Group workspace
Heartland Foods
Group ID heartland-foods. Review setup and search members without changing the filing queue workflow.
Members
9
With tracked notices, filings, or package rows
50% notices
3
Group-level carrier notice rows
Filing records
6
Owned and worked from the filing queue
Spec deductible
$100,000
$50,000 50% threshold
Policy config
Core policy fields that drive monthly reporting, thresholding, and filing packet rules.
Group ID
heartland-foods
Enrollment and claims feed linkage.
Policy year
2026
Policy effective
Jan 1, 2026
Policy expiration
Dec 31, 2026
Carrier / MGU
Sun Life Financial
HM Insurance Group
Contract basis
12/12
Specific deductible
$100,000
50% threshold $50,000
Aggregate attachment
$2,425,650
Operational config
Delivery and workflow defaults for requests, reporting, and carrier communication.
Covered lives
471
Source system
Cigna
HR email
benefits@heartlandfoods.example
Default destination for AAW and employer-side requests.
Carrier delivery
Sun Life Financial portal
Pre-populated from carrier selection.
Broker notification
stoploss-heartland-foods@broker.example
Static package delivery only unless PHI permission allows more.
Case management vendor
MedWatch
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 |
|---|---|---|---|---|---|---|---|---|
| A. Davis M-08855 | Ready to file | Spinal Surgery | $158,000 | 158% | 0 | 1 | May 26, 2026 | Open |
| B. Singh M-05544 | denied-appeal | Trauma Surgery | $142,000 | 142% | 0 | 1 | May 25, 2026 | Open |
| H. Kim M-03012 | ready-to-file | NICU | $137,000 | 137% | 0 | 2 | May 26, 2026 | Open |
| B. Patel M-13002 | Ready to file | Oncology | $119,000 | 119% | 0 | 1 | May 27, 2026 | Open |
| Q. Chen M-06677 | info-requested | Trauma Surgery | $113,000 | 113% | 0 | 1 | May 23, 2026 | Open |
| C. Wilson M-04113 | gathering-docs | Spinal Surgery | $80,000 | 80% | 0 | 1 | May 24, 2026 | Open |
| A. Lopez M-20177 | 50% notice delivered | NICU | $53,100 | 53% | 1 | 0 | May 25, 2026 | Open |
| R. Johnson M-20509 | 50% notice delivered | Orthopedic | $53,000 | 53% | 1 | 0 | May 24, 2026 | Open |
| S. Patel M-20410 | 50% notice delivered | Oncology | $52,000 | 52% | 1 | 0 | May 24, 2026 | Open |
