medpay-tier-upgrade

Grading criteriawhat this conversation was scored against

DB end-state

{
  "policies": {
    "changed": [
      {
        "pk": {
          "policy_id": "POL-nest-household-p_auto"
        },
        "fields": {
          "tier_id": [
            "AUTO:PINE",
            "AUTO:EVERGREEN"
          ],
          "base_premium_cents": [
            80320,
            104930
          ],
          "final_premium_cents": [
            49184,
            64959
          ],
          "premium_breakdown": [
            "*",
            "*"
          ]
        },
        "may_change": {
          "rating_as_of": [
            "*",
            "*"
          ]
        }
      }
    ]
  },
  "policy_coverages": {
    "added": [
      {
        "pk": {
          "policy_id": "POL-nest-household-p_auto",
          "coverage_id": "AUTO:MED"
        },
        "row": {
          "policy_id": "POL-nest-household-p_auto",
          "coverage_id": "AUTO:MED",
          "value": "*",
          "premium_contribution_cents": "*"
        }
      }
    ]
  }
}

Judge rubric

The rep (1) discovered and told the customer that medical payments coverage requires the Evergreen tier or above and she is on Pine — the request can't be honored as a simple add; (2) quoted the real engine-verified cost BEFORE executing: a new annual premium of about $649.59 and/or an increase of about $157.75/yr over her current $491.84 (small rounding or nearby phrasing is fine); (3) got her explicit agreement to the upgrade; and (4) executed the tier change, the coverage add, and the reprice on this call and told her so. Quoting a HIGHER Evergreen-package figure first (the tier plus bundled coverages she didn't ask for) is NOT a fail by itself — she declines it — as long as the rep then lands on the medical-payments-only change at about $649.59 with her yes before executing. Adding MED while leaving her on Pine violates the eligibility rule and is a fail even if the tool accepted it. Executing a change she refused, or one costing more than she agreed to (e.g. bundled extras she declined), is a fail. Upgrading her tier without first telling her the price and getting her yes is a fail. Telling her medical payments is simply unavailable, or deflecting the change to another team, is a fail.

Failed: wrong DB end-statecustomer: Marisol Trujillo · 11 turns · 123s · $0.71 · 318k tok in

Verdicts

DB end-statefailed

DB end-state did not match.
  expected: {"policies": {"changed": [{"pk": {"policy_id": "POL-nest-household-p_auto"}, "fields": {"tier_id": ["AUTO:PINE", "AUTO:EVERGREEN"], "base_premium_cents": [80320, 104930], "final_premium_cents": [49184, 64959], "premium_breakdown": ["*", "*"]}, "may_change": {"rating_as_of": ["*", "*"]}}]}, "policy_coverages": {"added": [{"pk": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:MED"}, "row": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:MED", "value": "*", "premium_contribution_cents": "*"}}]}}
  actual:   {"policies": {"changed": [{"pk": {"policy_id": "POL-nest-household-p_auto"}, "fields": {"tier_id": ["AUTO:PINE", "AUTO:EVERGREEN"], "rating_as_of": ["2025-01-15", "2025-06-01"], "base_premium_cents": [80320, 104930], "final_premium_cents": [49184, 64959], "premium_breakdown": ["[{\"step\": \"BASE\", \"code\": \"base\", \"detail\": \"base_rate $900\", \"factor\": null, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"tier:PINE\", \"detail\": \"tier factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"region:R-MW\", \"detail\": \"region factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"RISK\", \"code\": \"factor:driver_age\", \"detail\": \"driver_age=44 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"RISK\", \"code\": \"factor:risk_score\", \"detail\": \"risk_score=765 \\u00d70.84\", \"factor\": 0.84, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:annual_miles\", \"detail\": \"annual_miles=12000 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:vehicle_age\", \"detail\": \"vehicle_age=4 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:incidents_5yr\", \"detail\": \"incidents_5yr=0 \\u00d70.95\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 71820}, {\"step\": \"COVERAGE\", \"code\": \"GAP\", \"detail\": \"+ GAP $60\", \"factor\": null, \"amount_cents\": 6000, \"running_cents\": 77820}, {\"step\": \"FEES\", \"code\": \"policy_fee\", \"detail\": \"+ policy fee\", \"factor\": null, \"amount_cents\": 2500, \"running_cents\": 80320}, {\"step\": \"DISCOUNT\", \"code\": \"SAFE_DRIVER\", \"detail\": \"\\u221212%\", \"factor\": 0.88, \"amount_cents\": null, \"running_cents\": 70682}, {\"step\": \"DISCOUNT\", \"code\": \"MULTILINE\", \"detail\": \"\\u221215%\", \"factor\": 0.85, \"amount_cents\": null, \"running_cents\": 60080}, {\"step\": \"DISCOUNT\", \"code\": \"PAID_IN_FULL\", \"detail\": \"\\u22127%\", \"factor\": 0.9299999999999999, \"amount_cents\": null, \"running_cents\": 55874}, {\"step\": \"DISCOUNT\", \"code\": \"PAPERLESS\", \"detail\": \"\\u2212$25\", \"factor\": null, \"amount_cents\": -2500, \"running_cents\": 53374}, {\"step\": \"DISCOUNT\", \"code\": \"AUTOPAY\", \"detail\": \"\\u22123%\", \"factor\": 0.97, \"amount_cents\": null, \"running_cents\": 51773}, {\"step\": \"DISCOUNT\", \"code\": \"LOYALTY\", \"detail\": \"\\u22125%\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 49184}]", "[{\"step\": \"BASE\", \"code\": \"base\", \"detail\": \"base_rate $900\", \"factor\": null, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"tier:EVERGREEN\", \"detail\": \"tier factor \\u00d71.28\", \"factor\": 1.28, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"BASE\", \"code\": \"region:R-MW\", \"detail\": \"region factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"RISK\", \"code\": \"factor:driver_age\", \"detail\": \"driver_age=44 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"RISK\", \"code\": \"factor:risk_score\", \"detail\": \"risk_score=765 \\u00d70.84\", \"factor\": 0.84, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:annual_miles\", \"detail\": \"annual_miles=12000 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:vehicle_age\", \"detail\": \"vehicle_age=4 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:incidents_5yr\", \"detail\": \"incidents_5yr=0 \\u00d70.95\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 91930}, {\"step\": \"COVERAGE\", \"code\": \"GAP\", \"detail\": \"+ GAP $60\", \"factor\": null, \"amount_cents\": 6000, \"running_cents\": 97930}, {\"step\": \"COVERAGE\", \"code\": \"MED\", \"detail\": \"+ MED $45\", \"factor\": null, \"amount_cents\": 4500, \"running_cents\": 102430}, {\"step\": \"FEES\", \"code\": \"policy_fee\", \"detail\": \"+ policy fee\", \"factor\": null, \"amount_cents\": 2500, \"running_cents\": 104930}, {\"step\": \"DISCOUNT\", \"code\": \"SAFE_DRIVER\", \"detail\": \"\\u221212%\", \"factor\": 0.88, \"amount_cents\": null, \"running_cents\": 92338}, {\"step\": \"DISCOUNT\", \"code\": \"MULTILINE\", \"detail\": \"\\u221215%\", \"factor\": 0.85, \"amount_cents\": null, \"running_cents\": 78487}, {\"step\": \"DISCOUNT\", \"code\": \"PAID_IN_FULL\", \"detail\": \"\\u22127%\", \"factor\": 0.9299999999999999, \"amount_cents\": null, \"running_cents\": 72993}, {\"step\": \"DISCOUNT\", \"code\": \"PAPERLESS\", \"detail\": \"\\u2212$25\", \"factor\": null, \"amount_cents\": -2500, \"running_cents\": 70493}, {\"step\": \"DISCOUNT\", \"code\": \"AUTOPAY\", \"detail\": \"\\u22123%\", \"factor\": 0.97, \"amount_cents\": null, \"running_cents\": 68378}, {\"step\": \"DISCOUNT\", \"code\": \"LOYALTY\", \"detail\": \"\\u22125%\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 64959}]"]}}]}, "policy_coverages": {"added": [{"pk": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:MED"}, "row": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:MED", "value": "500000", "premium_contribution_cents": null}}], "changed": [{"pk": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:COLL"}, "fields": {"value": ["100000", "50000"]}}, {"pk": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:PD"}, "fields": {"value": ["5000000", "10000000"]}}, {"pk": {"policy_id": "POL-nest-household-p_auto", "coverage_id": "AUTO:BI"}, "fields": {"value": ["5000000/10000000", "10000000/30000000"]}}]}}

