Confidential Fact Find

1

Application Type & Important Notice

Insurance Act 2018 disclosure · client consent

Welcome — let's begin

This Confidential Fact Find guides you to the right recommendation for your client. As you move through each stage, RAI works alongside you — quantifying needs, flagging opportunities, and surfacing the right questions at the right moment.

To begin: read the Important Notice below to your client, select their consent choice, then confirm your advisor details. Each stage must be completed before moving on. Everything auto-saves as you go.

Insurance Act No. 4 of 2018 — Schedule 11. Standards of Market Conduct B. Understanding Consumers' Needs. The insurance intermediary or officer should be required to obtain sufficient information about the consumer to ensure an appropriate product is offered. Formal "fact finds" should be specified for long-term savings and investment products and they should be retained and be available for inspection for a reasonable number of years.

Market Conduct Guideline (Insurance Act 2018). The sale of products and services should be based on what is best suited for the consumer, given their needs, financial capability, risk profile and specific circumstances.

Client's Choice * — tap one to select Full Disclosure I/we agree to disclose the information requested in this form. Specific Need Only I/we wish to receive information relevant to a specific product or need only.

Is this Fact Find for an individual or a family? * — drives RAI's analysis

Individual Family / Joint

Family/Joint unlocks spouse & dependant analysis, joint-life cover, and shared-ownership tracking.

Ricky Artificial Intelligence (RAI) works alongside you — quantifying needs.

Interview Date

Advisor Name * (pick — rest auto-fills)

Agent Code * (pick — name & email auto-fill)

Advisor Email (fills from your dashboard sign-in — or type/paste it)

Review Routing (automatic — RAI routes by your direct manager)

Pick your email or type your agent code above — RAI will show who this routes to.

I/we acknowledge that the insurance advisor has provided me/us with a copy of the completed Confidential Fact Find form. A policy purchased without the proper completion of a Confidential Fact Find form may not be appropriate to your needs.

2

Know Your Client

Personal information · employment · other income

Personal Information

Full Name *

Date of Birth *

ID / DP / PP #

Marital Status

Email Address

Contact Number

Current Living Address (per V2 May 2025 script)

Employment Details

Employment Status

Full-time Part-time Self-Employed Other

Current Occupation

Monthly Income (TT$)

Employer / Business Name (per script)

Length of Employment / Tenure (per script)

Other Sources of Income — rental, business, partnership, investments…

This is where opportunities hide. Capture every income stream and, for each, whether it would continue if the client were gone. If the family depends on it and it would stop or shrink, that is an insurance need RAI will quantify.

#	Type	Source / Detail	Monthly (TT$)	Continues if client gone?
1
2
3

3

Spouse & Dependants

Spouse, children, and anyone else who depends on the client

	Full Name	Date of Birth	Age	Gender	Occupation
Spouse			—
Child 1			—
Child 2			—
Child 3			—

Other Dependants — anyone (besides spouse & children) who relies on the client

Spouse and children are covered in their own sections. Here, capture anyone else the client supports — an aging parent, a sibling, another relative. RAI uses each person's age, gender and the income the client provides to compute their Human Life Value (the income stream the client must replace, projected to life expectancy).

Relationship	Name	Age	Gender	Annual Income Client Provides (TT$)

Spouse Employer

Length of Employment / Tenure

Spouse Employment Status

Spouse Monthly Income (TT$) — exact figure

Spouse — Other Sources of Income

#	Source / Activity	Monthly Amount (TT$)
1
2

4

Existing Insurance Portfolio

Evaluate adequacy of current coverage

This information helps to evaluate if your existing insurance portfolio is adequate in meeting your financial needs.

Company	Owner	Type of Plan	Sum Assured (TT$)	Premium (TT$)	Mode	Year Issued	Status

Total Sum Assured (Present Coverage) TT$ 0

Annualised Existing Premiums (auto: premium × mode) TT$ 0

Est. Premiums Paid to Date (auto: annualised × years in force) TT$ 0

5

Cash Flow

Affordability assessment

Monthly Income (TT$) (auto-rolls from Section 2 + other income)

Monthly Expenses (TT$)

Surplus / Shortfall TT$ 0

Are there any factors within the next 12 months that may significantly increase or decrease your income / expenses?

No Yes

Remarks (e.g. inheritance, borrowing, sale of asset)

Budget

Annual Amount (TT$)

Source of this Fund

Single Amount (TT$)

Source of this Fund

Is the budget you set aside a substantial portion of your assets or surplus?

No Yes

If “Yes”, the client may face a future risk of not being able to continue paying premiums.

6

Assets & Liabilities

With Keep / Sell decision per asset

Take assets and liabilities into Needs Analysis?

Yes No

Reason for exclusion

Assets

If you had died last night, what would you like your family to do with each asset? Mark each row K (Keep) or S (Sell). The value of assets marked S will reduce the calculated Insurance Need.

Asset	Value (TT$)	Monthly Contribution	K / S

Total Assets TT$ 0

Cash from Assets to Sell (S) TT$ 0

Liabilities

Debt	Outstanding Balance	Monthly Payment	Insured?

Total Debts TT$ 0

Does the home or property earn income?

A home that earns income — a rented room, an apartment downstairs, Airbnb, or a rental property — is both an asset and an income stream the family depends on. RAI builds a protection package around it so the income (and the property) survive if the client cannot.

Is income earned from the home or any property?

No Yes

7

Needs Analysis

Auto-calculated insurance gap

Debt Liquidation auto-fills from your Total Debts above. Other figures are entered with the client during the interview using the discovery questions in the V2 May 2025 script.

Debt Liquidation (TT$) (auto from Section 6)

Income Replacement (monthly × 12 × years, or coverage label)

Education Funding

Family / Spouse Support (monthly × 12 × years)

Last Expenses

Other

Total Need TT$ 0

Less: Present Coverage (from Section 4) TT$ 0

Less: Cash from Assets (from Section 6, K/S) TT$ 0

Insurance Need TT$ 0

Tell the client: "If you had died last night, where would your spouse and your children find $0?"

8

Retirement & Income Continuity

Will the income last? · longevity & inflation analysis

Current Annual Income (TT$) (auto from Section 2 income × 12)

% of Income at Retirement (typically 65–75%)

Years to Retirement

Inflation Rate (%)

Inflation Factor (auto)

Avg. Rate of Return on Investment (%) (e.g. 4.5)

Current Savings / Investments (TT$) (auto from Assets: cash + mutual funds + investments)

NIS Pension Estimate (TT$)

Lumpsum Basis

Future Earnings at Retirement TT$ 0

Annual Pension Required (× % income) TT$ 0

Lumpsum Needed at Retirement (capital preserved: 1 / ROI) TT$ 0

On the other basis TT$ 0

Less: Current Savings / Investments TT$ 0

Less: NIS Pension Estimate TT$ 0

Retirement Fund Gap TT$ 0

9

Future Needs / Goals

What client wants to achieve

Get the client thinking beyond today: "Beyond what we've covered, what do you want to achieve for yourself or your family — and by when?" Pick each goal from the list; the form will prompt how to quantify it, and pull in figures we've already worked out (education, retirement, final expenses) so they build on the analysis instead of guessing.

Future need / goal	How much & by when (prompt)	Value (TT$)	Timeframe

When a goal matches something we've already analyzed, a "use TT$… from analysis" link appears under the value — tap it to pull the worked-out figure.

Medical Conditions

Do you or any applicant have any medical condition requiring medical attention?

No Yes

Person	Medical Condition	Treatment / Care

10

Recommendations & Decision

Advisor's recommendation · client's choice

RAI Financial Intelligence

RAI computes as you type · visible to your manager

Fill Sections 4–8 to generate the analysis.

▸ Full RAI reasoning — recommended package & portfolio strategy

Advisor's Recommendation

Decision-support disclaimer

RAI is analytical decision-support for the licensed advisor. It does not advise clients, does not select or sell products, and does not replace the advisor’s professional judgment or the client’s free choice. Analysis categories are indicative only — a given need may properly be met by more than one category of product. Every recommendation, and the written reason for it, is made and owned by the advisor and reviewed by their direct manager, in keeping with the Insurance Act No. 4 of 2018 (Schedule 11 — Standards of Market Conduct) and the Market Conduct Guideline for Registrants.

RAI ranks the needs and names the category (term, whole life, universal life, pension…) with the amount and gap. You pick the product from that shelf — the plan dropdown is pre-filtered for you.

Priority is the order they appear — drag is not needed, just fill the important one first.

Fills the client side to match the advisor recommendation. Then adjust only the rows where the client chose differently.

Total Monthly Premium (client’s selected) TT$ 0

Don't know a product? Open the matrix to see what each plan is, why you'd recommend it, and the questions to ask.

