Personal Risk Management - Needs Indicator Insurance Needs Calculator You can use this form to assess your exposure to life and disability risks which could financially impact you or your dependents. IMPORTANT NOTE: PLEASE READ: By using this calculator, you acknowledge and accept that the calculations in this quiz are designed as an indication of your needs - they are not personalised advice. If you are unsure or would like personalised advice on your specific needs and how to structure your insurance programme, we recommend you seek advice from a qualified adviser. First Name * Surname * Your email address * Phone Number Numbers only please Does anyone in your life rely on you financially? * Yes No Are you a stay-at-home parent with dependent children and partner on whose income you rely? Yes No Life Insurance Needs Unless required for your mortgage, it is unlikely that you will need life insurance cover at this time. If you already have cover in place and would like an opinion on whether to retain that cover, please get in touch with one of us. Life Insurance Needs In light of having dependents who rely on you or your partner financially, please answer the following questions to provide a guide on how much, if any, Life insurance cover you may need. How big a funeral would you like? * $ Enter a number from $10,000 to $50,000 How much do you owe on your mortgage? * $ Enter a number from $0 to $5,000,000 Do you have any other debt? $ If so, please enter the amount here. How many dependent children do you have? * If you have no children, please enter 0 If you passed away, would you want to set up a fund for your children's tertiary studies? * Yes No If you passed away, would you want to provide for your children to attend college or university? How much would you like to provide for each child per year of study? $ For how many years? * How many years of tertiary study would you like to provide for for each child? Replacement Income Taking into account any reduction in your mortgage, how much of your income would need to be replaced if you passed away? Please enter the amount of income replacement required (annually) $ For how many years would you like income replacement? Existing Assets Do you have assets which would be available to offset your life insurance needs? Cash Reserves $ Current Life Insurance $ If the only life insurance you have in place is accidental death cover, enter $0 here. Savings and Investments $ KiwiSaver Balance $ Other Assets $ Life Insurance Results If you are human, leave this field blank. Next - Life Insurance Results