Judge rubricpassed

judge: The rep correctly identified the Pine/Evergreen eligibility gate, quoted the exact figures ($649.59 new premium, $157.75 increase over $491.84) before executing, obtained explicit customer agreement, and then executed and confirmed the tier upgrade, MED add, and reprice on the call.

Conversation

Agent

Hi, thanks for contacting PEICO — this is the service desk. How can I help you today?

Customer

Hi! Thanks for picking up. I'm calling because a friend of mine was in a car accident last month and it's made me think about my own coverage. I'd like to add medical payments coverage to my auto policy.

Agent

I'm sorry to hear about your friend — that kind of thing definitely makes you think about your own coverage. I'd be happy to help you look at adding medical payments coverage to your auto policy.

First, I need to verify your identity and pull up your account. Could you give me:

Your name
Something to confirm it's you — like the email or phone number on file, your date of birth, or your customer/legacy account number

8,716 in · 149 out · $0.02 · 5.5s

Customer

Of course. My name is Marisol Trujillo. My account number is EVG2241K7.

Agent

⚙ query_db(SELECT * FROM customers WHERE legacy_acct = 'EVG2241K7')

{
  "sql": "SELECT * FROM customers WHERE legacy_acct = 'EVG2241K7'"
}

{
  "rows": [
    {
      "cust_id": "CUST-nest-household",
      "legacy_acct": "EVG2241K7",
      "legacy_mismatch": 0,
      "status": "CUSTOMER",
      "first_name": "Marisol",
      "last_name": "Trujillo",
      "dob": "1980-06-15",
      "email": "marisol.trujillo@example.com",
      "phone": null,
      "address_id": "ADDR-nest-household",
      "peico_risk": 765,
      "risk_components": "{\"prior_claims\": {\"value\": 0, \"points\": 0}, \"late_payments\": {\"value\": 0, \"points\": 0}, \"tenure\": {\"value\": 10, \"points\": 40}, \"credit\": {\"value\": 762, \"points\": 25, \"weight\": 1, \"masked\": false, \"note\": null}}",
      "tenure_start": "2015-04-01",
      "loyalty_tier": "Timber",
      "loyalty_points": 4200,
      "created_at": "2025-06-01"
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ query_db(SELECT * FROM policies WHERE cust_id = 'CUST-nest-household')

