CALIFORNIAMisuseHealthcareFinancial ServicesHealthcarePrivilege AbuseData MishandlingCustomer Data InvolvedData ExfiltratedEmployee Data InvolvedHEALTH_BASICIDENTITY_BASICIDENTITY_GOVERNMENTFINANCIAL_ACCOUNTHighResolved

CalOptima

bd_43ee7915429a163e · schema v1 · pii pii-v1

Full breach record for CalOptima →

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.

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.

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

Source provenance

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

Source filing

AI-assisted summary above. The structured extract on this page was generated from the document below. Inspect the source to verify or correct any field.

text/html2.3 KB

Download View at source

Reporting entity

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

Victim entity

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

Incident

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 1,000
Data types: HEALTH_BASICIDENTITY_BASICIDENTITY_GOVERNMENTFINANCIAL_ACCOUNT
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

Compliance

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

Extraction provenance

Status: No extraction artifact recorded for this disclosure.