CONTACT THE SETTLEMENT ADMINISTRATOR

You can contact us by filling out one of the following forms:

  1. Update Address
  2. Request Notice of Commencement of Claims Period
  3. Request Proof of Claim Forms
  4. Request Facilitation List
  5. Submit General Question or Comment

Or by phone toll free at 1-877-683-9363

Or by mail at:

CIGNA Physician Settlement
Settlement Administrator
P.O. Box 3170
Portland, OR 97208-3170

 

Form 1 -- Provide an Updated Address

Tracking Number:   **(see below)
Provider Tax ID or SSN:  
Class Member Name (First, MI, Last):  
Address:  
City, State, Zip:   ,    
Phone Number:   (nnn-nnn-nnnn)
Email Address:  
 
** If you received a mailed notice, there is a tracking number printed beneath the barcode to the left of the delivery address (your address). We can service your needs more quickly if that number is typed in the appropriate field above.

 

Form 2 - Request a Notice of Commencement of Claims Period

Provider Tax ID:  
Class Member Name (First, MI, Last):  
Address:  
City, State, Zip:   ,    
Phone Number:   (nnn-nnn-nnnn)
Email Address:  
 
A copy of the Notice of Commencement of Claims Period will be mailed to the address provided within 14 business days.

 

Form 3 - Request Proof of Claim Form(s)

You may request more than one Proof of Claim form.

Proof of Claim Form Requested:  
Provider Tax ID or SSN:  
Class Member Name (First, MI, Last):  
Address:  
City, State, Zip:   ,    
Phone Number:   (nnn-nnn-nnnn)
Email Address:  
 
A copy of the Proof of Claim Forms will be mailed to the address provided within 14 business days.

 

Note on Facilitation List Requests

Please be advised that if Class Members do not request a Facilitation List before February 4, 2005, depending upon the size of the List, it is possible that Class Members will not receive Facilitation Lists in time to use to file Category Two Claims by the February 18, 2005 deadline. Although the Settlement Administrator is making every attempt to send Facilitation Lists to Class Members within 3-5 days of receipt of a request, it can take longer than 3-5 days to process and send the List.

AS SUCH, CLASS MEMBERS ARE ADVISED THAT THEY SHOULD REQUEST FACILITATION LISTS NO LATER THAN FEBRUARY 4, 2005, AND ARE FURTHER ADVISED THAT FACILITATION LISTS REQUESTED AFTER FEBRUARY 4, 2005 ARE LIKELY NOT TO BE RECEIVED IN TIME TO BE UTILIZED IN FILING CATEGORY TWO CLAIMS.

If you have additional questions please call the Settlement Administrator at (877) 683-9363, or you can call Class Counsel Melissa Calabrese, Esq. toll free (866) 809-8003 or you can email Ms. Calabrese at mcalabrese@whatleydrake.com.

Form 4 - Request Facilitation List

Provider Tax ID or SSN:  
Class Member Name (First, MI, Last):  
Address:  
City, State, Zip:   ,    
Phone Number:   (nnn-nnn-nnnn)
Email Address:  
 
A copy of your Facilitation List will be mailed to the address provided within 14 business days.

 

 

Form 5 - Submit General Questions and Comments

Contact Name (First, MI, Last):  
Provider Tax ID or SSN:  
Email Address:  
Question/Comment: (up to 1000 characters)