futurity first planning guide - amazon s3source/... · — to always be respectful of you, your...

When life happens will you

be prepared?

Futurity First

Planning Guide

Income Protection

Asset Protection

Legacy Planning

Healthcare Planning

Planning GuideFuturity First is a nationwide, independent, career agency distribution organization specializing in the financial se-curity and retirement needs of retirees and pre-retirees. We are committed to building relationships and helping families, seniors and businesses with their insurance and financial planning needs.

n Futurity First appeals to experienced insurance career profes-sionals who truly believe in putting their customers’ needs first. We’ve also partnered with leading insurance industry carriers to offer best-in-class insurance products.

n The financial planning process we use is needs based and solu-tion focused. It is designed to not only address, but anticipate life’s most important financial security concerns, as they matter to you.

n Our goal is to provide our customers with financial solutions that make the most sense to them. We do this through commu-nity-based service and by offering a choice of top-quality prod-ucts from some of the leading insurance companies in the life and health insurance industries.

n At Futurity First, we are committed:

— To be up-front and transparent in all that we say and do. — To bring understanding and integrity to all customer relationships. — To always be respectful of you, your concerns and your time.

n Even if you already have insurance, or have done some financial planning in the past, it’s always a good idea to re-assess your coverage as your needs change.

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Your Strategies CompassWhat Matters Now and in the Future.

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This analysis is intended to serve as a worksheet to help me assess and review suitable product solutions prior to making a recommendation. This information will only be used by Futurity First and will remain confidential.

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To help us get to know you better

Which of the 4 Areas of Focus is most important? _________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Client Name________________________________________Date of Birth _________/________/__________

Home Address _____________________________________________________________________________

Phone(s) Home ____________________ Mobile__________________Email Address _____________________

Occupation _____________________________________ Employer __________________________________

Spouse/Partner _____________________________________Date of Birth_________/________/___________

Occupation _____________________________________ Employer __________________________________

Children Age Grandchildren Age

______________________________________ __________ _________________________ ___________

______________________________________ __________ _________________________ ___________

______________________________________ __________ _________________________ ___________

General Questions:

Own House? (Approximate value, remaining balance and term? _________________) Rent/Lease N/A

Annual Income: $________________________ Total Investment: $__________________________________

Health is: Good Average Poor Explain ____________________________________________

Parents are alive: Yes Ages: ______________________________ No Ages:________________________

Siblings: Yes Ages: _____________________________________ No

Life Goals: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Hobbies/Interests: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Information

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Income Protection

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Current Income and Source Indicate where monthly income is currently coming from with approximate amount after tax.

Salary $___________ Annuity payments $ ___________ Investments Interest $ __________________

Social Security $ ______________ Pension(s) _______________ Other(s) ________________________

Total combined monthly income $ _________________Total monthly expenses $ ________________________

Currently contributing to any retirement accounts? (Monthly contribution)

401k $_______________ IRAs $______________ Savings Account $__________________

Annuities $____________ ___ Other______________

Current Income Insurance

Disability Insurance? Yes No How many policies? ________________________________________

Total Amount (s) of coverage $________________________ Type Group Individual

Company(s) _______________________Monthly Premium(s) $_______________________________________

Concerned about outliving income? Yes No

Explain: ___________________________________________________________________________________

Is generating more income and/or better returns more important? Income Returns

Explain: ___________________________________________________________________________________

INCOME PROTECTION OPEN-END QUESTIONSSolutions to safeguard your standard of living against market changes, inflation risks and outliving your income. nWhat concerns you most about your current retirement situation? _______________________________________________________________________________________________________nDo you have close friends or family members who have had to deal with financial challenges during retirement?_______________________________________________________________________________________________________ How are they managing? _______________ What impact has it had on their lives?__________________________________nWhat actions have you taken to address your retirement income needs?_______________________________________________________________________________________________________nWhat motivated you to take action when you did? Have you been satisfied with the results? _______________________________________________________________________________________________________nWhat would you like to accomplish as a result of our work together in this area? _______________________________________________________________________________________________________nWhat can I do to make certain that we achieve the results you want? _______________________________________________________________________________________________________nAre you satisfied that your current assets are structured to most effectively provide you with the retirement income you need

and want? If no, why not? _______________________________________________________________________________________________________

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Note: Do not give advice on or discuss investment based products unless properly licensed.