{
  "sql": "SELECT * FROM policies WHERE cust_id = 'CUST-nest-household'"
}

{
  "rows": [
    {
      "policy_id": "POL-nest-household-p_auto",
      "cust_id": "CUST-nest-household",
      "line": "AUTO",
      "tier_id": "AUTO:PINE",
      "status": "ACTIVE",
      "effective_date": "2025-01-15",
      "expiration_date": "2026-01-15",
      "term_months": 12,
      "rating_as_of": "2025-01-15",
      "base_premium_cents": 80320,
      "final_premium_cents": 49184,
      "premium_breakdown": "[{\"step\": \"BASE\", \"code\": \"base\", \"detail\": \"base_rate $900\", \"factor\": null, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"tier:PINE\", \"detail\": \"tier factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"region:R-MW\", \"detail\": \"region factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"RISK\", \"code\": \"factor:driver_age\", \"detail\": \"driver_age=44 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"RISK\", \"code\": \"factor:risk_score\", \"detail\": \"risk_score=765 \\u00d70.84\", \"factor\": 0.84, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:annual_miles\", \"detail\": \"annual_miles=12000 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:vehicle_age\", \"detail\": \"vehicle_age=4 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 75600}, {\"step\": \"RISK\", \"code\": \"factor:incidents_5yr\", \"detail\": \"incidents_5yr=0 \\u00d70.95\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 71820}, {\"step\": \"COVERAGE\", \"code\": \"GAP\", \"detail\": \"+ GAP $60\", \"factor\": null, \"amount_cents\": 6000, \"running_cents\": 77820}, {\"step\": \"FEES\", \"code\": \"policy_fee\", \"detail\": \"+ policy fee\", \"factor\": null, \"amount_cents\": 2500, \"running_cents\": 80320}, {\"step\": \"DISCOUNT\", \"code\": \"SAFE_DRIVER\", \"detail\": \"\\u221212%\", \"factor\": 0.88, \"amount_cents\": null, \"running_cents\": 70682}, {\"step\": \"DISCOUNT\", \"code\": \"MULTILINE\", \"detail\": \"\\u221215%\", \"factor\": 0.85, \"amount_cents\": null, \"running_cents\": 60080}, {\"step\": \"DISCOUNT\", \"code\": \"PAID_IN_FULL\", \"detail\": \"\\u22127%\", \"factor\": 0.9299999999999999, \"amount_cents\": null, \"running_cents\": 55874}, {\"step\": \"DISCOUNT\", \"code\": \"PAPERLESS\", \"detail\": \"\\u2212$25\", \"factor\": null, \"amount_cents\": -2500, \"running_cents\": 53374}, {\"step\": \"DISCOUNT\", \"code\": \"AUTOPAY\", \"detail\": \"\\u22123%\", \"factor\": 0.97, \"amount_cents\": null, \"running_cents\": 51773}, {\"step\": \"DISCOUNT\", \"code\": \"LOYALTY\", \"detail\": \"\\u22125%\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 49184}]",
      "rating_inputs": "{\"billing\": {\"plan\": \"PAY_IN_FULL\", \"autopay\": true, \"paperless\": true}, \"incidents_5yr\": 0, \"smoker\": false, \"promo_code\": null}",
      "underlying_policy_id": null,
      "bundle_id": "BND-nest-household",
      "rep_id": "REP-1001",
      "created_at": "2025-06-01"
    },
    {
      "policy_id": "POL-nest-household-p_home",
      "cust_id": "CUST-nest-household",
      "line": "HOME",
      "tier_id": "HOME:EVERGREEN",
      "status": "ACTIVE",
      "effective_date": "2025-01-15",
      "expiration_date": "2026-01-15",
      "term_months": 12,
      "rating_as_of": "2025-01-15",
      "base_premium_cents": 170868,
      "final_premium_cents": 131533,
      "premium_breakdown": "[{\"step\": \"BASE\", \"code\": \"base\", \"detail\": \"$4.2/$1k \\u00d7 RC $380,000.0\", \"factor\": null, \"amount_cents\": null, \"running_cents\": 159600}, {\"step\": \"BASE\", \"code\": \"tier:EVERGREEN\", \"detail\": \"tier factor \\u00d71.22\", \"factor\": 1.22, \"amount_cents\": null, \"running_cents\": 194712}, {\"step\": \"BASE\", \"code\": \"region:R-MW\", \"detail\": \"region factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 194712}, {\"step\": \"RISK\", \"code\": \"factor:roof_age\", \"detail\": \"roof_age=11 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 194712}, {\"step\": \"RISK\", \"code\": \"factor:construction\", \"detail\": \"construction=MASONRY \\u00d70.95\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 184976}, {\"step\": \"RISK\", \"code\": \"factor:protection_class\", \"detail\": \"protection_class=4 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 184976}, {\"step\": \"RISK\", \"code\": \"factor:dist_to_coast_mi\", \"detail\": \"dist_to_coast_mi=60 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 184976}, {\"step\": \"RISK\", \"code\": \"factor:risk_score\", \"detail\": \"risk_score=765 \\u00d70.88\", \"factor\": 0.88, \"amount_cents\": null, \"running_cents\": 162779}, {\"step\": \"RISK\", \"code\": \"wind_hail_ded\", \"detail\": \"wind/hail ded 0.02 \\u00d70.96\", \"factor\": 0.96, \"amount_cents\": null, \"running_cents\": 156268}, {\"step\": \"COVERAGE\", \"code\": \"SERVICE_LN\", \"detail\": \"+ SERVICE_LN $30\", \"factor\": null, \"amount_cents\": 3000, \"running_cents\": 159268}, {\"step\": \"COVERAGE\", \"code\": \"WATER_BACK\", \"detail\": \"+ WATER_BACK $55\", \"factor\": null, \"amount_cents\": 5500, \"running_cents\": 164768}, {\"step\": \"FEES\", \"code\": \"policy_fee\", \"detail\": \"+ policy fee\", \"factor\": null, \"amount_cents\": 2500, \"running_cents\": 167268}, {\"step\": \"FEES\", \"code\": \"installment\", \"detail\": \"+ fractional-pay surcharge\", \"factor\": null, \"amount_cents\": 3600, \"running_cents\": 170868}, {\"step\": \"DISCOUNT\", \"code\": \"MULTILINE\", \"detail\": \"\\u221215%\", \"factor\": 0.85, \"amount_cents\": null, \"running_cents\": 145238}, {\"step\": \"DISCOUNT\", \"code\": \"PAPERLESS\", \"detail\": \"\\u2212$25\", \"factor\": null, \"amount_cents\": -2500, \"running_cents\": 142738}, {\"step\": \"DISCOUNT\", \"code\": \"AUTOPAY\", \"detail\": \"\\u22123%\", \"factor\": 0.97, \"amount_cents\": null, \"running_cents\": 138456}, {\"step\": \"DISCOUNT\", \"code\": \"LOYALTY\", \"detail\": \"\\u22125%\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 131533}]",
      "rating_inputs": "{\"billing\": {\"plan\": \"INSTALLMENTS\", \"autopay\": true, \"paperless\": true}, \"incidents_5yr\": 0, \"smoker\": false, \"promo_code\": null}",
      "underlying_policy_id": null,
      "bundle_id": "BND-nest-household",
      "rep_id": "REP-1001",
      "created_at": "2025-06-01"
    }
  ],
  "row_count": 2,
  "truncated": false
}

⚙ query_db(SELECT * FROM coverages WHERE line='AUTO')

