group policy. These providers could assume this role to avoid classification as ancillary insurance intermediaries, sidestepping the IDD’s regulatory requirements. Despite evading intermediary status, they were frequently compensated for their involvement in the insurance arrangement, often linked to their primary business activities, such as offering other products or services.
The Court of Justice of the European Union (CJEU) has issued rulings on several occasions to clarify the regulatory boundaries of insurance distribution and to prevent the circumvention of relevant rules.
Initially, the CJEU clarified the scope of insurance mediation under the IMD, stating that this concept encompasses preparatory activities that lead to the conclusion of an insurance contract, even if the intermediary does not intend to finalise the contract (CJEU, C-542/16, 31 May 2018, para. 45).
The Court subsequently ruled that an insurance undertaking acting as a policyholder under a group unit-linked contract is engaged in insurance mediation activities if it receives remuneration for its role (CJEU, C-143/20 and C-213/20, 24 February 2022, paras. 87-88).
Recently, the CJEU clarified the dual roles of policyholders and intermediaries. It ruled that the status of an insurance intermediary or distributor is compatible with that of a policyholder. Specifically, the terms “insurance intermediary” and “insurance distributor” under the IDD refer to a legal entity that, for remuneration, offers its customers voluntary membership in a group insurance policy to which it has previously subscribed, granting them membership that entitles them to insurance benefits (CJEU, C-633/20, 29 September 2022, para. 46 ff.).
These rulings highlight the significance of complying with the provisions of the IDD. They clarify that entities facilitating access to group insurance policies, even when acting as policyholders, may fall under the remit of insurance intermediary regulations if they receive remuneration for their role. Consequently, entities distributing insurance products under a group policy they have signed as policyholders are included within the IDD’s scope. This fosters a level playing field and robust customer protection within the insurance sector, even when group policy distribution occurs via digital platforms.
Nonetheless, some national authorities continue to interpret the scope of the latest CJEU ruling in a restrictive manner. They emphasise that the ruling applies specifically to group insurance policies where the policyholder receives remuneration—broadly defined to include any form of economic benefit—the membership of the group insurance contract is voluntary, and insured persons are contractually granted the right to claim insurance benefits directly from the insurer (BaFin, 2023).
However, the ruling does not extend to cases involving group contracts, which are agreements between a group policyholder and an insurer for the benefit of third parties. Under such arrangements, third parties can obtain coverage under the more favorable terms specified in the group contract. In these cases, the group policyholder negotiates the substantive terms of the insurance for a defined group of insured persons, who then individually choose whether to take out coverage under the agreed terms (AFM, 2024).
These distinctions reflect divergent doctrinal interpretations among Member States regarding the concept of group insurance, which encompasses a wide variety of cases (Lima Rego, 2025). However, these distinctions primarily focus on contractual aspects and fail to adequately consider the broader regulatory framework established by the IDD. Notably, the IDD (i) seeks to extend its protections to all situations where activities falling within the definition of insurance distribution are carried out and (ii) has already delineated the specific cases in which it does not apply, regardless of whether distribution occurs through a group contract.
Instead, the exemptions provided under the IDD raise concerns when analyzed in the context of insurance distribution via digital platforms, as discussed in the following paragraph.
3.3. Exempted Ancillary Insurance Intermediaries in Digital Insurance Platforms
The IDD’s provisions risk undermining the effectiveness of the above Court’s rulings regarding the accountability of group insurance policyholders under the IDD risks, particularly in distributing these policies through digital platforms. Such platforms introduce complexities that may create regulatory gaps or ambiguities, enabling policyholders to circumvent the accountability mechanisms established by the CJEUt’s interpretations.
The IDD introduced the category of ancillary insurance intermediaries, which are defined as entities whose principal business is not insurance distribution but who engage in distributing insurance products as a complementary activity to their primary business (for example, travel agencies offering travel insurance or car rental companies providing collision damage waivers). These intermediaries may qualify for exemption from the IDD’s requirements if they satisfy certain conditions outlined in Article 1(3):
The insurance products must be ancillary to the primary goods or services provided by the intermediary.
The insurance must solely cover risks associated with the primary goods or services (for example, travel cancellation or vehicle damage).
The total premium for the insurance product must stay below the thresholds established by the directive, ensuring that insurance distribution remains a minor aspect of the intermediary’s overall activity.
Even when exempt, ancillary insurance intermediaries must still adhere to basic customer protection standards, such as providing clear and transparent information about the insurance products (Article 1(3)(a)(b)(c)) and avoiding conflicts of interest that could harm customers, thereby ensuring fair treatment in the distribution process. This exemption reflects the IDD’s aim to balance adequate customer protection with the need to avoid disproportionate regulatory burdens on businesses where insurance distribution plays only a minor, supplementary role (Marano, 2021b, p. 7).
The growing influence of digital insurance platforms has raised significant concerns about their potential to exploit exemptions under the IDD. Digital transformation enables these platforms, often operating as ancillary insurance intermediaries, to achieve a scale of distribution that would likely be unfeasible through traditional face-to-face channels (Marano, 2021b, p. 8). By offering insurance products as a supplementary service to their primary business and meeting the exemption criteria, these platforms can circumvent the full regulatory scope of the IDD.
This regulatory gap is particularly concerning because digital platforms’ scale and reach enhance their ability to distribute insurance widely, potentially undermining customer protection and oversight mechanisms. An ongoing concern is that such platforms may deliberately structure their operations to fit within exemption thresholds, avoiding full compliance while exerting significant market influence (Marano, 2021). These developments underscore the urgent need for stricter regulatory scrutiny to prevent the misuse of exemptions and ensure that consumer protection remains robust in the evolving digital insurance landscape.
Digital platforms also significantly reduce, if not eliminate, geographical barriers to reaching potential customers. Their standardised distribution mechanisms allow insurance companies from one Member State to connect seamlessly with customers in other Member States. While this facilitates the integration of a single insurance market within the EU, it also poses considerable challenges for supervisory authorities.
A key concern is whether these authorities can effectively assess if insurance companies have sufficient resources to implement and manage all phases of the Product Oversight and Governance (POG) process—ranging from defining the target market and ensuring value for money to conducting ongoing monitoring—when operating across borders through digital platforms managed by exempted ancillary intermediaries. Furthermore, it is challenging to ascertain whether these companies can take meaningful remedial action against distributors when the latter form a significant or exclusive part of their distribution network.
Until the exemption rules are revised, EIOPA’s initiative requiring insurance manufacturers to include products distributed via digital platforms operated by ancillary intermediaries within their distribution monitoring under the POG framework is commendable (EIOPA, 2020, p. 15). This approach strengthens oversight by ensuring that digital distribution channels, even when operated by ancillary intermediaries, are subject to product oversight and governance (POG) requirements.
However, the effectiveness of this initiative will depend on whether national supervisory authorities extend such guidance to exempted ancillary intermediaries, ensuring a level playing field and reducing the risk of regulatory arbitrage. The considerations outlined above suggest that this measure serves more as a temporary solution than as a definitive one. Although national provisions can alleviate some of these challenges within the minimum harmonisation framework of the IDD, the lack of a timely and coordinated EU regulatory response risks undermining consistent customer protection across Member States.
3.4. Regulatory Role of Insurance Referral Agents or Tipsters
Another perspective that has not yet been discussed relates to activities outside the scope of the IDD application.
The IDD excludes from its scope activities that involve providing data and information related to potential clients to insurance intermediaries or undertakings, as well as information about insurance products and intermediaries to potential clients. These exclusions apply when the entity supplying such data or information (the “insurance referral agent” or “tipster”) does not engage in activities aimed at concluding an insurance contract.
EIOPA pointed out that digital platforms can restrict their role in facilitating relationships between insurers and prospective customers. Therefore, they are exempt from the IDD’s obligations and, more fundamentally, from being classified as intermediaries. For example, digital platforms enabling clients to contact an insurance distributor by displaying the distributor’s name and providing a link to their website are not considered engaged in insurance distribution under the IDD. Consequently, such platforms are only subject to the general rules applicable to digital platforms and do not carry the additional regulatory responsibilities associated with insurance distribution.
Furthermore, the IDD emphasises that the forms of remuneration specified in the directive are only relevant when the activity qualifies as insurance distribution. If the referral activity does not lead to activities finalised to the distribution of an insurance contract, the remuneration becomes irrelevant to its classification.
Regardless of compensation, referral activities must be organised to ensure that the tipster does not engage in any actions to conclude the insurance contract following the initial facilitation of contact. Insurers and intermediaries benefiting from the referral activity are liable if the platform is not designed to prevent the tipster from participating in distribution activities. Simultaneously, supervisors should oversee how the supervised entities, namely insurers and intermediaries, ensure that the boundaries between referral activity and distribution are not blurred.
3.5. Peer-to-Peer “Pure” Model in Insurance: Regulatory Boundaries and Implications.
Digital transformation can give rise to disruptive business models, one of which is peer-to-peer (P2P) insurance. This model operates as a risk-sharing network, where a group of individuals with mutual interests or similar risk profiles collectively pools their “premiums” to insure against a common risk (EIOPA, 2019, p. 26). In the market, three distinct P2P business models can be identified, with platforms functioning as either insurers, brokers, or technical service providers (EIOPA, 2019, p. 26).
