coastalshield-eligibility

Grading criteriawhat this conversation was scored against

DB end-state

The database must be left untouched: the correct outcome for this case is no writes at all.

Judge rubric

The rep determined the customer's home policy QUALIFIES for the COASTALSHIELD coastal wind-resilience credit (a Southeast-region home policy, offer window open, premium above the minimum) and stated the benefit correctly as $120. Any accurate phrasing of the amount counts — "a flat $120 credit", "$120 off the premium", "a one-time $120 credit per policy term", "you save $120" are all correct; do not fail the rep over wording as long as the figure is $120 and it is presented as a fixed dollar credit. Telling her she does not qualify is a fail. Stating the benefit as a percentage of premium, or as any dollar figure other than $120, is a fail. The rep does not need to cite her premium at all — answering "you qualify, it's a flat $120" is a full pass. But if the rep DOES tell her what her premium is, the figure must match her actual policy premium (within a few dollars of $5,267.97 without the credit / $5,147.97 with it). Citing a materially different number as her premium — e.g. ~$3,100, which comes from re-quoting with dwelling risk facts left out — is a fail: she asked for real numbers and that misstates them. Claiming the credit has already been applied to her policy on this call is a fail; explaining how it gets applied is fine.

Passedcustomer: Gloria Esposito · 9 turns · 50s · $0.15 · 123k tok in

Verdicts

DB end-statepassed

DB end-state matches the expected changeset.

Judge rubricpassed

judge: The rep correctly stated the customer qualifies, cited the accurate premium figures ($5,267.97 and $5,147.97, matching the reference within a few dollars), and correctly presented the benefit as a flat $120 credit without falsely claiming it had already been applied.

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 saw an ad about a coastal wind resilience credit for PEICO homeowners, and I wanted to find out if my policy qualifies for it and how much I'd actually save.

Agent

I'd be happy to look into that for you. First, I need to verify your identity before I can access your account.

Could you please provide me with your name and one of the following: your email on file, your phone number, or your date of birth?

8,718 in · 66 out · $0.0069 · 1.9s

Customer

Sure, my name is Gloria Esposito. My email on file is gloria.esposito@example.com.

Agent

⚙ query_db(SELECT cust_id, first_name, last_name, email, phone, dob, address_id, peico_r…)

{
  "sql": "SELECT cust_id, first_name, last_name, email, phone, dob, address_id, peico_risk FROM customers WHERE lower(email) = 'gloria.esposito@example.com'"
}

{
  "rows": [
    {
      "cust_id": "CUST-fl-coastal-home",
      "first_name": "Gloria",
      "last_name": "Esposito",
      "email": "gloria.esposito@example.com",
      "phone": null,
      "dob": "1969-07-19",
      "address_id": "ADDR-fl-coastal-home",
      "peico_risk": 715
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ query_db(SELECT p.policy_id, p.line, p.tier_id, p.status, p.effective_date, p.expirati…)

{
  "sql": "SELECT p.policy_id, p.line, p.tier_id, p.status, p.effective_date, p.expiration_date, p.rating_as_of, p.final_premium_cents\nFROM policies p WHERE p.cust_id = 'CUST-fl-coastal-home'"
}

{
  "rows": [
    {
      "policy_id": "POL-fl-coastal-home-p_home",
      "line": "HOME",
      "tier_id": "HOME:SEQUOIA",
      "status": "ACTIVE",
      "effective_date": "2025-04-01",
      "expiration_date": "2026-04-01",
      "rating_as_of": "2025-04-01",
      "final_premium_cents": 526797
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ query_db(SELECT d.discount_id, d.code, d.label, d.effect, d.eligibility, d.notes FROM …)

{
  "sql": "SELECT d.discount_id, d.code, d.label, d.effect, d.eligibility, d.notes FROM discounts d WHERE lower(d.label) LIKE '%wind%' OR lower(d.code) LIKE '%wind%' OR lower(d.label) LIKE '%coastal%' OR lower(d.notes) LIKE '%wind%'"
}

{
  "rows": [],
  "row_count": 0,
  "truncated": false
}

⚙ search_kb(coastal wind resilience credit homeowners)

