If you were notified that your private information (“Personal Information”) could have been accessed in either or both Security Incidents in which certain of LifeBridge Health, Inc.’s (“LifeBridge’s”) affiliated computer network systems were the target of an external criminal-cyberattack that began as early as September 27, 2016, or in which an unauthorized user fraudulently obtained access to copies of documents held by M&T Bank in its lockbox account for LifeBridge’s affiliate, Sinai Hospital of Baltimore, Inc., between December 17, 2019, and April 30, 2020, you are a “Class Member.” If you received a Notice about this class action Settlement that is addressed to you, then the Settlement Administrator has already determined that you are a Class Member.
As a Class Member, you may be eligible to receive up to $250 total for ordinary unreimbursed losses, including up to $60 in compensation for lost time incurred as a result of the Security Incidents (“Out-of-Pocket Losses”), and up to $5,000 cash payment for reimbursement of extraordinary, proven monetary losses that are reasonably and fairly traceable to the Security Incidents (“Extraordinary Losses”), and up to an additional $40 in compensation for lost time if you have documented Extraordinary Losses.
If you intend to make a claim for Out-of-Pocket Losses or Extraordinary Losses, you will need to submit supporting documentation.
If you are a Class Member whose information may have been compromised as a result of both of the Security Incidents, you may make a claim for reimbursement related to either Security Incident or both of them.
Please read this Claim Form carefully and answer all questions. Failure to provide required information could result in a denial of your claim.
Cash payment amounts may be reduced pro rata (proportionately) depending on how many people submit such claims. Complete information about the Settlement and its benefits are available here.
This Claim Form may be submitted electronically via the Settlement Website at www.LBHSettlement.com or completed and mailed to the address below. Please type or legibly print all requested information, in blue or black ink. Mail your completed Claim Form, including any supporting documentation, by U.S. mail to:
LifeBridge Class Action Settlement
c/o Settlement Administrator
1650 Arch Street, Suite 2210
Philadelphia, PA 19103