Claim Form Login
If you are residing in the United States and your Private Information was or may have been involved in the Data Incident, during the October 2024 third-party cyberattack on Alpine Ear, Nose, & Throat, PLLC's network ("Data Incident"), including those who received notice of the Data Incident, then you may be a Settlement Class Member. Excluded from the Settlement Class are: (a) all persons who are directors and officers of Defendant; (b) governmental entities; and (c) the Judge assigned to the Action, the Judge’s immediate family, and Court staff.
If you are a Class Member and wish to receive Settlement Benefits then you must submit a claim form by July 23, 2026.
Class Members may submit a claim for the following Settlement Benefits:
Credit Monitoring. All Settlement Class Members are eligible to enroll in two (2) years of CyEx’s Medical Shield Complete, which includes medical monitoring and single bureau credit monitoring. 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 A - Documented Out-of-Pocket Losses. Settlement Class Members who incurred actual, documented out-of-pocket losses due to the Data Incident, may submit a claim for up to $5,000.00. The losses must have occurred between October 9, 2024, and July 23, 2026, 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 IDs;
postage to contact banks by mail
You need to provide documented proof, like bank statements or receipts, to show how much you spent or lost. You can 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 - Lost Time. Settlement Class Members who spent time responding to the Data Incident may claim up to four hours, at $20.00 per hour, for a maximum of $80.00. You must have spent the time on tasks related to the Data Incident. Some examples include things like:
Cash Payment C - Alternative Cash. Instead of Cash Payment A or Cash Payment B, you may claim a Payment A or Cash Payment B, you may claim a one-time $50.00 cash payment. You do not have to provide any proof or explanation to claim this payment.
To start your online claim form, you must login with your Login ID and PIN. You can find your Login ID and PIN on the top of the Notice that was sent to you. If you are unable to locate your ID & PIN, please contact us by emailing info@AENTDataSettlement.com. Please request your Login 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:
Alpine ENT Data Incident Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799
The deadline to submit a Claim Form online by July 23, 2026. If you are mailing your Claim Form, it must be mailed with a postmark date no later than July 23, 2026.