Group workspace
Amera, Inc. plan
Group ID amera-inc. Review setup and search members without changing the filing queue workflow.
Members
11
With tracked notices, filings, or package rows
50% notices
0
Group-level carrier notice rows
Filing records
0
Owned and worked from the filing queue
Spec deductible
$150,000
$75,000 50% threshold
Policy config
Core policy fields that drive monthly reporting, thresholding, and filing packet rules.
Group ID
amera-inc
Enrollment and claims feed linkage.
Policy year
2026
Policy effective
Jan 1, 2026
Policy expiration
Dec 31, 2026
Carrier / MGU
Tokio Marine HCC
Amwins Group Benefits
Contract basis
36/12
Specific deductible
$150,000
50% threshold $75,000
Aggregate attachment
$4,968,000
Operational config
Delivery and workflow defaults for requests, reporting, and carrier communication.
Covered lives
1,200
Source system
Cigna
HR email
benefits@amerainc.example
Default destination for AAW and employer-side requests.
Carrier delivery
Tokio Marine HCC portal
Pre-populated from carrier selection.
Broker notification
stoploss-amera-inc@broker.example
Static package delivery only unless PHI permission allows more.
Case management vendor
Not captured
Vendor name only; UM/CM docs remain manual upload.
Members
Open a member to see their 50% notices, spec filing records, claim ledger, reimbursement, and activity in one place.
| Member | Member state | Diagnosis / reason | Paid | % spec | Notices | Filings | Last activity | Action |
|---|---|---|---|---|---|---|---|---|
| T. Anderson HCC-008 | Ready for initial filing | Transplant exceeded the $150,000 specific deductible. | $335,000 | 223% | 1 | 1 | Feb 18, 2026 | Open |
| K. Martinez HCC-012 | Ready for initial filing | Neonatal ICU exceeded the $150,000 specific deductible. | $298,000 | 199% | 1 | 1 | Feb 27, 2026 | Open |
| L. Chen HCC-019 | Ready for initial filing | Spinal Surgery exceeded the $150,000 specific deductible. | $267,000 | 178% | 1 | 1 | Mar 9, 2026 | Open |
| J. Smith HCC-001 | Ready for initial filing | Oncology exceeded the $150,000 specific deductible. | $245,000 | 163% | 1 | 1 | Mar 18, 2026 | Open |
| P. Williams HCC-031 | Needs review before filing | Major Cardiac exceeded the $150,000 specific deductible. | $228,000 | 152% | 1 | 1 | Mar 29, 2026 | Open |
| S. Patel HCC-041 | Needs review before filing | Oncology - Continuation exceeded the $150,000 specific deductible. | $215,000 | 143% | 1 | 0 | Apr 4, 2026 | Open |
| M. Davis HCC-047 | Needs review before filing | Cardiac Surgery exceeded the $150,000 specific deductible. | $189,500 | 126% | 1 | 0 | Apr 13, 2026 | Open |
| D. Thompson HCC-052 | Needs review before filing | Trauma Surgery exceeded the $150,000 specific deductible. | $183,000 | 122% | 1 | 0 | Apr 22, 2026 | Open |
| A. Rodriguez HCC-063 | 50% monthly watch | Burn Unit is above 50% of specific and remains on monthly carrier reporting. | $142,000 | 95% | 0 | 0 | May 1, 2026 | Open |
| B. Lee HCC-071 | 50% monthly watch | Orthopedic Surgery is above 50% of specific and remains on monthly carrier reporting. | $138,000 | 92% | 0 | 0 | May 10, 2026 | Open |
| R. Johnson HCC-023 | 50% monthly watch | Orthopedic is above 50% of specific and remains on monthly carrier reporting. | $125,000 | 83% | 0 | 0 | May 18, 2026 | Open |