If you received a notice, you were identified as a patient of The Polyclinic who sought care and an accommodation for a hearing, vision, and/or speech disability to assist you in communicating with your care team.

As part of the Settlement Agreement, The Polyclinic will be making voluntary payments to certain Eligible Persons (1) who may not have been provided with an adequate accommodation for a hearing, vision, and/or speech disability (including, but not limited to, a qualified interpreter), that was requested by or for the Eligible Person during the Claims Period; or (2) who filed grievances or complaints alleging ineffective communication during the Claims Period. After a thorough review of its records, The Polyclinic has identified you as an Eligible Person.

The Polyclinic has voluntarily agreed to enhance its existing programs that provide qualified American Sign Language (ASL) and tactile ASL interpreters necessary for effective communication. It is providing patients with additional and upgraded equipment, such as dedicated iPads for video communication, and a larger pool of interpreters for patients who seek or require an accommodation for a hearing, speech, and/or vision disability, or who have hearing, speech and/or sight impairments. The Polyclinic has implemented new staff training and updated its policies relating to effective communication, and has designated an assistive device point person who will assist patients and staff in obtaining and using appropriate communication aids.

The Polyclinic will also make voluntary payments to Eligible Persons. Payments will vary based upon an agreement between the United States and The Polyclinic regarding the number of missed or delayed appointments as a result of some process failures related to effective communication.

As an Eligible Person, you can receive a one-time payment as described in the included Claim Form, so long as you agree to release The Polyclinic, Optum, and UnitedHealth their agents and/or affiliates and/or employees, of any claims relating to the subject matter of the Investigation that could have been asserted and/or arose during the Claim Period. The specific release is included in the attached Claim Form. You are encouraged to consult with an attorney at your own expense about the specific language in the Claim Form, as you will be forever waiving your rights to sue or otherwise seek compensation or redress for claims relating to the subject matter of the Investigation.

The Polyclinic has engaged a Settlement Administrator, JND Legal Administration (JND) to assist it in gathering Claim Forms, sending payments, and providing additional information about this matter. A copy of the full Settlement Agreement and the Claim Form, along with additional resources can be found on the Important Documents page. An ASL video summary of the Notice and other documents, can be found on the Home page.

If you wish to receive a payment as an Eligible Person under the Settlement Agreement, you must provide the information requested below. In addition, in exchange for payment, you must release all claims related to the Investigation of whether The Polyclinic provided qualified interpreters for patients with hearing, vision, and/or speech disabilities between January 1, 2021 and September 30, 2025.

All Claim Forms must be submitted via mail, email, or through the online portal described in the Notice. If the Claim Form is mailed, it must be postmarked by no later than August 8, 2026; if it is emailed or submitted through the online portal, it must be transmitted and received by August 8, 2026. Please type or print clearly on the Claim Form in blue or black ink.

JND Legal Administration (JND) is the Settlement Administrator who will assist The Polyclinic in gathering Claim Forms, sending payments to Eligible Persons, and providing additional information about this settlement. In addition, we attempted to identify those Eligible Persons with sight impairments and are providing to them the Notice of Settlement and the Claim Form in Braille. If you require a Braille version but did not receive one, please contact the Settlement Administrator (FAQ 8).

If you have questions about the Settlement Agreement, the Claim Form, the Settlement Website, or the Settlement Payment, you can contact the Settlement Administrator as follows:

Mailing Address: Polyclinic Compensation Fund c/o JND Legal Administration PO Box 91345 Seattle, WA 98111

Email Address: info@PolyclinicCompensationFund.com

Phone Number: 877-206-2308

Under the Settlement Agreement, and based upon the number of appointments at The Polyclinic in which you were not furnished with a qualified interpreter to effectively communicate with your provider, you may receive a payment, so long as you agree to waive all claims relating to the Investigation. This amount is characterized as non-wage income. Along with your payment you may also receive a 1099 informational tax form from the Administrator for use in filling in your annual tax return(s). The Parties determined your payment amount based on recorded medical appointment(s) in which The Polyclinic did not provide you with a qualified interpreter or appropriate communication aids.

Upon execution of the Release of Claims, and completion and submission of your Claim Form, you should expect to receive funds in the form of a check mailed to the mailing address indicated by you within 90 days.