HOW TO GET BENEFITS. 9. How do I get a payment? If you are a Settlement Class Member and you want to receive a payment, you must complete and submit a valid Claim Form by [Claims Deadline]. Claim Forms can be found and submitted online, or you may request that a Claim Form be sent to you in the mail (and which you can then submit by mail). To submit a Claim Form online or to request a paper copy, go to [website] or call toll free, 0-000-000-0000. We encourage you to submit your claim electronically. Not only is it easier and more secure, but it is completely free and takes only minutes! REMAINING IN THE SETTLEMENT
HOW TO GET BENEFITS. You must complete and file a Claim Form online or by mail postmarked by DATE, including required documentation. You can file your claim online at xxx.xxxxxxxxx.xxx. You may also get a paper Claim Form on the website, or by calling the toll-free number, and submit by mail.
HOW TO GET BENEFITS. 7. How do I make a claim? The Settlement creates a claims process. You can get the Claim Form on this website, [insert website], by clicking here, or by calling [insert KCC phone number] to request that a Claim Form be mailed to you. The Claim Form may be submitted online here or by U.S. Mail sent to [insert KCC address]. If you submit a valid Claim Form and your claim is approved, you will receive a payment from the Settlement. Only one claim may be submitted per person, and each person may receive only one payment. If you choose to be paid by electronic payment, your Claim Form must be submitted online at the website address above. The Claim Form requires you to provide your name, address, current telephone number, e-mail address, and the telephone number at which you received the calls(s). You must sign the Claim Form to certify that you are a member of the Settlement Class and provide all the requested information. All Claim Forms must be properly completed and submitted online (or postmarked if mailed) by [insert deadline to submit claims].
HOW TO GET BENEFITS. BY ADD DATE, go to xxx.xxx.xxx and use the code on the front of this postcard to make a claim. Mailed Claim Forms are available for downloading at xxx.xxxx.xxx or by calling 0-000-XXX-XXXX. Mailed claims must be postmarked by ADD DATE.
HOW TO GET BENEFITS. SUBMITTING A CLAIM FORM
HOW TO GET BENEFITS. 8. How do I get a settlement payment? If you are a Settlement Class Member (see Question 5) and a Current Participant, your payment will be credited automatically into your Plan account and then invested in accordance you’re your investment elections then on file with the Plan recordkeeper for new contributions. If you have no investment election on file, you will be deemed to have directed such payment to be invested in the Plan’s “qualified default investment alternative,” as defined in 29 C.F.R. § 2550.404c-5. If you are a Settlement Class Member and a Former Participant, your payment will be made via a tax-deferred distribution process as described in the Settlement Agreement, by which your payment will be transferred into a new automatic rollover IRA and you will then receive instructions for how to access and manage such account. Among other options, you may elect to roll over your payment to another eligible account or take an immediate cash distribution (subject to taxes and other applicable withholdings). If you are a Beneficiary entitled to receive payments on behalf of a Settlement Class Member, you will receive your payment under the Settlement directly in the form of a check. If you are an Alternate Payee entitled to receive payments on behalf of a Settlement Class Member pursuant to a Qualified Domestic Relations Order that was in effect during the Settlement Class Period (i.e., between June 8, 2011 and March 31, 2022), you also will receive your payment of the Settlement amount (pursuant to the terms of your QDRO) directly in the form of a check.
HOW TO GET BENEFITS. 9. How do I get benefits? If you are a Class Member and you want to participate in the Settlement, you must complete and submit a Claim Form, signed under penalty of perjury, submitted by Month 00, 2013. The Claim Form can be found at xxx.XxxxXxxxxxxxxx.xxx or by calling, toll-free, 1-8XX-XXX-XXXX. The Claim Form can be submitted online at the website or by mail. REMAINING IN THE SETTLEMENT
HOW TO GET BENEFITS. 8. How Do I Get Benefits? Settlement Class members do not have to submit claim forms to receive a Settlement recovery. However, Former Participants who elect to receive their payment through a rollover to a qualified retirement account. must complete, sign, and mail the enclosed Former Participant Rollover Form by 14 days before the Fairness Hearing. Settlement recoveries will be distributed in the following manner if the Court approves the Settlement: “Current Participants” are current Plan participants who have a positive balance in their Plan account as of the date the Court issues its preliminary approval of the Settlement. The Settlement recovery for Current Participants will be invested in accordance with the Current Participant’s current investment elections as proportionately as reasonably practicable. If a Current Participant has no investment election in effect, then his or her Settlement recovery will be invested in the Plan’s “Qualified Default Investment Alternative,” which is the Current Participant’s age-appropriate State Street Target Retirement Fund. For payments to Current Participants into their Plan accounts, no taxes will be withheld.
HOW TO GET BENEFITS. 8. How do I make a claim? The Settlement creates a claims process. You can get the Claim Form on this website, xxx.xxxxxxxxxxxxxxxxxxxx.xxx, by clicking here or by calling [insert admin phone number] to request that a Claim Form be mailed to you. The Claim Form may be submitted online here or by U.S. Mail sent to [insert admin address for receiving paper Claim Forms]. If you submit a valid Claim Form and your claim is approved, you will receive a payment from the Settlement. Only one claim form may be submitted per person, and each person may receive only one payment. The Claim Form requires you to provide your name, address, and e-mail address. You must sign the Claim Form to certify that you are a member of the Settlement Class. All Claim Forms must be properly completed and submitted online (or postmarked if mailed) by [insert deadline to submit claims].
HOW TO GET BENEFITS. 9. How Do I Receive My Payment? You may be entitled to a portion of the Settlement Fund when a distribution is made to members of the Settlement Class. If you exclude yourself from the Settlement Class, you will not receive a payment from those funds. You do not need to do anything to receive your share, if any, of the Settlement Fund. Each Class member’s share of the Settlement Fund will be calculated in accordance with the Plan of Allocation. Checks will be mailed by the Administrator to each Class member that is entitled to a share of the Settlement Fund using the most recent address information available in Defendants’ databases as well as other available sources of information. However, if you are no longer a patient of the Defendants and have moved, or you otherwise believe that the address Defendants have on file for you is not accurate, please contact the Administrator at xxx.XXXXxxxxXxxxxx.xxx or 0-000-000-0000. If there is anyone whose funds you transmitted to FCS or 21st Century for Oncology Services in Southwest Florida between January 1, 2010 and June 5, 2019 (but you did not transmit your funds along with such funds), you are directed by the Court to provide this Notice to that paying person or entity and confirm to the Administrator that you have given such Notice. Any disputes regarding ownership of a payment from the Settlement pertaining to such funds must be resolved between you and the person or entity to whom you are directed to provide this Notice, and neither the Settlement Class, nor the Settling Defendants, nor either Party’s lawyers may be sued or brought into any such dispute, regardless of whether you properly provided this Notice or not.
