Claim Form Login

If you are a person residing in the United States who was sent a Notice Letter that your name, Social Security Number, and/or balance due on your medical bill (“Private Information”) was potentially accessed or compromised in a Data Incident involving Weirton Medical Center, Inc. (“Weirton”), then you may be a member of the Settlement Class and eligible for Settlement Benefits.

To qualify for Settlement Benefits, you must complete a Claim Form submitted online or postmarked on or before November 5, 2025.

Settlement Class Members who submit a valid Claim Form may be entitled to receive one year of three-bureau identity protection and credit monitoring service free of charge, and either (1) compensation for actual, documented, and unreimbursed losses up to a total of $5,000.00 (“Cash Payment A – Documented Loss Payment”); or (2) a flat cash payment in the amount of $50.00, without the need to document losses ("Cash Payment B - Alternative Cash Payment").

Credit Monitoring: Settlement Class Members may elect one year of three-bureau Credit Monitoring that will provide the following benefits: credit monitoring, dark web monitoring, identity theft insurance coverage for up to $1,000,000, and fully managed identity recovery services.

Cash Payment A – Documented Loss Payments: Settlement Class Members may submit a claim for a Cash Payment of up to $5,000.00 per Settlement Class Member for monetary losses. Payment shall be made only if:

  • The loss is an actual, documented, and unreimbursed monetary loss;

  • The loss was more likely than not caused by the Data Incident;

  • The loss occurred between January 18, 2024 and the Claims Deadline;

  • The Claimant made reasonable efforts to avoid, or seek reimbursement for, the loss, including but not limited to exhaustion of all available credit monitoring insurance and identity theft insurance; and

  • The Claimant submits reasonable documentation in support of their claim to be evaluated by the Claims Administrator, which documentation is not “self-prepared,” such as handwritten receipts, which are, by themselves, insufficient to receive reimbursement.

No payment shall be made for emotional distress, personal/bodily injury, consequential damages, alleged losses incurred by any person other than a Settlement Class Member (except by a parent or guardian on behalf of their minor child or ward), or punitive damages. Claims for Cash Payment A will be subject to review for completeness, plausibility, and reasonable traceability to the Data Incident by the Settlement Administrator.

Settlement Class Members shall not be reimbursed for losses if they have been reimbursed for the same losses by another source, including compensation provided in connection with the credit monitoring and identity theft protection product offered as part of the notification letter provided by Weirton or otherwise.

Cash Payment B – Alternative Cash Payment: As an alternative to Cash Payment A above, a Settlement Class Member may elect a flat cash payment in the amount of $50.00, without the need to document losses.

For more details regarding the settlement benefits, please review the Notice, or visit the FAQs page.

To start your online claim, you can find your Notice ID & PIN printed on the Notice that was sent to you. If you are unable to locate your ID & PIN, please contact the Settlement Administrator at info@WeirtonSettlementDataBreach.com or (833) 360-6862. Please request your Notice 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:

Weirton Medical Center, Inc.
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799

Claims forms must be submitted online or postmarked by November 5, 2025.