Current Assets and Holdings

Investments

401K $_____________ Investments $___________ Savings/MMF $__________________________

IRAs $_____________ Other $___________ CDs $_______Maturity Date & Rate: _______________

Annuities $___________ Company/Type of Annuity: _________________________________________________

From the list above, how much is accessible in case of emergency? $__________________________________

Personal Property

Mortgages/Payments: _______________________Vacation property/timeshares: ___________________

Automobiles: _______________Boats, motorcycles, planes, etc.:_____________Other: _____________

Feelings about the above Asset Mix?

Goals for savings/investments? ________________________________________________________________

Concerns as to how money is invested? _________________________________________________________

Comfortable with the risk level of investments? Yes No Explain: ______________________________

Out of the total assets, how much should be completely liquid? $____________________________________

Long-Term Care

Long-Term Coverage Yes No Company_______________________________________________________

Monthly Premium $______________ Monthly Benefits ________________Benefit Period _________________

Any plan for long-term care if needed? Yes No Explain: _____________________________________

Will children play a role when it comes to long-term care? Yes No Explain:________________________

Any other concerns about LTC cover age? Yes No Explain: _____________________________________

Asset Protection

ASSET PROTECTION OPEN-END QUESTIONSDetermining the best ways to protect your assets against market losses, the cost of long-term care and other uncertainties. nWhat concerns you most about your retirement plans and goals? _______________________________________________________________________________________________________nDo you have close friends or family members who have had to deal with financial challenges during retirement? _______________________________________________________________________________________________________ How are they managing? _________________________ What impact has it had on their lives? ________________________nHow do you feel about the performance of your assets? _______________________________________________________________________________________________________nWhat would you like to accomplish as a result of our work together in this area? _______________________________________________________________________________________________________nWhat can I do to make certain that we achieve the results you want? _______________________________________________________________________________________________________nAre you satisfied that your current assets are structured to most effectively meet your retirement goals and objectives? If no, why not? ________________________________________________________________________________________nHow worried are you about unforeseen health issues derailing your retirement plans? _______________________________________________________________________________________________________

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Legacy Planning

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Current Life Insurance

Current life insurance: Yes No How many policies? ________________________________________

Type: Employer Individual Term Permanent Life _____________________________

Total Death Benefit Amount (s) $ ___________________________ Cash value $_________________________

Company(s) ____________________________________________ Monthly Premium(s) $_________________

Purpose for current life insurance? _____________________________________________________________

_________________________________________________________________________________________

Is there a will or a trust? Yes No When was this last reviewed? __________________________________

Have beneficiary designations on investments and insurance policies been reviewed? Yes No

SOURCE OF INCOME TO HEIRS

From where will heirs be receiving income? (Monthly)

Life Insurance Death Benefit $ _______________

Pension(s) $ ____________ Social Security $ ____________

Investments $ ____________ Annuity payments $ ____________Other(s) $ ___________________

Family Life Insurance

List any life insurance on children, grandchildren, spouse/partner? Yes No

If yes:

Name (s) Amount of Coverage(s) Relationship

_________________________ $ ______________________ ___________________

_________________________ $ ______________________ ___________________

_________________________ $ ______________________ ___________________

_________________________ $ ______________________ ___________________

LEGACY PLANNING OPEN-ENDED QUESTIONSCreating a plan to transfer assets to your loved ones at the time of your death. nWhat do you want to see your money do for your family in the future? ______________________________________________________________________________________________________nWhat are your thoughts on life insurance?______________________________________________________________________________________________________ nTell me about any existing coverages? ______________________________________________________________________________________________________nHow did you come up with the amount of life insurance that you own? ______________________________________________________________________________________________________nWhat would like to see life insurance do for your family? ______________________________________________________________________________________________________

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Healthcare PlanningHealthcare Coverage

Health Insurance Coverage? Yes No Company ____________________________________________

Plan __________________________________ Monthly Premium $ ____________________________________

Medicare supp. coverage? Yes No If yes, provided by former employer under a group plan? Yes No

Company ___________________________ Plan _________________ Monthly Premium $____________

