File a Claim

Claim Form Login

If you are a US resident whose personal information was impacted by the Data Security Incident, including all individuals who were notified of the Data Security Incident, then you may be a Class Member. Data Security Incident means the unauthorized third-party access to Harvard Pilgrim’s network that was detected by Defendants on or around April 17, 2023, and which is the subject of the Action.

Excluded from the Settlement Class are: (1) any Judge or Magistrate Judge presiding over the Action, any members of the Judges’ respective staffs, and immediate members of the Judges’ respective families; (2) officers, directors, members and shareholders of the Defendants; (3) persons who timely and validly request exclusion from and/or opt-out of the Settlement Class and the successors and assigns of any such excluded persons; (4) any persons whose claims in this matter have been finally adjudicated on the merits or otherwise released; (5) Parties’ Counsel; and (6) any person found by a court of competent jurisdiction to be guilty under criminal law of initiating, causing, aiding or abetting the criminal activity or occurrence of the Data Security Incident or who pleads nolo contendere to any such charge.

If you are a Class Member and wish to receive one or more of the following Settlement Benefit, then you must fine a claim no later than August 25, 2025.

Class Members are not limited to one benefit. If you are eligible for multiple benefits, as described below, you may file a claim for each of them.

Credit Monitoring: All Class Members may claim three years of Credit Monitoring Services. These services include:

  • Dark web scanning with user notification if potentially unauthorized use of a Settlement Class Member’s Personal Information is detected;
  • Identity theft insurance;
  • Real-time credit monitoring with Equifax, Experian, and TransUnion; and
  • Access to fraud resolution agents.

Out-of-Pocket Losses. Class Members may submit a Claim for reimbursement of documented out-of-pocket losses incurred while responding to the Data Security Incident. The maximum amount for this reimbursement is $2,500.00.

Out-of-Pocket Losses include such expenses as:

  • Costs associated with accessing or freezing/unfreezing credit reports with any credit-reporting agency;
  • Credit monitoring or other mitigative costs; and
  • Other miscellaneous expenses incurred related to any Out-of-Pocket Loss such as notary, fax, postage, copying, mileage, and long-distance telephone charges;

You must submit documentation, such as receipts, to verify the costs you incurred. You may submit “self-prepared” documents to add clarity or support to other submitted documentation, but self-prepared documents by themselves are not sufficient to file a valid claim.

Attested Time. If you spent time responding to the Data Security Incident, you may claim up to seven (7) hours of reimbursable time at $30.00 per hour. You will need to provide a brief description of what you did during this time. Attested Time may be claimed together with Out-of-Pocket Losses, as defined above, up to the $2,500.00 maximum.

Extraordinary Losses. Extraordinary losses are any unreimbursed costs, losses, or expenditures incurred as a result of identity theft, fraud, falsified tax returns, real estate title fraud, financial fraud, government benefits fraud, or other misuse of your personal information. You may claim up to $35,000.00 of extraordinary losses if those losses are fairly traceable to the Data Security Incident. “Fairly traceable” means that:

  1. The unreimbursed losses were incurred in responding to the Data Security Incident; and
  2. The personal information used to commit identity theft, fraud, or other misuse consisted of the same type of personal information that was provided to Defendants prior to the Data Security Incident or that can be reasonably obtained on the basis of personal information that was provided to Defendants prior to the Data Security Incident.

You must submit documentation, such as receipts, to verify the costs you incurred. You may submit “self-prepared” documents to add clarity or support to other submitted documentation, but self-prepared documents by themselves are not sufficient to file a valid claim.

Extraordinary Losses may be claimed together with Out-of-Pocket Losses and Attested time, up to the $35,000.00 maximum.

Extraordinary Attested Time. If you spent time addressing Extraordinary Losses, you may claim up to twenty (20) hours of reimbursable time at $30.00 per hour. You will need to provide a brief description of what you did during this time. Extraordinary Attested Time may be claimed together with Attested Time, up to the twenty (20) hour maximum, and with Out-of-Pocket Losses and Extraordinary Losses, up to the $35,000.00 maximum.

Alternative Cash Payment. Instead of filing a claim for Out-of-Pocket Losses, Attested Time, Extraordinary Losses, and/or Extraordinary Attested Time, you may claim an Alternative Cash Payment of $150.00.

The final amount of all cash payments may be larger or smaller than the amount claimed, based on the total number of approved claims.

No claim or combination of claims can exceed the $35,000.00 maximum.

To start your online claim form, you must login with your Unique ID and PIN. If you received a notice of this Settlement, your Unique ID is on the top of the postcard. If you misplaced your notice, please contact the Settlement Administrator at (833) 296-0892 or info@HarvardPilgrimDataIncidentSettlement.com. Please request your Unique ID & PIN by providing the Class Member’s full name and mailing address.

You may also download a Claim Form here, and submit it by U.S. mail to: Harvard Pilgrim Data Security Incident Settlement, c/o Settlement Administrator, PO Box 25245, Santa Ana, CA 92799. An electronic image of the completed Claim Form can also be submitted by email to info@HarvardPilgrimDataIncidentSettlement.com.

The deadline to submit a Claim Form online is August 25, 2025. If you are mailing your Claim Form, it must be mailed with a postmark date no later than August 25, 2025.