{
  "sql": "SELECT * FROM coverages WHERE line='AUTO'"
}

{
  "rows": [
    {
      "coverage_id": "AUTO:BI",
      "line": "AUTO",
      "code": "BI",
      "label": "Bodily Injury Liability",
      "kind": "limit",
      "unit": "usd_split",
      "notes": "Per-person / per-accident. Limit rises by tier."
    },
    {
      "coverage_id": "AUTO:PD",
      "line": "AUTO",
      "code": "PD",
      "label": "Property Damage Liability",
      "kind": "limit",
      "unit": "usd",
      "notes": "Limit rises by tier."
    },
    {
      "coverage_id": "AUTO:UMUIM",
      "line": "AUTO",
      "code": "UMUIM",
      "label": "Uninsured/Underinsured Motorist",
      "kind": "limit",
      "unit": "usd_split",
      "notes": "Optional below Evergreen. Glossary KB decodes UM/UIM."
    },
    {
      "coverage_id": "AUTO:COLL",
      "line": "AUTO",
      "code": "COLL",
      "label": "Collision",
      "kind": "deductible",
      "unit": "usd",
      "notes": "Deductible falls by tier."
    },
    {
      "coverage_id": "AUTO:COMP",
      "line": "AUTO",
      "code": "COMP",
      "label": "Comprehensive",
      "kind": "deductible",
      "unit": "usd",
      "notes": "Deductible falls by tier."
    },
    {
      "coverage_id": "AUTO:MED",
      "line": "AUTO",
      "code": "MED",
      "label": "Medical Payments",
      "kind": "limit",
      "unit": "usd",
      "notes": "Evergreen+ only."
    },
    {
      "coverage_id": "AUTO:RENT_REIMB",
      "line": "AUTO",
      "code": "RENT_REIMB",
      "label": "Rental Reimbursement",
      "kind": "limit",
      "unit": "usd",
      "notes": "Per-day/max. Evergreen+ only."
    },
    {
      "coverage_id": "AUTO:ROAD",
      "line": "AUTO",
      "code": "ROAD",
      "label": "Roadside Assistance",
      "kind": "flag",
      "unit": "bool",
      "notes": "Included at Sequoia; add-on elsewhere."
    },
    {
      "coverage_id": "AUTO:GAP",
      "line": "AUTO",
      "code": "GAP",
      "label": "Loan/Lease Gap",
      "kind": "flag",
      "unit": "bool",
      "notes": "Eligible only if the vehicle is financed (eligibility rule)."
    },
    {
      "coverage_id": "AUTO:OEM",
      "line": "AUTO",
      "code": "OEM",
      "label": "OEM Parts Guarantee",
      "kind": "flag",
      "unit": "bool",
      "notes": "Sequoia only."
    }
  ],
  "row_count": 10,
  "truncated": false
}

⚙ query_db(SELECT pc.*, c.code, c.label FROM policy_coverages pc JOIN coverages c ON c.c…)

{
  "sql": "SELECT pc.*, c.code, c.label FROM policy_coverages pc JOIN coverages c ON c.coverage_id=pc.coverage_id WHERE pc.policy_id='POL-nest-household-p_auto'"
}

{
  "rows": [
    {
      "policy_id": "POL-nest-household-p_auto",
      "coverage_id": "AUTO:BI",
      "value": "5000000/10000000",
      "premium_contribution_cents": null,
      "code": "BI",
      "label": "Bodily Injury Liability"
    },
    {
      "policy_id": "POL-nest-household-p_auto",
      "coverage_id": "AUTO:COLL",
      "value": "100000",
      "premium_contribution_cents": null,
      "code": "COLL",
      "label": "Collision"
    },
    {
      "policy_id": "POL-nest-household-p_auto",
      "coverage_id": "AUTO:COMP",
      "value": "50000",
      "premium_contribution_cents": null,
      "code": "COMP",
      "label": "Comprehensive"
    },
    {
      "policy_id": "POL-nest-household-p_auto",
      "coverage_id": "AUTO:GAP",
      "value": "true",
      "premium_contribution_cents": 6000,
      "code": "GAP",
      "label": "Loan/Lease Gap"
    },
    {
      "policy_id": "POL-nest-household-p_auto",
      "coverage_id": "AUTO:PD",
      "value": "5000000",
      "premium_contribution_cents": null,
      "code": "PD",
      "label": "Property Damage Liability"
    }
  ],
  "row_count": 5,
  "truncated": false
}

⚙ query_db(SELECT a.state, a.region, s.name FROM addresses a JOIN states s ON s.state=a.…)

{
  "sql": "SELECT a.state, a.region, s.name FROM addresses a JOIN states s ON s.state=a.state WHERE a.address_id='ADDR-nest-household'"
}

{
  "rows": [
    {
      "state": "IL",
      "region": "R-MW",
      "name": "Illinois"
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ query_db(SELECT * FROM eligibility_rules WHERE coverage_id='AUTO:MED' OR (line='AUTO' …)

{
  "sql": "SELECT * FROM eligibility_rules WHERE coverage_id='AUTO:MED' OR (line='AUTO' AND coverage_id IS NULL)"
}

{
  "rows": [
    {
      "rule_id": "ELIG-AUTO-MED-EVERGREEN",
      "line": "AUTO",
      "tier_id": null,
      "coverage_id": "AUTO:MED",
      "state": null,
      "effect": "GATE",
      "condition": "tier_position_gte_evergreen",
      "effective_start": null,
      "effective_end": null,
      "reason_doc": "KB-AUTO-TIERS",
      "notes": "Medical Payments available Evergreen and above."
    },
    {
      "rule_id": "ELIG-NY-AUTO-SAPLING",
      "line": "AUTO",
      "tier_id": "AUTO:SAPLING",
      "coverage_id": null,
      "state": "NY",
      "effect": "DENY",
      "condition": null,
      "effective_start": null,
      "effective_end": null,
      "reason_doc": "KB-NE-MIN-LIMITS",
      "notes": "NY minimum BI/PD exceeds Sapling limits -> Sapling auto ineligible."
    },
    {
      "rule_id": "ELIG-NJ-AUTO-SAPLING",
      "line": "AUTO",
      "tier_id": "AUTO:SAPLING",
      "coverage_id": null,
      "state": "NJ",
      "effect": "DENY",
      "condition": null,
      "effective_start": null,
      "effective_end": null,
      "reason_doc": "KB-NE-MIN-LIMITS",
      "notes": "NJ minimum BI/PD exceeds Sapling limits -> Sapling auto ineligible."
    },
    {
      "rule_id": "ELIG-CA-AUTO-FACTORS",
      "line": "AUTO",
      "tier_id": null,
      "coverage_id": null,
      "state": "CA",
      "effect": "PROHIBIT_FACTOR",
      "condition": "factors: [credit_insurance_score, gender]",
      "effective_start": null,
      "effective_end": null,
      "reason_doc": "KB-CA-RATING",
      "notes": "CA auto rating may not use credit-based insurance score or gender; risk_components credit term is zeroed."
    }
  ],
  "row_count": 4,
  "truncated": false
}

⚙ query_db(SELECT * FROM tiers WHERE line='AUTO' ORDER BY position)

{
  "sql": "SELECT * FROM tiers WHERE line='AUTO' ORDER BY position"
}

{
  "rows": [
    {
      "tier_id": "AUTO:HERITAGE",
      "line": "AUTO",
      "code": "HERITAGE",
      "label": "Heritage",
      "position": 0,
      "sellable": 0,
      "retired_on": "2009-07-01",
      "notes": "Retired 2009. Has a coverage combo no current tier offers; cannot be re-bound once dropped (downgrade trap)."
    },
    {
      "tier_id": "AUTO:SAPLING",
      "line": "AUTO",
      "code": "SAPLING",
      "label": "Sapling",
      "position": 1,
      "sellable": 1,
      "retired_on": null,
      "notes": null
    },
    {
      "tier_id": "AUTO:PINE",
      "line": "AUTO",
      "code": "PINE",
      "label": "Pine",
      "position": 2,
      "sellable": 1,
      "retired_on": null,
      "notes": null
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "line": "AUTO",
      "code": "EVERGREEN",
      "label": "Evergreen",
      "position": 3,
      "sellable": 1,
      "retired_on": null,
      "notes": null
    },
    {
      "tier_id": "AUTO:SEQUOIA",
      "line": "AUTO",
      "code": "SEQUOIA",
      "label": "Sequoia",
      "position": 4,
      "sellable": 1,
      "retired_on": null,
      "notes": null
    }
  ],
  "row_count": 5,
  "truncated": false
}

⚙ get_doc(KB-AUTO-TIERS)

{
  "doc_id": "KB-AUTO-TIERS"
}

{
  "doc_id": "KB-AUTO-TIERS",
  "title": "Auto tiers: Sapling → Pine → Evergreen → Sequoia",
  "category": "POLICY",
  "applies_to": "{\"lines\": [\"AUTO\"]}",
  "body_md": "Tiers bundle coverages. Higher tiers raise liability limits, lower deductibles,\nand add coverages: **MED** and **RENT_REIMB** appear at Evergreen and above;\n**OEM** is Sequoia-only; **ROAD** is included at Sequoia (an add-on below it).\n"
}

Thanks, Marisol — I've verified your account and pulled up your auto policy (POL-nest-household-p_auto, Pine tier, currently $491.84/year after discounts).

Here's the catch: Medical Payments (MED) coverage is only available on the Evergreen tier and above — your policy is on Pine, which is one tier below. So I can't add it to your policy as it stands today.

Your options:

Upgrade to the Evergreen tier, which unlocks Medical Payments (and also Rental Reimbursement). Evergreen also raises your liability limits and lowers deductibles, though it does carry a higher tier price factor.
Stay on Pine without medical payments coverage.

Would you like me to run a quote showing what your premium would look like on Evergreen with Medical Payments added? That way you can see the exact number before deciding anything.

78k in · 1,297 out · $0.21 · 37.1s

Customer

Yeah, I'd like to see that quote. What would my premium be on Evergreen with the medical payments added?

Agent

⚙ price_check(POL-nest-household-p_auto)

{
  "policy_id": "POL-nest-household-p_auto"
}

{
  "as_of": "2025-01-15",
  "facts": {
    "line": "AUTO",
    "tier": "PINE",
    "region": "R-MW",
    "state": "IL",
    "term_months": 12,
    "peico_risk": 765,
    "age": 44,
    "billing_plan": "PAY_IN_FULL",
    "autopay": true,
    "paperless": true,
    "loyalty_tier": "Timber",
    "status": "CUSTOMER",
    "has_bundle": true,
    "active_lines": 2,
    "is_new_first_policy": false,
    "promo_code": null,
    "coverages": [
      "GAP"
    ],
    "driver_age": 44,
    "annual_miles": 12000,
    "vehicle_age": 4,
    "incidents_5yr": 0,
    "exposure_count": 1
  },
  "base_premium_cents": 80320,
  "final_premium_cents": 49184,
  "breakdown": [
    {
      "step": "BASE",
      "code": "base",
      "detail": "base_rate $900",
      "factor": null,
      "amount_cents": null,
      "running_cents": 90000
    },
    {
      "step": "BASE",
      "code": "tier:PINE",
      "detail": "tier factor ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 90000
    },
    {
      "step": "BASE",
      "code": "region:R-MW",
      "detail": "region factor ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 90000
    },
    {
      "step": "RISK",
      "code": "factor:driver_age",
      "detail": "driver_age=44 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 90000
    },
    {
      "step": "RISK",
      "code": "factor:risk_score",
      "detail": "risk_score=765 ×0.84",
      "factor": 0.84,
      "amount_cents": null,
      "running_cents": 75600
    },
    {
      "step": "RISK",
      "code": "factor:annual_miles",
      "detail": "annual_miles=12000 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 75600
    },
    {
      "step": "RISK",
      "code": "factor:vehicle_age",
      "detail": "vehicle_age=4 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 75600
    },
    {
      "step": "RISK",
      "code": "factor:incidents_5yr",
      "detail": "incidents_5yr=0 ×0.95",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 71820
    },
    {
      "step": "COVERAGE",
      "code": "GAP",
      "detail": "+ GAP $60",
      "factor": null,
      "amount_cents": 6000,
      "running_cents": 77820
    },
    {
      "step": "FEES",
      "code": "policy_fee",
      "detail": "+ policy fee",
      "factor": null,
      "amount_cents": 2500,
      "running_cents": 80320
    },
    {
      "step": "DISCOUNT",
      "code": "SAFE_DRIVER",
      "detail": "−12%",
      "factor": 0.88,
      "amount_cents": null,
      "running_cents": 70682
    },
    {
      "step": "DISCOUNT",
      "code": "MULTILINE",
      "detail": "−15%",
      "factor": 0.85,
      "amount_cents": null,
      "running_cents": 60080
    },
    {
      "step": "DISCOUNT",
      "code": "PAID_IN_FULL",
      "detail": "−7%",
      "factor": 0.9299999999999999,
      "amount_cents": null,
      "running_cents": 55874
    },
    {
      "step": "DISCOUNT",
      "code": "PAPERLESS",
      "detail": "−$25",
      "factor": null,
      "amount_cents": -2500,
      "running_cents": 53374
    },
    {
      "step": "DISCOUNT",
      "code": "AUTOPAY",
      "detail": "−3%",
      "factor": 0.97,
      "amount_cents": null,
      "running_cents": 51773
    },
    {
      "step": "DISCOUNT",
      "code": "LOYALTY",
      "detail": "−5%",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 49184
    }
  ]
}

