NEW JERSEYAccidentalHealthcareHealthcareMisdeliveryCustomer Data InvolvedPHIHealth (basic)Identity (basic)Government IDHighContained

New Jersey Department of Human Services

bd_53a2ed90d3a20350 · schema v1 · pii pii-v1

Severity

High

Discovered

—

Filed

Jun 15, 2018

To disclose

—

Affected

1,263

Confidence

69%

Full breach record for New Jersey Department of Human Services →6 incidents on file

New Jersey Department of Human Services reported to HHS on 2018-06-15 a Unauthorized Access/Disclosure affecting 1263 individuals. Breached information located on Paper/Films. The entity accidentally mailed electronic protected health information (ePHI) containing names and SSN fragments on 1095B forms to the wrong recipients.

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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

Jun 15, 2018

Filed

No interval is drawn: no breach start or discovery date is on record for this filing.

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed1,263 affectedView incident

Name: New Jersey Department of Human Services
norm: new jersey department of human
Industry: Insurance — Health

Name: New Jersey Department of Human Services
norm: new jersey department of human
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 1,263nationwide
Data types: PHIHealth (basic)Identity (basic)Government ID
HHS breach type: Unauthorized access or disclosure
Where the data lived: Paper / films
Covered-entity type: Health plan
Attack vector: Unauthorized Access
MITRE ATT&CK: T1530 Data from Cloud Storage Object
Threat actor: Internal
Regulator citations: Provided breach notification to HHSOCR obtained assurances that the CE implemented the corrective actions listed

During the incident: Provided breach notification to HHS, affected individuals, and the media
Ceased responsibilities for mailing the 1095B forms for the New Jersey Department of Children and Families (DCF), Division of Child Protection and Permanency
Changed procedures so that DCF will mail the 1095B forms from its own database
Changes made: Conduct a risk analysis
Implement a corresponding remediation plan
Ensure the implementation of policies and procedures relating to information system activity review
Ensure the implementation of policies and procedures relating to security incident response and reporting
Ensure the implementation of policies and procedures relating to access and audit controls
Ensure the implementation of policies and procedures relating to creating/maintaining retrievable exact copies of ePHI
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: Jun 15, 2018
Raw hash: 2c0b4fb43cae585c3b3291758710ad5874e55a3ba87033021cf7eed67eb0ee21

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Reporting entityNew Jersey Department of Human Services

Victim entityNew Jersey Department of Human Services

IncidentUnauthorized Access

Stated responseProvided breach notification to HHS, affected individuals, and the media

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing