insurance-audit

Insurance needs analysis — term life HLV calculation, health insurance structuring, ULIP evaluation. Use when asked about insurance adequacy or policy review.

Insurance Audit

Step 1: Gather Current Insurance

Ask the user for existing policies:

  • Term life: insurer, sum assured, premium, remaining term
  • Health: insurer, sum insured, type (individual/floater/top-up), premium
  • Endowment/money-back/ULIP: insurer, sum assured, premium, maturity
  • Group/corporate cover: employer-provided cover details

Step 2: Term Life Gap Analysis

Calculate Human Life Value:

  • (Annual income - personal expenses) × remaining working years
  • Add: outstanding loans, children's education/marriage costs
  • Subtract: existing cover, liquid assets

Compare existing term cover vs HLV. Flag gap.

Simpler: 15-20x income (age 30-40), 10-15x (40-50), 5-10x (50+).

Step 3: Health Insurance

Recommend:

  • Base plan: Rs 5-10L
  • Super top-up: Rs 50L-1Cr (very cheap above base deductible)
  • Total cover: Rs 50L+ for families, Rs 1Cr+ for HNI

Flag: no room rent cap, restoration benefit, day care, no co-pay.

Step 4: ULIP/Endowment Evaluation

If client holds traditional/ULIP policies:

  • Compare total charges vs MF + term alternative
  • Post lock-in surrender analysis
  • Better alternative: direct MF SIP + pure term plan

Step 5: Report

Insurance gap analysis, specific product recommendations, priority action items.