Claim Form Login
If you are a living individual residing in the United States who was sent notice, including Notice of this Settlement, that your Private Information may have been involved in the October 2024 cyberattack in which a criminal third-party gained unauthorized access to Lakeside Pediatric & Adolescent Medicine, P.L.L.C.'s (“Lakeside Pediatric”) network (the “Data Incident”), you may be a Class Member and eligible for Settlement Benefits. Excluded from the Settlement Class are: (1) Defendant and its officers and directors, and any entity in which Defendant has a controlling interest; (2) all people who properly and timely opt-out of the Settlement Class; (3) the Court, the Judge’s immediate family, and Court staff; (4) governmental entities; and (5) any person found by a court of competent jurisdiction to be guilty under criminal law of initiating, causing, aiding or abetting the criminal activity occurrence of the Data Incident, or who pleads nolo contendere to any such charge.
If you are a Settlement Class Member and wish to receive Settlement Benefits then you must submit a Claim Form by January 28, 2027.
All Settlement Class Members may submit a Claim to receive: Medical Data Monitoring and Cash Payment for Documented Losses or a Pro Rata Cash Payment. These benefits are described in more detail below.
Medical Data Monitoring. All Class Members are eligible to enroll in one (1) year of CyEx Medical Shield Complete. Enrollment codes have been sent to all Class Members by postcard and/or email. If you no longer have your enrollment code, please contact the Settlement Administrator. 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
Cash Payment for Documented Losses. Class Members who incurred actual, documented out-of-pocket losses traceable to the Data Incident, may submit a claim not to exceed $2,500.00. The losses must have occurred between October 15, 2024, and January 28, 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.
Pro Rata Cash Payment. As an alternative to a Cash Payment for Documented Losses, Class Members may submit a claim for a one-time Pro Rata Cash Payment. The exact payment amount will not be known until the submission of all claims and will be based on the total value of all Valid Claims for Pro Rata Cash Payments.
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@LakesideSettlement.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:
Lakeside Pediatric 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.