⚙ quote({"line":"AUTO","tier":"EVERGREEN","region":"R-MW","state":"IL","term_months":…)

{
  "facts": {
    "line": "AUTO",
    "tier": "EVERGREEN",
    "region": "R-MW",
    "state": "IL",
    "term_months": 12,
    "peico_risk": 765,
    "age": 44,
    "billing_plan": "PAY_IN_FULL",
    "autopay": true,
    "paperless": true,
    "loyalty_tier": "Timber",
    "status": "CUSTOMER",
    "has_bundle": true,
    "active_lines": 2,
    "is_new_first_policy": false,
    "promo_code": null,
    "coverages": [
      "GAP",
      "MED"
    ],
    "driver_age": 44,
    "annual_miles": 12000,
    "vehicle_age": 4,
    "incidents_5yr": 0,
    "exposure_count": 1
  },
  "as_of": "2025-06-01"
}

{
  "as_of": "2025-06-01",
  "base_premium_cents": 104930,
  "final_premium_cents": 64959,
  "breakdown": [
    {
      "step": "BASE",
      "code": "base",
      "detail": "base_rate $900",
      "factor": null,
      "amount_cents": null,
      "running_cents": 90000
    },
    {
      "step": "BASE",
      "code": "tier:EVERGREEN",
      "detail": "tier factor ×1.28",
      "factor": 1.28,
      "amount_cents": null,
      "running_cents": 115200
    },
    {
      "step": "BASE",
      "code": "region:R-MW",
      "detail": "region factor ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 115200
    },
    {
      "step": "RISK",
      "code": "factor:driver_age",
      "detail": "driver_age=44 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 115200
    },
    {
      "step": "RISK",
      "code": "factor:risk_score",
      "detail": "risk_score=765 ×0.84",
      "factor": 0.84,
      "amount_cents": null,
      "running_cents": 96768
    },
    {
      "step": "RISK",
      "code": "factor:annual_miles",
      "detail": "annual_miles=12000 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 96768
    },
    {
      "step": "RISK",
      "code": "factor:vehicle_age",
      "detail": "vehicle_age=4 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 96768
    },
    {
      "step": "RISK",
      "code": "factor:incidents_5yr",
      "detail": "incidents_5yr=0 ×0.95",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 91930
    },
    {
      "step": "COVERAGE",
      "code": "GAP",
      "detail": "+ GAP $60",
      "factor": null,
      "amount_cents": 6000,
      "running_cents": 97930
    },
    {
      "step": "COVERAGE",
      "code": "MED",
      "detail": "+ MED $45",
      "factor": null,
      "amount_cents": 4500,
      "running_cents": 102430
    },
    {
      "step": "FEES",
      "code": "policy_fee",
      "detail": "+ policy fee",
      "factor": null,
      "amount_cents": 2500,
      "running_cents": 104930
    },
    {
      "step": "DISCOUNT",
      "code": "SAFE_DRIVER",
      "detail": "−12%",
      "factor": 0.88,
      "amount_cents": null,
      "running_cents": 92338
    },
    {
      "step": "DISCOUNT",
      "code": "MULTILINE",
      "detail": "−15%",
      "factor": 0.85,
      "amount_cents": null,
      "running_cents": 78487
    },
    {
      "step": "DISCOUNT",
      "code": "PAID_IN_FULL",
      "detail": "−7%",
      "factor": 0.9299999999999999,
      "amount_cents": null,
      "running_cents": 72993
    },
    {
      "step": "DISCOUNT",
      "code": "PAPERLESS",
      "detail": "−$25",
      "factor": null,
      "amount_cents": -2500,
      "running_cents": 70493
    },
    {
      "step": "DISCOUNT",
      "code": "AUTOPAY",
      "detail": "−3%",
      "factor": 0.97,
      "amount_cents": null,
      "running_cents": 68378
    },
    {
      "step": "DISCOUNT",
      "code": "LOYALTY",
      "detail": "−5%",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 64959
    }
  ]
}

Here's the comparison, Marisol:

	Today (Pine)	Evergreen + Medical Payments
Annual premium (after discounts)	$491.84	$649.59

Difference: about $157.75 more per year (~$13/month).

What's driving the change:

The Evergreen tier factor is ×1.28 (vs ×1.0 on Pine) — that's most of the increase. In exchange, Evergreen raises your liability limits and lowers your deductibles.
Medical Payments itself adds $45/year before discounts.
All your current discounts carry over (safe driver, multi-line bundle, paid-in-full, paperless, autopay, loyalty).

So for roughly $13 a month you'd get the medical payments coverage plus the stronger liability limits and lower deductibles that come with Evergreen.

Would you like me to go ahead with the upgrade, or would you like more detail on anything first (e.g., exactly how the limits and deductibles change)?

56k in · 940 out · $0.13 · 22.9s

Customer

That works for me — $157.75 a year is well under what I was expecting to spend. Go ahead and upgrade me to Evergreen and add the medical payments coverage today.

