J. Riley
Member M-08712 / Northern Logistics Co / 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 1 SL-2026-0170-F01 / Initial filing | Jan 1, 2026 to May 16, 2026 | $75,000 | $0 | $75,000 | Draft |
| Total | $75,000 | $0 | $75,000 | ||
Current stop-loss position for this member in this group and policy year.
Berkley Accident & Health
gathering-docs
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 $100,000 specific deductible.
Member entered the year-end and pre-spec monitoring lane.
$175,000 paid against $100,000 deductible.
SL-2026-0170-F01, draft amount $75,000.
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.
Paid claim lines that feed notice percentages and filing packets.
| Date | Provider | Dx | Case | Amount |
|---|---|---|---|---|
| Apr 12, 2026 | BabySteps Pediatric Specialty | P07.25 | SL-2026-0170 | $21,000 |
| Feb 26, 2026 | UCSF Imaging | P07.25 | SL-2026-0170 | $28,000 |
| Feb 11, 2026 | UCSF Benioff Children's — NICU | P07.25 | SL-2026-0170 | $126,000 |
System, rep, carrier, notice, and filing events in one history.
Pinged finance contact at Northern Logistics; expecting wire by end of week
Employer is short on the deposit needed to fund underlying claims; cannot file until plan pays
Claim ledger and COB pulled. Pre-cert request to Cigna UM and HR AAW email fired in parallel.