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To receive a share of the settlement funds, you must complete and return a signed Claim Form, postmarked, faxed, or uploaded to this settlement website on or before October 13, 2019. To obtain a claim form, please enter the 10-digit fax number (without dashes) that you had during April 15, 2015, and October 9, 2015. If your fax number is in Optum360, LLC's database of fax numbers, you are a member of the Class, eligible to submit a claim, and will be able to access a claim form. If your fax number is not in Optum360, LLC's database, you are not a member of the Class and you will not be able to access a claim form or make a claim.

 

Please enter your 10-digit fax number below: