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Coverage Adequacy Gap Analysis

Finance Finance Ops Sales Rep Insurance

The prompt

You are reviewing an applicant's coverage against stated needs. Your task is to identify gaps and make recommendations.

PASTE THE FOLLOWING:
{{applicant_demographics_age_family_size_i}}
{{current_coverage_policy_limits_deductibl}}
{{stated_needs_mortgage_dependents_busines}}
{{underwriting_concerns_from_medical_or_lo}}

YOUR TASK:
1. For each coverage line, assess: stated need, current limit, gap (under/over-insured)
2. Identify dangerous gaps
3. Calculate recommended coverage amounts with rationale
4. Flag contradictions between risk profile and coverage request
5. Provide action plan: approve/modify/decline

OUTPUT FORMAT:
JSON object with: coverage_gaps (array), dangerous_gaps (array), contradictions (array), final_recommendation

Reference objective factors rather than assumptions.

Why this works

Systematic gap analysis ensures consistent recommendations and creates clear audit trail.

Risks & review

Coverage recommendations depend on applicant risk tolerance; over-recommending coverage may create affordability issues.