{
  "query": "coastal wind resilience credit homeowners"
}

{
  "results": [
    {
      "doc_id": "KB-PROMO-COASTALSHIELD",
      "title": "COASTALSHIELD terms",
      "category": "PROMO",
      "applies_to": "{\"lines\": [\"HOME\", \"CONDO\"], \"states\": [\"FL\", \"GA\", \"NC\"]}",
      "snippet": "$120 wind-resilience credit for Southeast home/condo policies. Cap $120; min premium $600."
    },
    {
      "doc_id": "KB-EVERGREEN-CLASSIC",
      "title": "Evergreen Classic (Home, retired 2018) — wind/hail math",
      "category": "UNDERWRITING",
      "applies_to": "{\"lines\": [\"HOME\"]}",
      "snippet": "Retired 2018-01-01. Uses a legacy flat-capped wind/hail deductible (1.5% of\ndwelling, capped) rather than the current percentage math. Not re-bindable.\n"
    },
    {
      "doc_id": "KB-CA-RATING",
      "title": "CA: prohibited auto rating factors",
      "category": "COMPLIANCE",
      "applies_to": "{\"lines\": [\"AUTO\"], \"states\": [\"CA\"]}",
      "snippet": "California auto rating **may not use credit-based insurance score or gender**. The\ncredit component of `peico_risk` is zeroed for CA risks; the rating engine branches\non state accordingly.\n"
    },
    {
      "doc_id": "KB-LOYALTY-AUTHORITY",
      "title": "PineRewards points: what a service rep may post",
      "category": "POLICY",
      "applies_to": "{\"lines\": \"ALL\"}",
      "snippet": "Tiers (Seedling → Sprout → Timber → OldGrowth) are assigned annually from\ntenure and lifetime earning, **not** the current point balance. Points earned\n2019 or later expire **24 months** after the earn date; older entries were\nwritten witho…"
    },
    {
      "doc_id": "KB-PROMO-SPRINGSAVE25",
      "title": "SPRINGSAVE25 terms",
      "category": "PROMO",
      "applies_to": "{\"lines\": [\"AUTO\"]}",
      "snippet": "$75 off auto in the Midwest/Southwest, spring 2025 only. Offer window 2025-03-20 through 2025-06-21; does not apply after 2025-06-21. Applicability is determined by the offer window as of the quote date."
    },
    {
      "doc_id": "KB-FL-HURRICANE",
      "title": "FL: separate hurricane deductible",
      "category": "COMPLIANCE",
      "applies_to": "{\"lines\": [\"HOME\"], \"states\": [\"FL\"]}",
      "snippet": "Florida homeowners policies carry a **separate hurricane deductible** expressed as\na percentage of the dwelling limit, distinct from the flat all-peril deductible.\nIt must be set explicitly before binding.\n"
    }
  ]
}

⚙ get_doc(KB-PROMO-COASTALSHIELD)

{
  "doc_id": "KB-PROMO-COASTALSHIELD"
}

{
  "doc_id": "KB-PROMO-COASTALSHIELD",
  "title": "COASTALSHIELD terms",
  "category": "PROMO",
  "applies_to": "{\"lines\": [\"HOME\", \"CONDO\"], \"states\": [\"FL\", \"GA\", \"NC\"]}",
  "body_md": "$120 wind-resilience credit for Southeast home/condo policies. Cap $120; min premium $600."
}

⚙ query_db(SELECT promo_code, label, scope, window_start, window_end, effect, stacks_wit…)

{
  "sql": "SELECT promo_code, label, scope, window_start, window_end, effect, stacks_with, caps, active, doc_id, notes FROM promotions WHERE promo_code = 'COASTALSHIELD'"
}

{
  "rows": [
    {
      "promo_code": "COASTALSHIELD",
      "label": "Coastal Wind Resilience Credit",
      "scope": "{\"lines\": [\"HOME\", \"CONDO\"], \"regions\": [\"R-SE\"], \"customer\": \"ANY\"}",
      "window_start": "2025-05-01",
      "window_end": "2026-11-30",
      "effect": "{\"type\": \"DOLLARS_OFF\", \"value\": 120}",
      "stacks_with": "[\"DISC-MULTILINE\"]",
      "caps": "{\"max_benefit_usd\": 120, \"min_premium_floor_usd\": 600}",
      "active": 1,
      "doc_id": "KB-PROMO-COASTALSHIELD",
      "notes": "SE region only; intended for wind-mitigated dwellings."
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ query_db(SELECT a.state, a.region, a.zip, a.city FROM addresses a WHERE a.address_id =…)

{
  "sql": "SELECT a.state, a.region, a.zip, a.city FROM addresses a WHERE a.address_id = 'ADDR-fl-coastal-home'"
}

{
  "rows": [
    {
      "state": "FL",
      "region": "R-SE",
      "zip": "34102",
      "city": "Naples"
    }
  ],
  "row_count": 1,
  "truncated": false
}

⚙ price_check(POL-fl-coastal-home-p_home)

