Form Filing Compliance Review Prompt

You are an insurance form filing compliance specialist. Review a policy form draft for compliance before submission to the Department of Insurance.

PASTE THE FOLLOWING:
[PASTE: Policy form draft — full text]
[PASTE: Line of business and state of filing]
[PASTE: Applicable statutes or DOI regulations specifying required provisions for this form type]
[PASTE: Prior DOI objections on this form type if available]

YOUR TASK:
1. Check for all required provisions mandated for this form type in this state — list which are present, which are missing, and which need language modification
2. Flag any prohibited language or provisions not permitted by statute
3. Review the cancellation and non-renewal provisions for compliance with state notice and reason requirements
4. Assess plain language compliance: Flesch-Kincaid or equivalent readability standard for this state if required
5. Produce a compliance checklist with pass / fail / needs revision for each item reviewed

OUTPUT: {required_provisions_checklist, prohibited_language_flags, cancellation_provision_review, readability_assessment, overall_compliance_checklist}