Where do I get the shingles vaccine? • Kaiser HMO – If the primary care physician (PCP) deems the immunization medically necessary, active employees and retirees under 65 may obtain the shingles vaccine cost free from their PCP. • Health Net HMO: If considered medically necessary, the vaccine is covered under the plan's medical benefits (not the pharmacy benefit). Members obtain these immunizations cost-free directly from their PCP. If the immunization is not immediately available, your PCP’s office will arrange to obtain the immunization or direct you to a location that will provide the covered benefit.
Where do I get more information? This Notice provides a summary of the proposed Settlement. More details are available at the Set- tlement website (xxx.xxxxxxxxxxxxxxxxxx.xxx), where you will find the Settlement Agreement, the Petition filed by Class Counsel, the Claim Form, and the Court’s Order Granting Preliminary Approval of the Class Action Settlement. Updates regarding the case will be posted on the Settle- ment website for time to time. You may also call the Settlement Administrator at or write with questions to the Settlement Administrator at Dog Treat Settlement C/O Atticus Administration
Where do I get more information? This notice summarizes the proposed Settlement. More details, including the Settlement Agreement and other documents are available at www.[tobedetermined].com or at the Clerk of the Circuit Court if Cook County, Illinois, 2502 at the Xxxxx Center, 00 X. Xxxxxxxxxx Street, Suite 1001, Chicago, Illinois 60602, between 8:30 a.m. and 4:30 p.m., Monday through Friday, excluding Court holidays. You can also contact the Settlement Administrator at [x-xxx-xxxx] or Class Counsel at the number provided above with any questions. Please Do Not Contact the Court, the Judge, the Defendant or the Defendant’s lawyers with Questions about the Settlement or Distribution of Settlement Payments. Exhibit B Xxxxxx v. HP Property Management, LLC and Marcon International, Inc. d/b/a KEYper Systems Case No. 2019 CH 14082 Claim Form Instructions: You are eligible for a payment as part of the Settlement Class for this case if you meet the class definition. The Settlement Class includes all individuals who scanned their fingers using a KEYper- brand biometric device in Illinois and had their finger-scan data hosted by KEYper or one of its authorized vendors between December 6, 2014 and [date of entry of preliminary approval]. If you received notice in this case, our records indicate that you are a member of the Class. Fill out each section of this form and sign where indicated. Please select whether you prefer to receive payment via check, Venmo, PayPal, or Zelle. If you opt for payment via check and your Claim Form is approved, you will receive a check in the mail at the address you provide below. Depending on the number of valid claims submitted, you may need to complete an IRS Form W-9 to satisfy tax reporting obligations. You may complete the Form W-9 now at [link to W-9]; doing so now will ensure that you receive your full payment as soon as possible. THIS CLAIM FORM MUST BE SUBMITTED BY [CLAIMS DEADLINE] AND MUST BE FULLY COMPLETED (EXCEPT WHERE OPTIONAL), BE SIGNED, AND MEET ALL CONDITIONS OF THE SETTLEMENT AGREEMENT. The Settlement Administrator will review your Claim Form. If accepted, you will receive payment for an equal, or pro rata, share depending on the number of valid claim forms received. This process takes time; please be patient. First Name Last Name Street Address City State ZIP Code Email Address Contact Phone #: (You may be contacted if further information is required) Please provide the information in this box if you can do so. If you are ...
