Submit a Claim

Claim Form Login

If you are a living individual residing in the United States and your Private Information was accessed and/or acquired by an unauthorized person as a result of the targeted cyberattack on Pediatric Otolaryngology Head & Neck Surgery Associates, P.A.’s (“POHNS”) computer systems that occurred in February 2025 (the “Data Incident”), including all who were sent a notice of the Data Incident, you may be a Class Member and eligible for Settlement Benefits. Excluded from the Settlement Class are: (a) all persons who are directors, officers, and agents of Defendant; (b) governmental entities; and (c) the Judge assigned to the Action, that Judge’s immediate family, and Court staff.

If you are a Settlement Class Member and wish to receive Settlement Benefits then you must submit a Claim Form by January 27, 2027.

All Settlement Class Members are eligible to enroll in Medical Data Monitoring or Minor Subclass Monitoring and to claim one of the two Cash Payment options. These benefits are described in more detail below.

Medical Data Monitoring/Minor Subclass Monitoring. All Class Members are eligible to enroll in one (1) year of CyEx’s Medical Shield Complete or three (3) years of CyEx’s Minor Defense Pro. Enrollment codes have been sent to all Class Members by postcard. If you no longer have your enrollment code, please contact the Settlement Administrator. These comprehensive services come with $1 million of medical identity theft insurance, and include monitoring for:

  • healthcare insurance ID exposure

  • Medical Record Number (MRN) exposure

  • unauthorized Health Savings Account (HSA) spending

Cash Payment A - Documented Losses. Class Members who incurred actual, documented out-of-pocket losses due to the Data Incident, can get back up to $2,000.00. The losses must have occurred between February 19, 2025, and January 27, 2027, 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 government issued identification cards

  • postage to contact banks by mail

You must submit proof, like bank statements or receipts, to show how much you spent or lost. You may also provide notes or papers you made yourself to explain or support other proof, but those notes or papers alone are not enough to make a Valid Claim. Your proof or notes should show that your expenses were because of the Data Incident.

Cash Payment B - Alternate Cash. Instead of Cash Payment A, Class Members may claim a one-time pro rata cash payment. This payment is expected to be $25.00 but may be smaller depending on the total claims filed.

There is an aggregate cap of $200,000.00 on cash payments. This means that if the total value of payments claimed is over $200,000.00, everyone’s payments will be reduced pro rata so that they add up to $200,000.00.

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@POHNSSettlement.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:

POHNS 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 January 28, 2027. If you are mailing your Claim Form, it must be mailed with a postmark date no later than January 28, 2027.