Worksheet_Business Insurance Planning

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Worksheet_Business Insurance Planning

Worksheet_Business Insurance Planning

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Worksheet: Business Insurance Planning

Date: {{date}}

Prepared by: {{preparer_name}}

Position: {{preparer_position}}

Section 1: Business Profile

Legal Business Name: {{legal_business_name}}

Trading Name (if different): {{trading_name}}

Type of Business (e.g., Sole Proprietor, Partnership, Ltd Company): {{business_type}}

Industry Sector: {{industry_sector}}

Nature of Business Operations: {{business_operations_description}}

Number of Employees: {{number_of_employees}}

Annual Turnover ({{currency}}): {{annual_turnover}}

Years in Operation: {{years_in_operation}}

Section 2: Asset Valuation

Value of Buildings/Premises ({{currency}}): {{building_value}}

Value of Contents/Equipment ({{currency}}): {{contents_value}}

Value of Stock ({{currency}}): {{stock_value}}

Value of Vehicles ({{currency}}): {{vehicle_value}}

Value of Other Significant Assets (e.g., intellectual property, specialized machinery) ({{currency}}): {{other_assets_value}}

Total Asset Value ({{currency}}): {{total_asset_value}}

Section 3: Risk Assessment and Mitigation

Identify Potential Risks (e.g., fire, theft, natural disaster, liability, business interruption, cyber-attacks, political instability): {{identified_risks}}

Likelihood of Each Risk (High/Medium/Low): {{risk_likelihood}}

Impact of Each Risk (High/Medium/Low): {{risk_impact}}

Existing Risk Mitigation Measures: {{existing_risk_mitigation}}

Areas for Improvement in Risk Mitigation: {{areas_for_improvement}}

Section 4: Current Insurance Coverage

List Existing Policies (Policy Name, Insurer, Policy Number, Expiry Date): {{existing_policies}}

Type of Coverage (e.g., Property, Liability, Motor, Business Interruption): {{coverage_type}}

Sum Insured ({{currency}}): {{sum_insured}}

Annual Premium ({{currency}}): {{annual_premium}}

Are there any gaps in current coverage based on your risk assessment? If so, describe: {{coverage_gaps}}

Section 5: Desired Insurance Coverage

Property Insurance: (e.g., fire, flood, theft, malicious damage) - Desired Sum Insured ({{currency}}): {{desired_property_sum_insured}}

Public Liability Insurance: (e.g., bodily injury, property damage to third parties) - Desired Coverage Limit ({{currency}}): {{desired_public_liability_limit}}

Professional Indemnity Insurance: (for professional advice/services) - Desired Coverage Limit ({{currency}}): {{desired_professional_indemnity_limit}}

Cyber Insurance: (data breaches, cyber-attacks) - Desired Coverage Limit ({{currency}}): {{desired_cyber_limit}}

Business Interruption Insurance: (loss of income due to unforeseen events) - Desired Duration of Coverage: {{desired_biz_interruption_duration}}

Workers' Compensation/Employer's Liability: (as per local regulations) - Desired Coverage Details: {{desired_workers_comp}}

Motor/Fleet Insurance: (for business vehicles) - Desired Coverage Type (e.g., comprehensive, third-party): {{desired_motor_coverage}}

Other Specific Insurance Needs: {{other_insurance_needs}}

Section 6: Budget Allocation

Estimated Annual Insurance Budget ({{currency}}): {{estimated_annual_budget}}

Prioritization of Insurance Needs (High/Medium/Low): {{priority_insurance_needs}}

Section 7: Broker/Insurer Information

Preferred Insurance Broker/Agent: {{preferred_broker_agent}}

Contact Person: {{broker_contact_person}}

Contact Details (Phone, Email): {{broker_contact_details}}

Date of Next Review with Broker: {{next_broker_review_date}}

Section 8: Action Plan and Review

Actions Required (e.g., contact broker for quotes, review existing policies, implement new risk mitigation strategies): {{actions_required}}

Responsible Person: {{responsible_person}}

Deadline: {{deadline}}

Review Date for this Insurance Plan: {{review_plan_date}}

Signatures

_________________________

{{owner_manager_name}}

Owner/Manager

Date: {{signature_date}}

_________________________

{{preparer_name}}

Prepared By (if different from owner/manager)

Date: {{signature_date_preparer}}