Claim Form Login
If you reside in the United States and your Personal Information was potentially exposed in the targeted cyberattack on the computer systems of The Medibase Group Inc., a provider of healthcare solutions, technical assistance and business office solutions that provided services to SIUH, that occurred in January 2024 (the “Data Incident”), including all individuals who were sent a breach notification letter, then you may be a Settlement Class Member and eligible for benefits. Excluded from the Settlement Class are: (a) all persons who are directors, officers, and agents of Defendant; (b) governmental entities; (c) the Judge assigned to the Action, that Judge’s immediate family, and Court staff; and (d) anyone who validly opts-out from the Proposed Settlement.
If you are a Class Member and wish to receive Settlement Benefits then you must submit a Claim Form by March 16, 2026.
SIUH has agreed to provide several benefits to Settlement Class Members. All Settlement Class Members may claim Medical Data Monitoring and/or one or more cash payments. These benefits are explained in more detail below.
Medical Data Monitoring: All Settlement Class Members are eligible to enroll in two 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 Option 1 - Compensation for Out-of-Pocket Losses: If you incurred actual, documented, unreimbursed out-of-pocket losses due to the Data Incident, you can get back up to $1,000.00. The losses must have occurred between January 26, 2024, and March 16, 2026. This benefit covers out-of-pocket expenses like:
losses because of fraud or identity theft
costs for freezing and unfreezing your credit with a credit reporting agency
credit monitoring costs incurred on or after mailing of the notice of the Data Incident, through the date of claim submission
miscellaneous expenses such as notary, fax, postage, copying, mileage, and long-distance telephone charges
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 include that to provide clarification, context, or support for other submitted reasonable documentation showing that your expenses were because of the Data Incident. You cannot claim a payment for expenses that have already been reimbursed by a third party.
Cash Payment Option 2 - Flat Cash Payment: You may also claim a $35.00 one-time cash payment.
To start your online claim form, you must login with your Unique ID and PIN. You can find your ID and PIN on the Notice that was sent to you. If you are unable to locate your ID & PIN, please contact the Settlement Administrator by emailing info@MediBaseSIUHDataBreachSettlement.com. Please request your 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:
SIUH Data Incident Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799
The deadline to submit a Claim Form is March 16, 2026.