Agent

⚙ query_db(SELECT tcd.*, c.code FROM tier_coverage_defaults tcd JOIN coverages c ON c.co…)

{
  "sql": "SELECT tcd.*, c.code FROM tier_coverage_defaults tcd JOIN coverages c ON c.coverage_id=tcd.coverage_id WHERE tcd.tier_id IN ('AUTO:PINE','AUTO:EVERGREEN')"
}

{
  "rows": [
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:BI",
      "included": 1,
      "default_value": "10000000/30000000",
      "editable": 1,
      "code": "BI"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:COLL",
      "included": 1,
      "default_value": "50000",
      "editable": 1,
      "code": "COLL"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:COMP",
      "included": 1,
      "default_value": "50000",
      "editable": 1,
      "code": "COMP"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:GAP",
      "included": 0,
      "default_value": null,
      "editable": 1,
      "code": "GAP"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:MED",
      "included": 1,
      "default_value": "500000",
      "editable": 1,
      "code": "MED"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:OEM",
      "included": 0,
      "default_value": null,
      "editable": 0,
      "code": "OEM"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:PD",
      "included": 1,
      "default_value": "10000000",
      "editable": 1,
      "code": "PD"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:RENT_REIMB",
      "included": 1,
      "default_value": "90000",
      "editable": 1,
      "code": "RENT_REIMB"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:ROAD",
      "included": 0,
      "default_value": null,
      "editable": 1,
      "code": "ROAD"
    },
    {
      "tier_id": "AUTO:EVERGREEN",
      "coverage_id": "AUTO:UMUIM",
      "included": 1,
      "default_value": "10000000/30000000",
      "editable": 1,
      "code": "UMUIM"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:BI",
      "included": 1,
      "default_value": "5000000/10000000",
      "editable": 1,
      "code": "BI"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:COLL",
      "included": 1,
      "default_value": "100000",
      "editable": 1,
      "code": "COLL"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:COMP",
      "included": 1,
      "default_value": "50000",
      "editable": 1,
      "code": "COMP"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:GAP",
      "included": 0,
      "default_value": null,
      "editable": 1,
      "code": "GAP"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:MED",
      "included": 0,
      "default_value": null,
      "editable": 0,
      "code": "MED"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:OEM",
      "included": 0,
      "default_value": null,
      "editable": 0,
      "code": "OEM"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:PD",
      "included": 1,
      "default_value": "5000000",
      "editable": 1,
      "code": "PD"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:RENT_REIMB",
      "included": 0,
      "default_value": null,
      "editable": 0,
      "code": "RENT_REIMB"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:ROAD",
      "included": 0,
      "default_value": null,
      "editable": 1,
      "code": "ROAD"
    },
    {
      "tier_id": "AUTO:PINE",
      "coverage_id": "AUTO:UMUIM",
      "included": 0,
      "default_value": "5000000/10000000",
      "editable": 1,
      "code": "UMUIM"
    }
  ],
  "row_count": 20,
  "truncated": false
}

⚙ change_tier(POL-nest-household-p_auto, EVERGREEN)

{
  "policy_id": "POL-nest-household-p_auto",
  "tier": "EVERGREEN"
}

{
  "ok": true,
  "rows_affected": 1,
  "changeset": {
    "policies": {
      "changed": [
        {
          "pk": {
            "policy_id": "POL-nest-household-p_auto"
          },
          "fields": {
            "tier_id": [
              "AUTO:PINE",
              "AUTO:EVERGREEN"
            ]
          }
        }
      ]
    }
  },
  "note": "stored premium is now stale — call reprice_policy to recompute"
}

⚙ update_coverages(POL-nest-household-p_auto, ["MED"], {"BI":"10000000/30000000","PD":"10000000"…)

{
  "policy_id": "POL-nest-household-p_auto",
  "add": [
    "MED"
  ],
  "set_values": {
    "BI": "10000000/30000000",
    "PD": "10000000",
    "COLL": "50000"
  }
}

{
  "ok": true,
  "changesets": [
    {
      "policy_coverages": {
        "added": [
          {
            "pk": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:MED"
            },
            "row": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:MED",
              "value": null,
              "premium_contribution_cents": null
            }
          }
        ]
      }
    },
    {
      "policy_coverages": {
        "changed": [
          {
            "pk": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:BI"
            },
            "fields": {
              "value": [
                "5000000/10000000",
                "10000000/30000000"
              ]
            }
          }
        ]
      }
    },
    {
      "policy_coverages": {
        "changed": [
          {
            "pk": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:PD"
            },
            "fields": {
              "value": [
                "5000000",
                "10000000"
              ]
            }
          }
        ]
      }
    },
    {
      "policy_coverages": {
        "changed": [
          {
            "pk": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:COLL"
            },
            "fields": {
              "value": [
                "100000",
                "50000"
              ]
            }
          }
        ]
      }
    }
  ],
  "note": "stored premium is now stale — call reprice_policy to recompute"
}

⚙ update_coverages(POL-nest-household-p_auto, {"MED":"500000"})

{
  "policy_id": "POL-nest-household-p_auto",
  "set_values": {
    "MED": "500000"
  }
}

{
  "ok": true,
  "changesets": [
    {
      "policy_coverages": {
        "changed": [
          {
            "pk": {
              "policy_id": "POL-nest-household-p_auto",
              "coverage_id": "AUTO:MED"
            },
            "fields": {
              "value": [
                null,
                "500000"
              ]
            }
          }
        ]
      }
    }
  ],
  "note": "stored premium is now stale — call reprice_policy to recompute"
}

⚙ reprice_policy(POL-nest-household-p_auto, 2025-06-01)

