Professional Documents
Culture Documents
As of 5/17/17
www.nflconcussionsettlement.com/login.aspx
5/17/17
TABLE OF CONTENTS
PAGE
When you complete Registration for the Program online, a Registration Form Submitted
confirmation will appear and you may create a User Name and Password for the Portal by
clicking the here link in the red box on this screen:
If you completed Registration for the Program by mailing or emailing a hard copy of your
Registration Form, you may create a User Name and Password for the Portal by going to
https://www.nflconcussionsettlement.com/Login.aspx and clicking the Create New User
button on this screen:
After you click the link or button to create a User Name and Password, you need to provide
some information to complete your Portal account:
These requirements will display in a pop-up box as you type a Password in the
Password field.
(b) Email Address. Provide the email address where you wish to be contacted for all email
communications between you and the Claims Administrator.
(c) Security Questions 1, 2, and 3. Select three security questions and enter the answers
for each in the Answer fields.
After you create your User Name and Password, you will be taken to the Portal Home
screen. See section C of this User Manual for details on the Portal Home screen.
Enter the User Name and Password that you created and click the Login button.
2. Two-Factor Authentication.
The first time you log into the Portal, you are required to enter an authentication code. You
can receive this code either through a text message to your mobile phone or by an email to
the email address you used when registering. Select your preferred delivery method and
click the Send Authentication Code button:
3. Allow Pop-Ups.
Several functions of the Portal require you to be able to open documents. Adjust the settings
of your web browser always to allow pop-ups from this site.
The first time you log into the Portal after creating an account, the NFL Concussion
Settlement Program Portal User Agreement will appear. The Agreement explains the terms
and conditions by which you may use the Portal. Before you can proceed, you must accept
this Portal User Agreement by selecting I Agree and clicking the Submit button at the
bottom of the screen. You are required to accept this Portal User Agreement only the first
time you use the Portal. You may view it any time you wish by clicking the Portal User
Agreement link on the Home screen of the Portal.
Click the Forgot User Name/Password button on the NFL Concussion Settlement Program
Portal Login screen to retrieve your User Name or Password.
(a) Forgot Password. If you forgot your Password, select the I forgot my Password
radio button and you will see this screen.
WARNING: The functioning of this Portal depends upon the Claims Administrator
being able to send you emails successfully. Please make sure that your virus and spam
filters will not block emails from noreply@nflconcussionsettlement.com.
(b) Forgot User Name. If you forgot your User Name, select the I forgot my User Name
radio button and you will see this screen:
Enter your email address in the Email Address field. Type the code shown in the box
and click the Send My User Name button. You will receive an automatic email from
noreply@nflconcussionsettlement.com with your User Name. Return to the NFL
Concussion Settlement Program Portal Login screen to log into the Portal.
After you log in, you will be taken to the Portal Home screen. The Portal Home screen provides
you with information on the status of your Registration, important messages from the Claims
Administrator, and important dates in the Program. You can also navigate to other features of the
Portal using the tabs and links at the top of the screen:
1. Communications Center.
You will find all messages and emails concerning any notices from the Claims
Administrator in the Communications Center section. Click the Unread Messages link or
the Notice Emails link to read your messages from the Claims Administrator.
2. Registration Status.
The Registration Status section provides you with your current Registration Status. Click
the Status link to view the Registration screen and your Registration Form.
3. Support.
Click the Portal User Agreement link to access the NFL Concussion Settlement Program
Portal User Agreement. Click the User Manual link to view a PDF copy of this document
that provides instructions on how to use your Portal.
The Important Dates section lists the important Program dates that may affect you.
5. Notice Types.
The Notice Types section shows you the latest notice that the Claims Administrator issued
to you. Click the notice link to view your notice and take any necessary action.
Hover over the Alerts and Information tab to see the Alerts, Documents and FAQs menu items:
These items display the same information that is on the public Settlement Website. Click the item
that you want to see. A new screen will open, displaying the item you selected. Alerts will display
a list of links to important alerts about the Program. Documents will contain links to Court
documents and Notice materials. FAQs will contain the Frequently Asked Questions that are also
on the official NFL Concussion Settlement Program Website. You can use the Search feature to
search for a question or browse by subject matter. Click the FAQ link to open the question and
answer that you wish to see.