{
  "policy_id": "POL-fl-coastal-home-p_home"
}

{
  "as_of": "2025-04-01",
  "facts": {
    "line": "HOME",
    "tier": "SEQUOIA",
    "region": "R-SE",
    "state": "FL",
    "term_months": 12,
    "peico_risk": 715,
    "age": 55,
    "billing_plan": "INSTALLMENTS",
    "autopay": true,
    "paperless": true,
    "loyalty_tier": "Timber",
    "status": "CUSTOMER",
    "has_bundle": false,
    "active_lines": 1,
    "is_new_first_policy": false,
    "promo_code": null,
    "coverages": [
      "SERVICE_LN",
      "WATER_BACK"
    ],
    "replacement_cost": 520000,
    "roof_age": 6,
    "construction": "MASONRY",
    "protection_class": 5,
    "dist_to_coast_mi": 2,
    "wind_hail_deductible": 0.01
  },
  "base_premium_cents": 574173,
  "final_premium_cents": 526797,
  "breakdown": [
    {
      "step": "BASE",
      "code": "base",
      "detail": "$4.2/$1k × RC $520,000.0",
      "factor": null,
      "amount_cents": null,
      "running_cents": 218400
    },
    {
      "step": "BASE",
      "code": "tier:SEQUOIA",
      "detail": "tier factor ×1.55",
      "factor": 1.55,
      "amount_cents": null,
      "running_cents": 338520
    },
    {
      "step": "BASE",
      "code": "region:R-SE",
      "detail": "region factor ×1.45",
      "factor": 1.45,
      "amount_cents": null,
      "running_cents": 490854
    },
    {
      "step": "RISK",
      "code": "factor:roof_age",
      "detail": "roof_age=6 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 490854
    },
    {
      "step": "RISK",
      "code": "factor:construction",
      "detail": "construction=MASONRY ×0.95",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 466311
    },
    {
      "step": "RISK",
      "code": "factor:protection_class",
      "detail": "protection_class=5 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 466311
    },
    {
      "step": "RISK",
      "code": "factor:dist_to_coast_mi",
      "detail": "dist_to_coast_mi=2 ×1.2",
      "factor": 1.2,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "RISK",
      "code": "factor:risk_score",
      "detail": "risk_score=715 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "RISK",
      "code": "wind_hail_ded",
      "detail": "wind/hail ded 0.01 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "COVERAGE",
      "code": "SERVICE_LN",
      "detail": "+ SERVICE_LN $30",
      "factor": null,
      "amount_cents": 3000,
      "running_cents": 562573
    },
    {
      "step": "COVERAGE",
      "code": "WATER_BACK",
      "detail": "+ WATER_BACK $55",
      "factor": null,
      "amount_cents": 5500,
      "running_cents": 568073
    },
    {
      "step": "FEES",
      "code": "policy_fee",
      "detail": "+ policy fee",
      "factor": null,
      "amount_cents": 2500,
      "running_cents": 570573
    },
    {
      "step": "FEES",
      "code": "installment",
      "detail": "+ fractional-pay surcharge",
      "factor": null,
      "amount_cents": 3600,
      "running_cents": 574173
    },
    {
      "step": "DISCOUNT",
      "code": "PAPERLESS",
      "detail": "−$25",
      "factor": null,
      "amount_cents": -2500,
      "running_cents": 571673
    },
    {
      "step": "DISCOUNT",
      "code": "AUTOPAY",
      "detail": "−3%",
      "factor": 0.97,
      "amount_cents": null,
      "running_cents": 554523
    },
    {
      "step": "DISCOUNT",
      "code": "LOYALTY",
      "detail": "−5%",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 526797
    }
  ]
}

⚙ quote({"line":"HOME","tier":"SEQUOIA","region":"R-SE","state":"FL","term_months":12…)

{
  "facts": {
    "line": "HOME",
    "tier": "SEQUOIA",
    "region": "R-SE",
    "state": "FL",
    "term_months": 12,
    "peico_risk": 715,
    "age": 55,
    "billing_plan": "INSTALLMENTS",
    "autopay": true,
    "paperless": true,
    "loyalty_tier": "Timber",
    "status": "CUSTOMER",
    "has_bundle": false,
    "active_lines": 1,
    "is_new_first_policy": false,
    "promo_code": "COASTALSHIELD",
    "coverages": [
      "SERVICE_LN",
      "WATER_BACK"
    ],
    "replacement_cost": 520000,
    "roof_age": 6,
    "construction": "MASONRY",
    "protection_class": 5,
    "dist_to_coast_mi": 2,
    "wind_hail_deductible": 0.01
  },
  "as_of": "2025-06-01"
}

