LOST TIME PAYMENT Clause Samples

LOST TIME PAYMENT. Please check this box here if you are electing to seek reimbursement for Lost Time you undertook to prevent or mitigate fraud and identity theft following the announcement of the Data Incident. Settlement Class Members who elect to submit a Claim for Lost Time Payment may claim no more than $125 at $25/hour for five hours of time actually spent addressing issues arising from the Data Security Incident. If you are selecting reimbursement for Lost Time, you must fill in the blanks in this section and sign the certification below. I declare that I suffered Lost Time. Specifically, I spent the following number of hours in response to the Data Incident: (check one) 1 2 3 4 5

LOST TIME PAYMENT. Please check off this box for this section if you are electing to seek reimbursement for Lost Time you undertook to prevent or mitigate fraud and identity theft following the announcement of the Ransomware Attack. Class Members who elect to submit a Claim for Lost Time Payment may claim up to five (5) hours of lost time at a rate of $25 per hour, for a maximum of $125. If you are selecting reimbursement for Lost Time, you must sign the attestation at the end of this Claim Form (section VIII). Please indicate below how much time (round to the nearest hour and check only one box) that you spent to prevent or mitigate fraud and identity theft following the announcement of the Forefront Ransomware Attack: ❑ 1 Hour ❑ 2 Hours ❑ 3 Hours ❑ 4 Hours ❑ 5 Hours

LOST TIME PAYMENT. In addition to Credit Monitoring and Insurance Services and a Documented Loss Payment, you may elect to submit a Claim Form for reimbursement of Lost Time. If you lost time related to your efforts undertaken to prevent or mitigate fraud and identity theft following announcement of the Ransomware Attack, you may make a claim for Lost Time Payment for up to five (5) hours of lost time at a rate of $25 per hour, for a maximum of $125. Claims for Lost Time Payment must be supported by a brief narrative of the nature of the lost time and other mitigation efforts for which payment is sought.

LOST TIME PAYMENT. Please check this box here if you are electing to seek reimbursement for Lost Time you undertook to prevent or mitigate fraud and identity theft following the announcement of the Data Breach. Class Members who elect to submit a Claim for Lost Time Payment may claim no more than $100 at $25/hour for up to four hours of time actually spent addressing issues arising from the Data Breach. If you are selecting reimbursement for Lost Time, you must fill in the blanks in this section and sign the certification below. I [Name] swear and affirm that I spent the amount of time noted in response to the MHS Data Breach. Specifically, I spent the following number of hours in response to the Data Breach: (circle one) 1 2 3 4

LOST TIME PAYMENT. A Settlement Class Member who spent time remedying issues related to the Incident can receive reimbursement for up to ten (10) hours of lost time at a rate of $30 per hour with an attestation that they spent the claimed time responding to issues raised by the Incident, including but not limited to, (i) changing passwords on potentially impacted accounts; (ii) monitoring for or investigating suspicious activity on potentially impacted medical, financial, or other accounts;