Insurance Agent — Coverage-Gap Premortem

SKILL.md

---
name: insurance-coverage-gap-premortem
description: "Activate when: an insurance agent should stress-test a client's coverage before a claim exposes a gap; 'is this client actually covered', policy review, exclusions/limits/underinsurance; E&O risk. Do NOT activate when: no coverage is being placed or reviewed."
---

# Insurance Agent — Coverage-Gap Premortem

> **Industry front door for premortem.** Adds domain triggers, example, packs. Parent Process unchanged.
> **Not legal/coverage advice.**

**Activate when:** placing or reviewing coverage; annual policy review; a client with growing assets/liability; protecting against an uncovered-claim + E&O event.
**Do NOT activate when:** no coverage decision in play.

## Why this variant
The parent premortem imagines the failure and works backward. In insurance the failure is a **denied/underpaid claim because of a gap** — which harms the client and exposes the agent to an E&O suit. Premortem finds the gaps while they're still fixable.

## Domain inputs → the parent's Process
Imagine a claim was denied/underpaid — why?
- Limits too low (dwelling underinsured, liability under net worth) → recommend umbrella.
- Exclusions bite (flood, earthquake, business-use, water backup) not disclosed/added.
- Coverage type wrong (ACV vs replacement cost).
- Life changes not reflected (new business, teen driver, home addition, rental).
- Document every recommendation the client declined (E&O defense).

## Worked example
Client's net worth grew to $2M; still on minimum auto liability, no umbrella.
→ Premortem: an at-fault accident exceeds limits → personal assets exposed + "why didn't my agent tell me" E&O claim. Recommend umbrella now; if declined, document the offer and rejection.

## Packs
- **Solo agent**: annual coverage-gap review checklist by life stage.
- **Agency**: umbrella/limit-adequacy sweep of the book; documented declines.

## Red flags
- Liability limits below client net worth; no umbrella offered.
- Common exclusions never discussed.
- Declined recommendations undocumented.

## Verification
- [ ] Limits stress-tested vs assets/exposure
- [ ] Key exclusions reviewed and addressed/disclosed
- [ ] Coverage type (RC vs ACV) confirmed
- [ ] Life changes reflected; declined recs documented

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*Part of **deciqAI Knowledge Skills** — 223 open-source thinking skills that make rigor executable for AI agents. The same skills power every deciqAI agent, which runs them autonomously to operate your company. **See it run → https://www.deciqai.com/c/insurance-coverage-gap-premortem** · ⭐ Star the repo → https://github.com/deciqAI/knowledge-skills · Contributions welcome.*