Click the link to the document that you wish to see on the Alerts and Documents screens. You can
view, download or print any of these documents. If you have trouble opening documents on these
screens, make sure the pop-up blockers are turned off on your internet browser when using this
website. Some of the documents are large and could take a few moments to open. If they still will
not open after those steps, email us at ClaimsAdministrator@NFLConcussionSettlement.com or
call us at 1-855-887-3485.
When you are finished viewing the items on that screen, x out of it at the tab at the top and return
to the Home screen.
Click the Registration tab at the top of the Home screen to access the information that you
provided when you registered:
1. Registrant Information.
The information that you entered in Section 1 of your Registration Form appears in the
Registrant Information section of this screen:
2. View Documents.
Click the View Documents button below the Registrant Information section to view any
documents that you have uploaded to the Portal:
3. Registration Form.
This section is pre-filled with the type of Settlement Class Member you selected during
Registration (a Retired NFL Football Player, a Representative Claimant, or a Derivative
Claimant.) You may change this designation here:
You may edit the name, last known address, Social Security Number/Individual Taxpayer
Identification Number or Foreign ID Number and date of birth for the Retired NFL Football
Player.
You can edit the employment information you provided during your Registration and you
can add additional teams on this screen. Click the Add New link to enter the name(s) of the
team(s) that employed the Retired NFL Football Player and the year(s) of employment:
After you enter the team name and select the year(s) of employment from the drop-down
menu, click the Add History button to add the information. After you add it, the team name
and years will appear in a table in the NFL Employment Information section. You can add
new teams by clicking the Add Another Team link. You can also edit or remove a team
Click the Claim Package tab at the top of the Home screen to submit or edit your Claim Package.
You can complete the Claim Package sections in any order, and you can save your progress
and return to this screen as needed. In each section, you will at first see an empty checkbox
looks like this: . The checkbox will remain blank until you begin the section, and it will
show a red exclamation point like this if you begin the section but do not complete it: .
After you complete a section, the checkbox will show a green checkmark, like this: . The
instructions on the screen explain what you must do to complete each section. You control
when you submit your Claim Package for review by the Claims Administrator. When you
(a) Hard Copy Submissions. Some of the Claim Package sections require you to upload
scanned documents. If you do not have the ability to scan and upload documents, there
are here links available in the Claim Package instructions, Claim Form, Diagnosing
Physician Certification Form, Medical Records and NFL Football Employment &
Participation Records sections so that you can submit hard copy documents to the
Claims Administrator. When you click the here link, you will see this pop-up message:
Click the Create Cover Page button to create and print a Cover Page for the documents
that you wish to submit to the Claims Administrator. Put your documents together with
the Cover Page at the top and mail them by USPS or FedEx/UPS to the addresses listed
on the screen.
(b) View Documents. Click the View Documents button above the Claim Package section
to view any documents that you have uploaded to BrownGreer for this Settlement Class
Member using the Portal:
(c) Upload. Click the Upload button above the Claim Package section to submit
documents to the Claims Administrator other than the ones specifically required in the
Claim Package sections below, such as bankruptcy or supporting lien documents or
correspondence. This Upload Document pop-up box will appear:
Click the Browse button to locate the document on your computer or network that you
need to upload. After you have selected the required document, confirm that the file
path and name are populated in the Upload Document field. Click the Submit button to
submit your document to the Claims Administrator. A message will appear informing
you that the document was uploaded successfully. You may now view the uploaded
document using the View Documents button next to the Upload button.
(d) Document Quick Links. The Diagnosing Physician Certification Form, Medical
Records and NFL Football Employment & Participation Records Claim Package
sections each have a link under Document Quick Links that you can click to see what
you submitted for that Claim Package requirement.
(a) Claim Form. The Claim Form section looks like this:
(2) Sign Claim Form. After you complete the Claim Form, you must sign it
electronically. Click the Sign Form button that appears at the bottom of the last
page of the Claim Form to open this electronic signature box:
Type your name in the Signature field in the Electronic Signature box and click the
Submit button. You can go back and edit the Claim Form at any time. However, if
you make edits after you have already signed the Claim Form, you must sign it
electronically again.
