GEORGIAAccidentalHealthcareHealthcareMisdeliveryBusiness Associate (HIPAA)Customer Data InvolvedPHIHealth (basic)Identity (basic)MediumContained

Peach State Health Plan

bd_92528f67d95d69f9 · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Dec 30, 2020

To disclose

—

Affected

3,443

Confidence

69%

Full breach record for Peach State Health Plan →2 incidents on file

Peach State Health Plan reported to HHS on 2020-12-30 a Unauthorized Access/Disclosure affecting 3443 individuals. Breached information located on Paper/Films. A business associate experienced a batch processing error in its print fulfillment process, exposing names, health insurance information, and dates of birth. The business associate updated software and added manual quality checks.

J jump to incidentP pin to compareR raw source

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

Dec 30, 2020

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.Confirmed3,443 affectedView incident

Name: Peach State Health Plan
norm: peach state health plan
Industry: Insurance — Health

Name: Peach State Health Plan
norm: peach state health plan
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 3,443nationwide
Data types: PHIHealth (basic)Identity (basic)
HHS breach type: Unauthorized access or disclosure
Where the data lived: Paper / films
Covered-entity type: Health planBusiness associate involved
Attack vector: Misconfiguration
Threat actor: Internal
Regulator citations: Notified HHS

During the incident: Notified HHS
Notified affected individuals
Notified the media
Updated its batch processing software to improve quality control
Added manual intervention quality checks in the print fulfillment process
Changes made: Updated its batch processing software to improve quality control
Added manual intervention quality checks in the print fulfillment process
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: Dec 30, 2020
Raw hash: 7a7357eb535dfd07b3ed9c607700690d624a04ceb2296744c1638719482b4e7e

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/html1.5 KB

Download View at source

Reporting entityPeach State Health Plan

Victim entityPeach State Health Plan

IncidentMisconfiguration

Stated responseNotified HHS

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing