This website (healthplansurcharge.com, the “Health Plan Surcharge” site) is a legal advertisement operated on behalf of Siri & Glimstad LLP (“Siri & Glimstad LLP,” the “Firm,” “we,” “us”), the law firm that would handle the potential legal claim described here. By accessing this website or submitting a form, you agree to these Terms of Use. If you do not agree, please do not use this site.
Attorney advertising
This website is attorney advertising for Siri & Glimstad LLP. It is intended to provide general information about a potential legal claim and to let you check whether you may qualify. Prior results do not guarantee a similar outcome.
Not legal advice
The information on this site is provided for general informational purposes only and does not constitute legal advice. It is not a substitute for advice from a licensed attorney about your specific situation. Do not act or refrain from acting based on anything on this site without seeking professional counsel.
No attorney-client relationship
Submitting a form or contacting us through this site does not create an attorney-client relationship with the Firm or any attorney. An attorney-client relationship is formed only through a signed written agreement with the Firm. Until then, please do not send confidential or time-sensitive information beyond what the form requests, and be aware that legal claims are subject to deadlines that may bar a claim if missed.
No guarantee of outcome
This is an attorney advertisement, not an official court or government notice. Some matters described may be the subject of a pending lawsuit seeking class-action status; whether or not a lawsuit has been filed, nothing here requires you to give up any legal rights, and eligibility and any compensation are not guaranteed. Service awards are not guaranteed, and both the certification as a class representative and the service award amount must be approved by the court. Prior results do not guarantee a similar outcome. Submitting a form does not create an attorney-client relationship.
Named class representatives may be able to request a court-approved service award, sometimes ranging from $1,000 to $5,000. No award is guaranteed.
Communications & consent
When you submit a form on this site, the consent shown directly above the submit button is:
By clicking Submit, I agree to the Terms and authorize Siri & Glimstad LLP (SG) to contact me about my inquiry. Submitting does not create an attorney-client relationship.
By submitting, you authorize Siri & Glimstad LLP and those working on its behalf to contact you about your inquiry at the phone number and email address you provide. This authorization is separate from the optional marketing consent described below, and consent to be contacted is not a condition of any legal services.
Optional marketing communications
Separately, you may choose to opt in to automated marketing messages. This is entirely optional — declining it never affects your inquiry or your eligibility. If you opt in, the following applies:
Yes, send me automated marketing emails and text messages from SG about legal services, investigations, and other content. Message frequency and data rates vary. Consent is not a condition of services. Text STOP to opt out and HELP for help. Click “unsubscribe” to opt out of emails.
Eligibility & accuracy
This site is intended for adults 18 and older. You agree that the information you submit is accurate and complete, and that you are the person you claim to be. We may be unable to evaluate a potential claim if the information provided is inaccurate.
Privacy
Your use of this site and any information you submit are also governed by the Firm’s Privacy Policy, which explains how your information is collected, used, and protected. Please review it before submitting any information.
Third-party links
This site may link to third-party websites or resources. We do not control and are not responsible for the content, policies, or practices of any third-party site, and a link does not imply endorsement.
Intellectual property
The content on this site, including text, graphics, logos, and design, is owned by or licensed to the Firm and is protected by applicable law. You may not copy, reproduce, or distribute it without prior written permission, except as needed for your own review of a potential claim.
Changes to these Terms
We may update these Terms of Use from time to time. Changes are effective when posted, and the “last updated” date above reflects the most recent revision. Your continued use of this site after a change means you accept the updated Terms.
Contact
Siri & Glimstad LLP · 745 5th Ave #500, New York, NY 10151 · 1-888-747-4529 · sirillp.com. See also our Privacy Policy.