Prescription drug coverage? Yes No Provider _____________________________________________

Company ___________________________ Plan _________________ Monthly Premium $______________

Employer paying for any part of the premium? Yes No

Concerned about the high cost of healthcare? ______________________________________________________

____________________________________________________________________________________________

Medical Questions

Any health issues in the last three years? Yes No Explain: ________________________________

Current Medications: __________________________________________________________________________

Concerns about what Medicare doesn’t cover: ______________________________________________________

Concerns about their future health? ______________________________________________________________

HEALTHCARE PLANNING OPEN-ENDED QUESTIONS Establishing proper medical coverage for all your healthcare needs. nWhat concerns you most about your ability to pay for and access the quality and level of healthcare you want for yourself

and your family? _______________________________________________________________________________________________________nDo you have close friends or family members who have had difficulty paying for or accessing the healthcare they need? _______________________________________________________________________________________________________How have they managed? _________________________________________________________________________________nHave you taken any actions in the past to address your concerns about your health insurance and that of your family? ____________________________________________________________________________________________________If yes, describe actions taken. _______________________________________________________________________________nWhat motivated you to take action when you did? ___________________________________________________________ Have you been satisfied with your decisions? ________________________________________________________________nWhat would you like to accomplish as a result of our work together in this area? _______________________________________________________________________________________________________nWhat can I do to make certain that we achieve the results you want? _______________________________________________________________________________________________________nHow do you feel about the cost and coverage of your health insurance and that of family members? _______________________________________________________________________________________________________nDescribe the financial impact that uncovered hospital and medical expenses has had or would have on you and family?_______________________________________________________________________________________________________nWhat concerns you most about the possibility that you or family members will require long-term care in the future?_______________________________________________________________________________________________________nDo you have close friends or family members who have had to deal with the impact of long-term care? _______________________________________________________________________________________________________How have they managed? _________________________________________________________________________________What impact has it had on their lives? ________________________________________________________________________

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Notes

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Insurance Policy Listing

Insured Name (s) Policy # Amount of Coverage(s)

___________________________ ___________________________ $_______________________

___________________________ ___________________________ $_______________________

___________________________ ___________________________ $_______________________

___________________________ ___________________________ $_______________________

___________________________ ___________________________ $_______________________

Referral List:

Who do you know that might benefit from this information we have discussed?

Name Phone Number

1. ___________________________________ _____________________________

2. ___________________________________ _____________________________

3. ___________________________________ _____________________________

4. ___________________________________ _____________________________

Contact/Calls & Future Appointment Dates

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Advisor: ______________________________________

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Notes------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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RetirementANALYZER

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Professional Contact Information

Profession Name Email Address Telephone

Accountant __________________ _______________________ _________________

Estate Planning Attorney __________________ _______________________ _________________

Other Information

Question Updated

Do you have a will? Yes No __________

Do you own health insurance? Yes No __________

Do you own disability insurance? Yes No __________

Have you named your beneficiaries? Yes No __________

Social Security Benefits

Owner Start Age and Month Life or End Age Gross Monthly Benefit Projected COLA Increase %

________ _______________ Life or _____ $ ______________ _________________%

________ _______________ Life or _____ $ ______________ _________________%

________ _______________ Life or _____ $ ______________ _________________%

Pension Benefits

Owner Start Age and Month Life or End Age Gross Monthly Benefit Projected COLA Increase % % to Survivor

________ _______________ Life or _____ $ ______________ _________________% ________%

________ _______________ Life or _____ $ ______________ _________________% ________%

Retirement Assets Account Type Account Monthly Owner Company IRA, 401K, etc. Risk Value Contributions

At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________ At Risk______ _____________________ ________________ Low Risk $______________ $ ______________

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RetirementANALYZER

Risk Assessment Questionnaire

Time Horizon How much time, in years, can you let your Assets Earmarked for Retirement grow before you have to begin withdrawals? Points

0-2 Years 03-5 Years 16-10 Years 210+ Years 313+ Years 4Answers to these questions will help us determine how long you might leave your money before having to use it in retirement. Total Points _____

