Claim Form Login
If you are a living individual residing in the United States whose Private Information was potentially compromised in the targeted cyberattack on Summit Medical Group, PLLC's (“Summit Medical”) computer systems that occurred in September 2024 (the “Data Incident”), including all individuals who were mailed notice of the Data Incident from Summit Medical, you may be a Class Member and eligible for Settlement Benefits. Excluded from the Settlement Class are:(a) all persons who are directors and officers of Defendant, or its respective subsidiaries and affiliated companies; (b) governmental entities; and (c) the Judge(s) assigned to the Action, the Judge’s immediate family, and Court staff.
If you are a Class Member and wish to receive Settlement Benefits then you must submit a claim form by November 4, 2026.
All Settlement Class Members may claim Medical Data Monitoring and two Cash Payment options. Any cash payment may be decreased on a pro rata basis if more than $500,000.00 is claimed by eligible Class Members. The benefits are explained in more detail below.
Medical Data Monitoring. All Settlement Class Members are eligible to enroll in two (2) years of CyEx Medical Shield Complete. This comprehensive service comes with $1 million of medical identity theft insurance, and includes monitoring for:
healthcare insurance ID exposure
Medical Record Number (MRN) exposure
unauthorized Health Savings Account (HSA) spending
If anything suspicious happens, you will be able to talk to a fraud resolution agent to help fix any problems.
Cash Payment A - Documented Losses. Settlement Class Members who incurred actual, documented out-of-pocket expenses due to the Data Incident, can get back up to $2,500.00. The losses must have occurred between September 2024, and November 4, 2026, and you cannot claim a payment for expenses that have already been reimbursed by a third party. This benefit covers out-of-pocket expenses like:
losses because of identity theft or fraud
fees for credit reports, credit monitoring, or freezing and unfreezing your credit
cost to replace your IDs
postage to contact banks by mail
You need to submit proof, like receipts, to show how much you spent or lost. Your personal certifications, declarations, or affidavits do not constitute reasonable documentation to make a valid claim, but you may submit that to provide clarification, context, or support for other submitted reasonable documentation showing that your expenses were because of the Data Incident.
Cash Payment B - Lost Time. Settlement Class Members who spent time responding to the Data Incident may claim up to three (3) hours, at $15.00 per hour, for a maximum of $45.00. You must have spent the time on tasks related to the Data Incident. Some examples include things like:
For more information about each of these benefits please review the Notice, FAQs and the Settlement Agreement.
To start your online claim form, you must login with your LoginID and PIN. You can find your LoginID and PIN on the Notice that was sent to you. If you are unable to locate your ID and PIN, please contact us by emailing info@SummitMedicalDataSettlement.com. Please request your LoginID and 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 U.S. mail to:
Summit Data Incident Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799-9958
The deadline to submit a Claim Form online is November 4, 2026. If you are mailing your Claim Form, it must be mailed with a postmark date no later than November 4, 2026.