I came across a insulation monitoring design from TI (Refer Below)

I am having a hard time understanding the working of this particular design or how the insulation monitoring is done in general. If anyone would be kind enough to please explain this particular design.
Thanks in advance
Links to refer:
1. https://www.ti.com/tool/TIDA-010232
2. https://www.ti.com/product/TPSI2140-Q1#tech-docs

I am having a hard time understanding the working of this particular design or how the insulation monitoring is done in general. If anyone would be kind enough to please explain this particular design.
Thanks in advance
Links to refer:
1. https://www.ti.com/tool/TIDA-010232
2. https://www.ti.com/product/TPSI2140-Q1#tech-docs