I. Vargas
Member M-02055 / Cascade Manufacturing / 2026. Notices, threshold events, filing records, reimbursement, and activity stay scoped to this member within the group.
Submission-level view for carrier, client, or internal status questions.
| Submission | Paid period | Requested | Reimbursed | Outstanding | Status |
|---|---|---|---|---|---|
| Submission 2 SL-2025-9912-F02 / Supplemental filing | Dec 29, 2025 to Mar 28, 2026 | $0 | $0 | $0 | Watching |
| Submission 1 SL-2025-9912-F01 / Initial filing | Jan 1, 2026 to Dec 28, 2025 | $30,000 | $30,000 | $0 | Full reimbursement |
| Total | $30,000 | $30,000 | $0 | ||
Current stop-loss position for this member in this group and policy year.
Tokio Marine HCC
resolved
No daily notice row
One member can have one 50% notice event and multiple independent filing records after spec is crossed.
Estimated from current paid claims against $150,000 specific deductible.
Member entered the year-end and pre-spec monitoring lane.
$180,000 paid against $150,000 deductible.
SL-2025-9912-F01, filed amount $30,000.
$30,000 reimbursed against SL-2025-9912-F01.
SL-2025-9912-F02, $0 new eligible paid against $0 threshold.
Daily notices are one-time carrier notices. Older rows remain here as audit history.
Each filing is separate. Subsequent filings compare new eligible paid claims against the configured filing creation threshold.
Future treatment would open as a separate filing once new eligible paid claims meet the configured filing creation threshold.
Initial filing applied the specific deductible and set the last filed cumulative paid amount for future filings.
Paid claim lines that feed notice percentages and filing packets.
| Date | Provider | Dx | Case | Amount |
|---|---|---|---|---|
| Nov 13, 2025 | Specialty Pharmacy | I50.43 | SL-2025-9912 | $28,800 |
| Oct 14, 2025 | Cleveland Clinic Outpatient | I50.43 | SL-2025-9912 | $39,600 |
| Aug 30, 2025 | Cleveland Clinic — Heart Center | I50.43 | SL-2025-9912 | $111,600 |
System, rep, carrier, notice, and filing events in one history.