Marketing Cloud Campaign - Implicit opt-in emails not taken into account

Hi,

Our business is trying to send out email campaigns and it seems that the implicit email opt-ins are not taken into account.

If we look at the permission settings it seems to be set correctly

I am not a MC consultant so I don't have deep knowledge in this area.

What could be a reason that with the above settings implicit email opt-ins are not considered for a marketing campaign?

Thanks!

Tom