{
  "as_of": "2025-06-01",
  "base_premium_cents": 574173,
  "final_premium_cents": 514797,
  "breakdown": [
    {
      "step": "BASE",
      "code": "base",
      "detail": "$4.2/$1k × RC $520,000.0",
      "factor": null,
      "amount_cents": null,
      "running_cents": 218400
    },
    {
      "step": "BASE",
      "code": "tier:SEQUOIA",
      "detail": "tier factor ×1.55",
      "factor": 1.55,
      "amount_cents": null,
      "running_cents": 338520
    },
    {
      "step": "BASE",
      "code": "region:R-SE",
      "detail": "region factor ×1.45",
      "factor": 1.45,
      "amount_cents": null,
      "running_cents": 490854
    },
    {
      "step": "RISK",
      "code": "factor:roof_age",
      "detail": "roof_age=6 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 490854
    },
    {
      "step": "RISK",
      "code": "factor:construction",
      "detail": "construction=MASONRY ×0.95",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 466311
    },
    {
      "step": "RISK",
      "code": "factor:protection_class",
      "detail": "protection_class=5 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 466311
    },
    {
      "step": "RISK",
      "code": "factor:dist_to_coast_mi",
      "detail": "dist_to_coast_mi=2 ×1.2",
      "factor": 1.2,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "RISK",
      "code": "factor:risk_score",
      "detail": "risk_score=715 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "RISK",
      "code": "wind_hail_ded",
      "detail": "wind/hail ded 0.01 ×1.0",
      "factor": 1,
      "amount_cents": null,
      "running_cents": 559573
    },
    {
      "step": "COVERAGE",
      "code": "SERVICE_LN",
      "detail": "+ SERVICE_LN $30",
      "factor": null,
      "amount_cents": 3000,
      "running_cents": 562573
    },
    {
      "step": "COVERAGE",
      "code": "WATER_BACK",
      "detail": "+ WATER_BACK $55",
      "factor": null,
      "amount_cents": 5500,
      "running_cents": 568073
    },
    {
      "step": "FEES",
      "code": "policy_fee",
      "detail": "+ policy fee",
      "factor": null,
      "amount_cents": 2500,
      "running_cents": 570573
    },
    {
      "step": "FEES",
      "code": "installment",
      "detail": "+ fractional-pay surcharge",
      "factor": null,
      "amount_cents": 3600,
      "running_cents": 574173
    },
    {
      "step": "DISCOUNT",
      "code": "PAPERLESS",
      "detail": "−$25",
      "factor": null,
      "amount_cents": -2500,
      "running_cents": 571673
    },
    {
      "step": "DISCOUNT",
      "code": "AUTOPAY",
      "detail": "−3%",
      "factor": 0.97,
      "amount_cents": null,
      "running_cents": 554523
    },
    {
      "step": "DISCOUNT",
      "code": "LOYALTY",
      "detail": "−5%",
      "factor": 0.95,
      "amount_cents": null,
      "running_cents": 526797
    },
    {
      "step": "PROMO",
      "code": "COASTALSHIELD",
      "detail": "−$120 (cap $120)",
      "factor": null,
      "amount_cents": -12000,
      "running_cents": 514797
    }
  ]
}

Here's the exact impact:

Current annual premium: $5,267.97
With COASTALSHIELD applied: $5,147.97
You save: $120.00 for the year (the full credit — it's a flat $120 off, capped at $120)

Everything qualifies: HOME line, Southeast region (Naples, FL), you're well above the $600 minimum premium, and we're inside the offer window (May 1, 2025 – Nov 30, 2026).

Would you like me to apply the COASTALSHIELD credit to your policy now?

69k in · 1,664 out · $0.10 · 32.7s

Customer

Thanks for that breakdown. Just to clarify — is that $120 per year, and is that the most the credit can be?

Agent

Yes to both:

It's a one-time $120 off your annual premium — applied once per policy term, not per month. On your policy it brings the yearly total from $5,267.97 down to $5,147.97.
$120 is the maximum. The credit is a flat $120 with a hard cap of $120 — it can't go higher regardless of your premium size or wind-mitigation features.

One thing worth noting: it's tied to the offer window (through Nov 30, 2026), so it would re-apply as long as the promo is still active and attached at your next renewal — but it's not a compounding or per-item discount.

Would you like me to apply it to your policy now?

15k in · 214 out · $0.01 · 4.6s

Customer

Perfect, that answers my question. I appreciate you getting me the actual numbers. I don't need to finalize anything today, but I have what I needed. Thanks for your help!

Agent

⚙ end_conversation()

{}

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

Thanks again for contacting PEICO, Gloria — have a wonderful day!

31k in · 130 out · $0.02 · 4.6s