CALIFORNIAMisuseHealthcareFinancial ServicesHealthcarePrivilege AbuseData MishandlingCustomer Data InvolvedData ExfiltratedEmployee Data InvolvedHealth (basic)Identity (basic)Government IDFinancial accountHighResolved

CalOptima

bd_43ee7915429a163e · schema v1 · pii pii-v1

Severity

High

Discovered

—

Filed

Aug 22, 2016

To disclose

—

Affected

1,000

Confidence

96%

Full breach record for CalOptima →3 incidents on file

CalOptima (CA Health Plan) reported to HHS on 2016-08-22 an Unauthorized Access/Disclosure affecting approximately 15,800 individuals (HHS portal shows 1,000 threshold entry). A departing employee impermissibly copied PHI — including names, addresses, dates of birth, claims information, diagnosis/conditions, medications, treatment info, Medicaid beneficiary numbers, and SSNs — to an unauthorized USB device on her final days of employment. The breach was detected via CalOptima's data loss prevention system. The CE notified affected individuals, media, and HHS, reported to law enforcement, and implemented corrective actions including disabling USB write privileges for all employees.

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HIPAA clock✓ HHS notified

⚠ no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.

⚠ No discovery dateThe OCR public portal omits the discovery date, so the 60-day notification clock cannot be evaluated from this source — only that the filing was submitted.

Incident timeline — partial

? — ?

Breach window unknown

Aug 22, 2016

Filed

—

No filing yet · watching

Compliance clocks stay unassessable until a regulatory filing lands. Dashed segments fill in automatically when corroboration arrives.

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed1,000 affectedView incident

Name: CalOptima
norm: caloptima
Domain: caloptima.org
Industry: Insurance — Health

Name: CalOptima
norm: caloptima
Domain: caloptima.org
Industry: Insurance — Health
Industry: Healthcaresource defaultFinancial Servicesllm

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 1,000nationwide
Data types: Health (basic)Identity (basic)Government IDFinancial account
HHS breach type: Unauthorized access or disclosure
Where the data lived: Portable electronic device
Covered-entity type: Health plan
Attack vector: Unauthorized Access
MITRE ATT&CK: T1052 Exfiltration Over Physical MediumT1078 Valid Accounts
Threat actor: Internal
Regulator citations: OCR obtained assurances from the CE regarding corrective actions implemented.
Initial access: insider_action

During the incident: Reported incident to local law enforcement.
Provided breach notification to affected individuals, media, and HHS.
Provided substitute notice.
Updated policies and procedures.
Disabled USB device write privileges for all employees.
Ensured information security team is informed when employees separate from the CE.
Implemented new procedure requiring employees to justify and receive management approval before USB write permissions are granted.
Changes made: Disabled USB device write privileges for all employees.
Updated policies and procedures regarding data loss prevention.
Enhanced separation-of-employment notification procedures with information security team.
New USB access approval workflow implemented.
Source: Quoted from the filing itself, not independently verified.

Compliance flags: HHS notified
Discovery-date grounding: no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: not extracted
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: not extracted → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Aug 22, 2016
Raw hash: d81f693792b217c14b8ebbb947d2d3f5392f5f8b2e5c22b91f29cd1be4f73b8c

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Reporting entityCalOptima

Victim entityCalOptima

IncidentUnauthorized Access

Stated responseReported incident to local law enforcement.

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing