GoHealth Securities Litigation

File Online Claim Form

Please use the link below to submit an online Proof of Claim and Release Form.

THIS CLAIM FORM CONTAINS FOUR (4) SECTIONS, ALL OF WHICH MUST BE COMPLETED BEFORE THE FORM IS SUBMITTED, INCLUDING THE VERIFICATION ON THE LAST PAGE. YOUR CLAIM WILL NOT BE SUBMITTED UNTIL AFTER YOU COMPLETE THE VERIFICATION AND PRESS THE BLUE “NEXT” LINK.

Please print the verification for your records.

To complete the online Claim Form and Release, click NEXT.


Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader on your computer or other internet-enabled device.

Adobe Acrobat Reader