Submit a Claim

Claim Form Login

If your private information was potentially accessible in the January 25, 2024, Data Incident experienced by Family Health Center, Inc. (“FHC”) then you may get Settlement Benefits if you fill out a claim form, if the Settlement is approved, and if you are found to be eligible for a payment.

Settlement Class members must complete a claim form to receive one or both of the following settlement benefits by October 8, 2025.

Settlement Class Members are not limited to one benefit and may file a claim for Credit Monitoring Services and one of the cash payment options.

Credit Monitoring Services: All Class Members are eligible to receive two (2) years of Credit Monitoring Services from a credit bureau. These services include credit monitoring, dark web monitoring, identity theft insurance coverage for up to $1,000,000.00, and fully managed identity recovery services.

Cash Payment A – Documented Losses: If you incurred actual,documented out-of-pocket losses due to the Data Incident, you may file a claim for reimbursement. The maximum amount of this reimbursement is $5,000.00. This benefit covers expenses like:

  • bank, credit card, and debit card fees;

  • overdraft, declined payment, and returned check fees;

  • cost to replace your driver’s license, Social Security number, or other types of identification;

  • fees for credit reports or credit monitoring; and

  • losses from identity theft.

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

Cash Payment B – Flat Cash Payment: As an alternative to Cash Payment A, you can instead claim a $50.00 flat cash payment. You do not need to provide documentation.

The FAQs and the Settlement Notice describe in more detail your legal rights and options.

To start your online claim, 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 info@FHCDataSettlement.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 U.S. mail to:

FHC Data Incident Settlement
c/o Settlement Administrator
P.O.Box 25226
Santa Ana, CA 92799

Claims forms must be submitted online or postmarked by October 8, 2025.