Client’s Decision — Accept or Decline *

Confirm with the client whether they wish to proceed with the options selected above.

I/we wish to proceed

I/we understand the recommendations and wish to proceed with the options selected.

I/we do not wish to proceed

I/we understand the recommendations and do not wish to proceed at this time.

Client’s Signature *

I confirm the information recorded here is mine, that the recommendations above were explained to me, and that the decision shown is the one I made.

Client’s full name, typed by the client *

Typing your name here is your signature. Insurance Act 2018 s.266 and Schedule 11 B1(d) — the consumer certifies the accuracy of the information provided to the insurer.

Date

Will this/these policies replace any Life Insurance / Critical Illness coverage you have now?

No Yes

Agent’s Notes & Product Rationale (your reasons — in your words)

Answer the questions below in your own words. Your answers become the notes that print on the fact find — this is the agent’s explanation of the recommendation, addressing the Branch Manager’s concerns.

Anything else (general insurance needs, client’s comfort with premium, etc.)

11

Acknowledgement & Signatures

Client + Advisor signoff · Manager review

Client's Declaration. I/we confirm that all the information provided above is true and correct. I/we have not misrepresented or withheld any material facts relating to my current financial situation and state of health. I/we understand that the recommendation(s) is/are based on the facts furnished in this confidential fact find form.

Decision

The client’s decision to proceed or decline is recorded with the Client’s Decision table in the Recommendations section above.

Advisor's Declaration. The recommendations are based on personal information collected in this Confidential Fact Find form. Contents will be kept confidential and stored for audit and record-keeping purposes. Information shared may be reviewed by a Sales Manager to ensure recommendations are aligned with the right fit for the client.

Advisor Sign-off

Advisor Signature

Sign on the pad above

Date

For Office Use — Direct Manager Review

This section is completed by the client’s Direct Manager (their Unit Manager / Assistant Branch Manager) — recorded on the official form as “Manager’s Comments.” The Branch Manager reviews separately and may override below.

I am the Direct Manager completing this review *

Direct Manager — Guidance to the Agent *

Address anything flagged red above and give the agent clear direction. This is the only written box you need — it prints on the official form as Manager’s Comments.

Direct Manager’s Recommendation *

Agree Do not agree

Direct Manager’s Remedial Action

Manager’s Verification *

Confirm you have verified the data and the recommendation before you sign. RAI has surfaced the ratios and flags in the Agent Insights panel above.

I have verified this case before signing — the client data and figures, the ratios and affordability, the suitability of the recommendation, and the replacement / market-conduct disclosures.

Manager’s Client Addendum — a professional endorsement the agent can proudly present to the client

A short, client-appropriate note: why the recommendation fits, any additional protection the branch highlights, and the branch’s assurance of suitability. This prints on the client-facing Manager’s Review & Endorsement page.

Direct Manager’s Signature

Sign on the pad above

Date

For Office Use — Branch Manager Override

Visible to the Branch Manager only. Use this to confirm or override the Direct Manager’s decision below.

Direct Manager’s decision (for your reference)

Loading…

Branch Manager’s Decision *

Branch Manager’s Signature

Sign on the pad above

Date

Client Acknowledgement & Signature

I confirm that the information provided above is true and correct, and I have read the Advisor's Declaration above. I acknowledge that the insurance advisor has provided me with a copy of this completed Confidential Fact Find form.

Signature of Client (on behalf of all persons to be insured)

Date

Confidential Fact Find

Application Type & Important Notice

Client Details

Know Your Client

Personal Information

Employment Details

Other Sources of Income — rental, business, partnership, investments…

Spouse & Dependants

Other Dependants — anyone (besides spouse & children) who relies on the client

Spouse — Other Sources of Income

Existing Insurance Portfolio

Cash Flow

Budget

Assets & Liabilities

Assets

Liabilities

Does the home or property earn income?

Needs Analysis

Retirement & Income Continuity

Future Needs / Goals

Medical Conditions

Recommendations & Decision

RAI Financial Intelligence

Advisor's Recommendation

Acknowledgement & Signatures

RAI Review Insights — acknowledge each before submitting

Direct Manager’s decision (for your reference)

RAI — Ricky Artificial Intelligence

Your flight plan comes first.

Shared			★ ADVISOR’S RECOMMENDATION				● CLIENT’S CHOICE
Pri	Need	Who	Plan	Amount	Gap	Premium	Plan taken	Amount	Premium	Go?