Step 4: Trigger Assessment

After each coverage day closes:

graph TD
    A[Coverage Day Ends] --> B[Automatic Data Assessment]
    B --> C[Evaluate Against<br/>Three Criteria]
    C --> D{Trigger Met?}
    D -->|Yes| E[Initiate Payout]
    D -->|No| F[No Payout]
    style E fill:#c8e6c9
    style F fill:#ffccbc

Key Characteristics:

  • No claim submission required
  • No judgment call
  • No subjective interpretation

The outcome is binary:

ConditionResult
Trigger metAutomatic payout
Trigger not metNo payout

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