(1) Document Quick Links. Click the View Detailed Claim Form Instructions link in
the Document Quick Links section to the right for detailed instructions on how to
complete your Claim Form. You also can view your Claim Form and any
previously submitted versions of your Claim Form by clicking the quick links in
this section.
(1) Create Diagnosing Physician Certification Form. You can create a Diagnosing
Physician Certification Form that we will pre-fill with your Registration
information. Click on the Create Diagnosing Physician Certification Form button,
which will take you to a screen where you can select the type of Diagnosing
Physician Certification Form you need to print and give to your physician:
(3) Diagnosing Physician Form Not Available. If you are a Representative Claimant,
you will also see a Diagnosing Physician Form Not Available button in this section.
Click this button if you are not able to submit a Diagnosing Physician Certification
Form and explain why:
c) Supporting Proof. In Section III you must provide supporting proof of either:
(1) the physicians death, incapacity, or incompetence to render the Qualifying
Diagnosis; or (2) the diagnosing physicians sworn affidavit explaining why he
or she cannot provide a Diagnosing Physician Certification Form:
(c) Medical Records. The Medical Records section looks like this:
(1) Upload Medical Records. To upload medical records reflecting your Qualifying
Diagnosis, click the Upload Medical Records button. This will take you to a screen
where you can select and submit the medical record(s) from your computer. See
section F.1(c) of this Manual for instructions on uploading documents. You can
submit additional medical records on a rolling basis.
(2) Medical Records Not Available. If you are a Representative Claimant, you will
also see a Medical Records Not Available button in this section. Click this button
if you are not able to submit medical records reflecting the Qualifying Diagnosis
and complete these sections that appear:
See section F.1(c) of this Manual for instructions on uploading documents. Click
the View Supporting Documents button to view supporting documents you
previously uploaded. Click the Save button when you finish. You may come back
and edit at any time before you submit your Claim Package.
(d) HIPAA Form. The HIPAA Form section looks like this:
(e) NFL Football Employment & Participation Records. The NFL Football
Employment & Participation Records section looks something like this:
(1) Eligible Season Credits. We already have NFL Football employment and
participation data for many Retired NFL Football Players, and we were able to
credit some of those Retired NFL Football Players with Eligible Seasons based on
that data. We display the number of eligible seasons we have for you in our data, if
any, in the box at the top of this section.
a) Five Eligible Seasons. If we were able to credit you with five Eligible Seasons
and make them part of your Claim Package, there is nothing more that you need
to do in this section. You do not need to prove that you played more than that,
even if you did play more.
b) Four or Less Eligible Seasons. If we were not able to credit you any Eligible
Seasons based on the data we currently have or we do not have complete
employment and participation data on you, you need to provide your own
Eligible Season proof using the buttons available in this section.
(2) Review & Supplement NFL Data. Click the Review & Supplement NFL Data
button to see any data we have for you and indicate what additional Eligible
Season(s) you intend to prove:
(3) Upload More Eligible Season(s) Records. Click the Upload More Eligible
Season(s) Records button to upload your own NFL Football employment and
participation records. This will take you to a screen where you can select and submit
records from your computer. See section F.1(c) of this Manual for instructions on
uploading documents. You may submit additional records on a rolling basis.
(a) The Submit Claim Package for Review button will be inactive until a green checkmark
appears next to each step above. After you complete all five sections, you must click
this button to designate your Claim Package as final and submit it for review by the
Claims Administrator:
(b) Emergency Bypass: If you do not wish to complete each Claim Package section, you
may bypass one or more steps by checking the unlock box to the left. This will activate
the Submit Claim Package for Review button and allow you to submit your Claim
Package for review without completing all of the sections. We strongly encourage you
not to use this feature to bypass the five-step process. The Claim Package submission
process is designed to help you avoid deficiencies to the extent possible. While the
completion of each step does not ensure that your claim will be eligible, it does reduce
the likelihood that your Claim Package will be deficient.
BrownGreer issues notices to Settlement Class Members regarding its action on a claim and the
deadlines for action required on a claim. Notices posted to you on the Portal are deemed issued to
you and received by you on the date they are posted and available for your viewing. Click the
Notices tab at the top of the Home screen to view your Notices:
The Claimant Events section provides the Notice Date and Response Deadline for each notice and
either a Notice or View button to see the notice and take action on the claim, if needed.
1. Notice.
A Notice button is available for you to view the notice if there is no response required on
the notice.
2. View.
A View button is available for you when a response may be due on the notice. Click the
View button to view and see information on that notice and take action on the claim. The
information on the screen will depend on the Notice Type.
(a) View Documents. Click the View Documents button below the Registrant Information
section to view any documents that you have submitted to the Claims Administrator
using the Portal:
(1) View Notice. Click the View Notice button to see the Notice of Incomplete
Registration. The notice explains what is missing from your Registration
submission and provides details on how to address the missing item(s).
(3) Respond to Notice. Click the Respond to Notice of Incomplete Registration button
to submit what the notice identifies as required to complete Registration of the
claim. This will take you to the Registration screen. After providing the required
information and/or documents there, you must verify the Registration Form again.
(4) Retired NFL Football Players Who Do Not Have at Least Half of an Eligible
Season. If you cannot establish at least half of an Eligible Season for your Retired
NFL Football Player, there will be an Accept Registration with No BAP Benefits
If you click the Yes button, we will send you a Registration Determination Notice
that this Retired NFL Football Player is registered and may submit a claim for a
Monetary Award, but will receive no BAP benefits and any later Monetary Award
will be subject to the 97.5% Offset imposed by Section 6.7(b)(i)(10) of the
Settlement Agreement.
Click the Yes button and we will extend your time to register to within 180 days
after the official appointment to act on behalf of the Retired NFL Football Player
occurs. The Registration status for this Settlement Class Member will show as Good
Cause for Registration Extension Granted.
(1) View Notice. Click the View Notice button to see the Notice of Registration
Determination.
(3) Respond to Notice. Use the buttons at the bottom of the Notice of Registration
Determination section to respond to the Notice of Registration Determination by
the deadline.
a) Agree. Click the Agree with Registration Determination if you agree with the
Registration Determination. You must then confirm that you agree with the
notice and waive your right to challenge the determination.
Use the drop-down menu to select the Document Type then click the Browse
button to locate the document on your computer or server that you need to
upload. After you have selected the required document, confirm that the file
path and name are populated in the Upload Document field. Click the Submit
button to submit your document to the Claims Administrator. A message will
appear informing you that the document was uploaded successfully. After you
have provided a comment and uploaded your supporting documentation, click
the Challenge button to submit your challenge to the Claims Administrator for
review.
Enter a zip code or a city and/or state in the Search field and click the Search button to see a map
and list of Qualified MAF Physicians in that area:
If you do not see a Qualified MAF Physician with whom you want to schedule an appointment,
check back often to see if Qualified MAF Physicians have been added in your area because we
continue you to identify additional physicians to expand the list of Qualified MAF Physicians. If
you have any questions about the Qualified MAF Physicians, email us at
ClaimsAdministrator@NFLConcussionSettlement.com or call us at 1-855-887-3485.
Click the My Account link at the top right-hand side of the screen to change your Password, email
or phone number, or log off of the Portal.
Select the Change Password, Change Email, or Change Phone Number radio button:
1. Change Password.
Enter your current Password in the Current Password field. Enter your new Password in
the New Password field, again in the Confirm New Password field and type the code
shown in the box. Click the Submit button to change your Password:
2. Change Email.
Enter your current email address in the Current Email field. Enter your new email
address in the New Email field, again in the Confirm New Email field and type the
code shown in the box. Click the Submit button to change your email address.
Enter your phone number into the Mobile Phone Number field and select your Mobile
Provider from the Mobile Provider drop-down list. Click the Submit button to update your
phone number.
J. Logging Off.
To log off of the Portal, click the Log Off link on the top right-hand side of the screen.
You will see a Log Off screen informing you that your Log Off request has been processed
and that your session is no longer active. Click the Go to NFL Portal Login Screen link if
you wish to log back in.
2. Session Timeout.
If you open a session on the Portal and do not execute any activity for 60 minutes, your
session will time out for security purposes. If that happens, you must log back in to resume.
When you attempt to log in after the Portal timed out, or after you closed your previous
session without logging out, you will receive a warning message that there is another open
session attached to your Login ID. Click the Continue button to close your previous session
and continue logging in.