INSURANCE SERVICE CHARGE SETTLEMENT CLAIM FORM

This Claim Form must be submitted by November 20, 2020 and must be fully completed, be signed, and meet all conditions of the Settlement Agreement.


To begin your claim, please enter your Unique ID number on the settlement notice you received (it is not required to file a claim).

If you do not have your Class Member ID number available, you may skip this step by clicking “File a Claim” below.