UHC will provide Settlement Class Members the following payment benefits under the Settlement:

• The opportunity for non-Economic Loss claims of up to $500 per class member.

To Submit a Non-Economic Loss Claim Form, please click here.

• Reimbursement of documented Economic Losses up to $2,500.00 per Settlement Class Member, which are: (a) related to the Data Security Incident; (b) not otherwise reimbursable by another third party; (c) supported by required documentation; and (d) meets all requirements set forth in the Reimbursement Form and the Settlement Agreement.

To Submit a Reimbursement Form, please click here.