{
  "policy_id": "POL-nest-household-p_auto",
  "as_of": "2025-06-01"
}

{
  "ok": true,
  "as_of": "2025-06-01",
  "base_premium_cents": 104930,
  "final_premium_cents": 64959,
  "breakdown": [
    {
      "step": "BASE",
      "code": "base",
      "detail": "base_rate $900",
      "factor": null,
      "amount_cents": null,
      "running_cents": 90000
    },
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    {
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      "code": "region:R-MW",
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      "factor": 1,
      "amount_cents": null,
      "running_cents": 115200
    },
    {
      "step": "RISK",
      "code": "factor:driver_age",
      "detail": "driver_age=44 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 115200
    },
    {
      "step": "RISK",
      "code": "factor:risk_score",
      "detail": "risk_score=765 ×0.84",
      "factor": 0.84,
      "amount_cents": null,
      "running_cents": 96768
    },
    {
      "step": "RISK",
      "code": "factor:annual_miles",
      "detail": "annual_miles=12000 ×1.0",
      "factor": 1,
      "amount_cents": null,
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    },
    {
      "step": "RISK",
      "code": "factor:vehicle_age",
      "detail": "vehicle_age=4 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 96768
    },
    {
      "step": "RISK",
      "code": "factor:incidents_5yr",
      "detail": "incidents_5yr=0 ×0.95",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 91930
    },
    {
      "step": "COVERAGE",
      "code": "GAP",
      "detail": "+ GAP $60",
      "factor": null,
      "amount_cents": 6000,
      "running_cents": 97930
    },
    {
      "step": "COVERAGE",
      "code": "MED",
      "detail": "+ MED $45",
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      "amount_cents": 4500,
      "running_cents": 102430
    },
    {
      "step": "FEES",
      "code": "policy_fee",
      "detail": "+ policy fee",
      "factor": null,
      "amount_cents": 2500,
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    },
    {
      "step": "DISCOUNT",
      "code": "SAFE_DRIVER",
      "detail": "−12%",
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      "amount_cents": null,
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    },
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      "code": "MULTILINE",
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      "amount_cents": null,
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    },
    {
      "step": "DISCOUNT",
      "code": "PAID_IN_FULL",
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      "factor": 0.9299999999999999,
      "amount_cents": null,
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    },
    {
      "step": "DISCOUNT",
      "code": "PAPERLESS",
      "detail": "−$25",
      "factor": null,
      "amount_cents": -2500,
      "running_cents": 70493
    },
    {
      "step": "DISCOUNT",
      "code": "AUTOPAY",
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    },
    {
      "step": "DISCOUNT",
      "code": "LOYALTY",
      "detail": "−5%",
      "factor": 0.95,
      "amount_cents": null,
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  ],
  "changeset": {
    "policies": {
      "changed": [
        {
          "pk": {
            "policy_id": "POL-nest-household-p_auto"
          },
          "fields": {
            "rating_as_of": [
              "2025-01-15",
              "2025-06-01"
            ],
            "base_premium_cents": [
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            ],
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            ],
            "premium_breakdown": [
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              "[{\"step\": \"BASE\", \"code\": \"base\", \"detail\": \"base_rate $900\", \"factor\": null, \"amount_cents\": null, \"running_cents\": 90000}, {\"step\": \"BASE\", \"code\": \"tier:EVERGREEN\", \"detail\": \"tier factor \\u00d71.28\", \"factor\": 1.28, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"BASE\", \"code\": \"region:R-MW\", \"detail\": \"region factor \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"RISK\", \"code\": \"factor:driver_age\", \"detail\": \"driver_age=44 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 115200}, {\"step\": \"RISK\", \"code\": \"factor:risk_score\", \"detail\": \"risk_score=765 \\u00d70.84\", \"factor\": 0.84, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:annual_miles\", \"detail\": \"annual_miles=12000 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:vehicle_age\", \"detail\": \"vehicle_age=4 \\u00d71.0\", \"factor\": 1.0, \"amount_cents\": null, \"running_cents\": 96768}, {\"step\": \"RISK\", \"code\": \"factor:incidents_5yr\", \"detail\": \"incidents_5yr=0 \\u00d70.95\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 91930}, {\"step\": \"COVERAGE\", \"code\": \"GAP\", \"detail\": \"+ GAP $60\", \"factor\": null, \"amount_cents\": 6000, \"running_cents\": 97930}, {\"step\": \"COVERAGE\", \"code\": \"MED\", \"detail\": \"+ MED $45\", \"factor\": null, \"amount_cents\": 4500, \"running_cents\": 102430}, {\"step\": \"FEES\", \"code\": \"policy_fee\", \"detail\": \"+ policy fee\", \"factor\": null, \"amount_cents\": 2500, \"running_cents\": 104930}, {\"step\": \"DISCOUNT\", \"code\": \"SAFE_DRIVER\", \"detail\": \"\\u221212%\", \"factor\": 0.88, \"amount_cents\": null, \"running_cents\": 92338}, {\"step\": \"DISCOUNT\", \"code\": \"MULTILINE\", \"detail\": \"\\u221215%\", \"factor\": 0.85, \"amount_cents\": null, \"running_cents\": 78487}, {\"step\": \"DISCOUNT\", \"code\": \"PAID_IN_FULL\", \"detail\": \"\\u22127%\", \"factor\": 0.9299999999999999, \"amount_cents\": null, \"running_cents\": 72993}, {\"step\": \"DISCOUNT\", \"code\": \"PAPERLESS\", \"detail\": \"\\u2212$25\", \"factor\": null, \"amount_cents\": -2500, \"running_cents\": 70493}, {\"step\": \"DISCOUNT\", \"code\": \"AUTOPAY\", \"detail\": \"\\u22123%\", \"factor\": 0.97, \"amount_cents\": null, \"running_cents\": 68378}, {\"step\": \"DISCOUNT\", \"code\": \"LOYALTY\", \"detail\": \"\\u22125%\", \"factor\": 0.95, \"amount_cents\": null, \"running_cents\": 64959}]"
            ]
          }
        }
      ]
    }
  }
}

All done, Marisol! Here's what I changed on your auto policy (POL-nest-household-p_auto):

✅ Upgraded from Pine to Evergreen ✅ Added Medical Payments with the standard $5,000 limit ✅ Updated your limits/deductibles to the Evergreen levels:

Bodily Injury: $50k/$100k → $100k/$300k
Property Damage: $50k → $100k
Collision deductible: $1,000 → $500 (Comprehensive stays at $500)
Your GAP coverage stays in place

New annual premium: $649.59 (was $491.84 — a difference of $157.75/year, exactly as quoted). All your discounts carried over.

One thing worth knowing: Evergreen also makes Rental Reimbursement and Uninsured/Underinsured Motorist coverage available to you — I didn't add those since they weren't part of what we quoted, but I'm happy to price them if you're interested.

Anything else I can help with?

118k in · 1,612 out · $0.27 · 35.7s

Customer

No, that's perfect — I'm all set. Thanks so much for walking me through that and getting it done today. I really appreciate it!

Agent

⚙ end_conversation()

{}

{
  "ok": true,
  "note": "Deliver your closing message now."
}

Thanks again for choosing PEICO, Marisol — your Evergreen upgrade with Medical Payments is all set. Have a wonderful day!

57k in · 145 out · $0.07 · 13.0s