Approach to Saving and Risk - How do you feel about Saving and Risk? Points

I do not want to see my principal amount decrease 0I cannot afford a significant loss to principal regardless of principal earned 1As long as my rate of interest stays ahead of inflation, I don’t want the exposure to non-guaranteed financial products 2If I can make a moderate rate of interest on my money, I can withstand some fluctuation 3I want the potential for higher returns and I am willing to take on some risk 4Answers to these questions will help us determine your tolerance for risk. Total Points _____

Interest Earning - What would you consider reasonable interest earned on your assets earmarked for retirement? Points

3% - 4% 04% - 6% 17% - 9% 29% - 11% 3Greater than 11% 4Answers to these questions will help us determine your expectations for interest earned or rate of return Total Points _____

Risk Tolerance - You’ve just bought a financial product for $100,000. You are exposed to the following best and worst case scenarios. Which possibility would you choose? Points

Best Case = $102,000 Increase = $2,000. Worst Case = $100,000 Decrease = $0. 0Best Case = $104,000 Increase = $4,000. Worst Case = $ 96,000 Decrease = $4,000. 1Best Case = $108,000 Increase = $8,000. Worst Case = $ 92,000 Decrease = $8,000. 2Best Case = $112,000 Increase = $12,000. Worst Case = $ 88,000 Decrease = $12,000. 3Best Case = $116,000 Increase = $16,000. Worst Case = $ 84,000 Decrease = $16,000 4Answers to these questions will help us determine your risk tolerance. Total Points _____

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RetirementANALYZER

Risk Assessment Questionnaire (continued)

Monthly Expenses

Current Monthly Expenses After Tax Projected Inflation Rate % of Needed Expenses in Retirement

$ _________________________________ __________________ % _____________________________%

Future Monthly Expense Changes

Description Type Change Monthly Amount Start Date End Date

________________________________ Fixed Increase $ _______________ ___/_____ ___/_____ Inflatable Decrease





Future Cash Flows % Owner Description Mode Cash Flow Taxation Amount Increase Start Date End Date

_______ ______________ Annual Outflow Taxable $_______ _______% ___/_____ ___/_____ Monthly Inflow Non-Taxable

_______ ______________ Annual Outflow Taxable $_______ _______% ___/_____ ___/_____ Monthly Inflow Non-Taxable

_______ ______________ Annual Outflow Taxable $_______ _______% ___/_____ ___/_____ Monthly Inflow Non-Taxable _______ ______________ Annual Outflow Taxable $_______ _______% ___/_____ ___/_____ Monthly Inflow Non-Taxable

Notes -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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RetirementANALYZER

Budget Worksheet

Household Monthly AmountMortgage Principal and Interest $ _____________Real Estate Taxes $ _____________Rent $ _____________Insurance - Home/Rental $ _____________Maintenance - Supplies $ _____________Utilities - Electric/Gas $ _____________Water - Sewer $ _____________Cable - Phone - Internet $ _____________House Cleaning $ _____________Other $ _____________Other $ _____________Total $ _____________

Daily Living Monthly AmountGroceries $ _____________Dining - Eating Out $ _____________Clothing $ _____________Salon - Massage - Manicure $ _____________Other $ _____________Other $ _____________Total $ _____________

Entertainment Monthly AmountHome - Shows - Events $ _____________Sports - Hobbies - Lessons $ _____________Dues - Memberships $ _____________Vacation - Travel $ _____________Other $ _____________Other $ _____________Total $ _____________

Transportation Monthly AmountAuto Loans $ _____________Auto Insurance $ _____________Fuel $ _____________Repairs $ _____________Other $ _____________Other $ _____________Total $ _____________

Health Monthly AmountHealth Insurance $ _____________Life Insurance $ _____________LTC Insurance $ _____________Disability Insurance $ _____________Medicine - Drugs $ _____________Veterinarian - Pet Care $ _____________Other $ _____________Other $ _____________Total $ _____________

Debts, Loans Monthly AmountCredit Cards $ _____________Student Loans $ _____________ Alimony-Child Support $ _____________Other $ _____________Other $ _____________Total $ _____________

Charity, Gifts Monthly AmountCharitable Donations $ _____________Gifts $ _____________Other $ _____________Other $ _____________Total $ _____________

Notes --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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futurity first planning guide - amazon s3source/... · — to always be respectful of you, your...

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