The last model, often referred to as the P2P “pure” model, represents a form of protection in which individuals or small groups pool resources to provide coverage for one another. In this model, participants contribute to a common fund that is used to cover members’ claims. It is considered “pure” because it operates without traditional intermediaries such as insurers or brokers. Instead, it relies on mutual trust and collective responsibility among participants, who are grouped by the platform’s managing entity, which facilitates the pooling process and attracts new members.
This concept has garnered attention in the EU due to its potential to disrupt the traditional insurance market by offering more flexible, user-driven solutions (Denuit and Robert, 2021; Levantesi and Piscopo, 2021; Denuit, Dhaene, and Robert, 2022,). However, it raises significant questions regarding regulation and its compatibility with existing legal frameworks (EIOPA, 2019, p, 27;Lima Rego, and Campos Carvalho, 2020, p. 41-45).
These encompass issues related to the classification of P2P schemes under EU law, as they may blur the distinctions between mutual aid and formal insurance contracts. Solvency requirements pose another challenge, as traditional insurers must meet stringent capital buffers that P2P models may lack, potentially placing participants at risk in the event of claims. Customer protection is also a concern, given the absence of a regulated entity overseeing the fund pools, unlike traditional insurance. Finally, cross-border challenges arise due to differing perspectives in various EU countries on whether P2P insurance should be regulated as conventional insurance, which could impede scaling across multiple jurisdictions.
These concerns indicate that licensing and prudential regulation must evolve to ensure that P2P models comply with customer protection and financial stability standards. EIOPA has recognised the existence of this model and seeks to understand how it operates and its potential impact on - deviations from- traditional insurance. As a result, it has opted to delay regulatory intervention until the model gains broader market adoption (EIOPA, 2019, p. 31).
The evolution of the EU regulatory framework for digital transformation suggests that certain regulations could serve as appropriate benchmarks for governing this “pure” model, provided it is considered outside the scope of insurance regulation. The references include Regulation (EU) 2020/1503 on European crowdfunding service providers for business and the DSA. Although none of these frameworks were explicitly designed for insurance, they provide essential regulatory principles that can be adapted to P2P “pure” model.
The Crowdfunding Regulation provides a legal framework for platforms that facilitate crowdfunding and shares similarities with P2P insurance models. Both depend on digital platforms to pool resources, with crowdfunding aimed at raising capital and P2P insurance focused on pooling funds to cover risks. Regulation (EU) 2020/1503 emphasises transparency, investor protection, platform governance, and cross-border operations, and it could extend to P2P insurance platforms. For instance, P2P insurance platforms may need to disclose their operations, risk management strategies, and governance structures, akin to the requirement for crowdfunding platforms to be transparent about the projects they host to be funded.
The DSA’s emphasis on ensuring the safety and accountability of digital platforms is particularly relevant to P2P insurance models. Just as platforms are required to manage harmful content, P2P insurance platforms may also be responsible for managing risks such as fraud or misleading information. The DSA’s emphasis on platform accountability, customer rights, and risk management serves as a benchmark for potential requirements for P2P insurance providers to ensure secure and transparent operations. Also, the DSA contains provisions for transparency regarding the operational processes of platforms and the resolution of disputes, which could directly impact how P2P insurance platforms communicate their processes to participants, ensuring that they understand how funds are managed, how claims are processed, and what protections are in place.
In summary, although the EU has yet to establish a specific regulatory framework for P2P insurance, the principles outlined in the Crowdfunding Regulation, and the Digital Services Act, provide valuable guidance. These frameworks emphasise transparency, customer protection, platform responsibility, and cross-border operations. All these aspects are essential for regulating innovative models like P2P insurance.
However, the recalled regulations emphasise the necessity of authorised and monitored platforms to ensure compliance with standards that protect customers and foster trust. By embracing similar principles, P2P insurance platforms may require regulatory oversight to guarantee they can fulfil their obligations and provide safeguards for participants in disputes or platform failures.
Insurance authorities ought to have the authority to oversee these platforms. From a substantive perspective, the responsibilities of the platform manager towards its service users closely resemble those owed to the insured. Although the platform manager is not directly liable for paying benefits in the event of a claim, it must ensure that the claim is processed if it meets the coverage conditions. This necessitates proper organisation of the pooled funds to maintain ongoing financial viability, which includes calculating the “premium” charged to participants and effectively managing the assessment of claims and overall customer relations.
These considerations become even more pertinent if the potential regulation of these platforms allows them to use the term “insurance” or its equivalent, such as “guarantee” or “protection”, as the insurance supervisory authorities are better equipped to determine whether the activity – alongside the associated obligations - remains confined to P2P or if this model is being misused to evade responsibilities as an insurer or insurance intermediary. Furthermore, the lack of pure P2P model operators in Member States could compel European legislators to assign EIOPA exclusive supervisory authority. This would guarantee a uniform interpretation of the regulatory framework while simultaneously preventing the model from evolving into insurance distribution, which continues to be overseen by national authorities.