Claim Form Login
If you reside in the United States, and received notice from Memorial Hospital that your Private Information may have been compromised as a result of the November 2024, targeted cyberattack on MHM's computer systems, the "Data Incident", you may be a Class Member and eligible for benefits. Excluded from the Settlement Class are: (1) the Judge in this case, and the Judge’s family and staff; (2) MHM and its officers and directors; (3) government entities; and (4) anyone who validly excludes themselves from the Settlement.
If you are a Class Member and wish to receive Settlement Benefits then you must submit a claim form by January 5, 2026.
Memorial Hospital and Manor (“MHM”) has agree to provide Medical Data Monitoring and one of three Cash Payments to every Class Member who files a valid claim. These benefits are explained below.
Medical Data Monitoring: All Class Members are eligible to enroll in one (1) year of CyEx Medical Shield Pro. This comprehensive service comes with $1 million of medical identity theft insurance, and includes monitoring for:
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healthcare insurance ID exposure
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Medical Record Number (MRN) exposure
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unauthorized Health Savings Account (HSA) spending
If anything suspicious happens, you will be able to talk to a fraud resolution agent to help with any problems.
Cash Payment Option A – Documented Losses Cash Payment: If you incurred actual, documented out-of-pocket losses due to the Data Incident, you can get back up to $5,000.00. The losses must have occurred between November 2, 2024, and January 5, 2026. This benefit covers out-of-pocket expenses like:
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losses because of identity theft or fraud
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fees for credit reports, credit monitoring, or freezing and unfreezing your credit
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cost to replace your IDs
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postage to contact banks by mail
Class Members claiming for Documented Losses must provide proof, like bank statements or receipts, to show how much you spent or lost. You can also send notes or papers you made yourself to explain or support other proof, but those notes or papers alone are not enough to make a valid claim.
Cash Payment Option B – Cash Payment for Lost Time: Class Members who spent time responding to the Data Incident may claim up to four hours, at $25.00 per hour, for a maximum of $100.00. You must have spent the time on tasks related to the Data Incident. Some examples include things like:
Cash Payment Option C – Alternative Cash Payment: Instead of the benefits in Option A or B, you may claim a one-time $40.00 cash payment.
To start your online claim form, you must login with your Unique ID and PIN. You can find your Unique ID and PIN on the Notice that was sent to you. If you are unable to locate your ID & PIN, please contact us by emailing at info@MemorialHospitalDataSettlement.com. Please request your Unique ID & PIN by providing your full name and mailing address.
You may also download a Claim Form here and submit it, along with any supporting documentation, by email or U.S. mail to:
The deadline to submit a Claim Form online or by email is January 5, 2026. If you are mailing your Claim Form, it must be mailed with a postmark date no later than January 5, 2026.