Fake health insurance Summary of Benefits and Coverage (SBC) document requiring portal re-enrollment or coverage verification — impersonating UnitedHealth / Aetna / BCBS / Cigna.
healthcare-insurance-sbc-phish
What this tier means
High-confidence threat indicator — phishing, impersonation, BEC, or scam pattern. Strong contributor to the trash decision.
How Gorganizer detects this
Fake health insurance Summary of Benefits and Coverage (SBC) document requiring portal re-enrollment or coverage verification — impersonating UnitedHealth, Aetna, BCBS, or Cigna. Real SBC documents are mailed annually or posted to the member portal; insurers NEVER send cold inbound emails demanding re-enrollment or credential entry. Detection: SBC/summary of benefits vocabulary + re-enroll/coverage-verification action + insurer brand reference + sender NOT on official insurer domain allowlist (uhc.com, aetna.com, anthem.com, bcbs.com, cigna.com) + no In-Reply-To + no List-Unsubscribe. Trash score: +4. Source: GC1-R18; HHS OCR phishing advisory 2025; FTC health insurance fraud report.
False-positive guard
Every signal in Gorganizer feeds a multi-module score — never a sole verdict. This is a threat-tier signal — it adds a strong contribution to the trash score. The full pipeline still requires convergence across multiple modules + a margin over the safety floor before deletion happens, and Gmail's trash (30-day recovery) is always used — never permanent delete.
About the scoring engine
Gorganizer's scoring engine emits over 1,800 signals across six modules — headers, sender, subject, body, attachments, and structural metadata. Every email is scored by every module independently; the final verdict requires multiple modules to agree and the trash score to beat the safety floor by a margin.
Sacred safety guards — never delete starred emails, replies, calendar invites, receipts/invoices, or attachments — apply unconditionally regardless of any signal.
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