OHIOAccidentalHealthcareHealthcareMisdeliveryCustomer Data InvolvedPHIHealth (basic)Identity (basic)LowResolved

Coordinated Health Mutual, Inc.

bd_99f65aeeb57b51fc · schema v1 · pii pii-v1

Severity

Low

Discovered

Apr 4, 2016

Filed

May 20, 2016

To disclose

7 weeks

Affected

591

Confidence

67%

Full breach record for Coordinated Health Mutual, Inc. →

Coordinated Health Mutual, Inc. reported to HHS on 2016-05-20 a Unauthorized Access/Disclosure affecting 591 individuals. Breached information located on Paper/Films. The incident involved incorrect IRS Form 1095-B mailed to policy holders due to faulty programming logic during data compilation. The covered entity was dissolved by the Ohio Department of Insurance on May 24, 2016.

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HIPAA clock✓ HHS report on time7 weeks discovery → filing

⚠ occurrence dateThe stored discovery date equals the breach OCCURRENCE date. Detection is normally later, so this OVERSTATES the delay — a 'late' verdict here may not be real.

Incident timeline

discovery → filing · 7 weeks / 46 days

Apr 4, 2016

Begins

Apr 4, 2016

Discovered

May 20, 2016

Filed

vs. sector median

3 wks faster

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed591 affectedView incident

Name: Coordinated Health Mutual, Inc.
norm: coordinated health mutual
Industry: Insurance — Health

Name: Coordinated Health Mutual, Inc.
norm: coordinated health mutual
Industry: Healthcaresource default

Discovered: Apr 4, 2016
Breach occurred: Apr 4, 2016
Undetected for: 0 daysoccurrence → discovery
Materiality determined: —
Notification sent: —
Affected individuals: 591nationwide
Data types: PHIHealth (basic)Identity (basic)
HHS breach type: Unauthorized access or disclosure
Where the data lived: Paper / films
Covered-entity type: Health plan
Attack vector: Misconfiguration
MITRE ATT&CK: T1530 Data from Cloud Storage
Threat actor: Internal
Regulator citations: Notified HHSSubject to Ohio Department of Insurance order

During the incident: Received communications from policy holders regarding incorrect IRS Form 1095-B
Researched the issue and determined it resulted from faulty programming logic
Changes made: Corrected faulty programming logic during the data compilation phase of the Form 1095-B development process
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 7 weeks(46 days from discovery to filing)
Compliance flags: HHS report on timeHHS notified
Discovery-date grounding: occurrence dateThe stored discovery date equals the breach OCCURRENCE date. Detection is normally later, so this OVERSTATES the delay — a 'late' verdict here may not be real.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: Apr 4, 2016
→ Notified: not extracted
— 60 days HHS report on time
HIPAA
Discovered: Apr 4, 2016
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: Apr 4, 2016 → Notified: not extracted	—	60 days	HHS report on time
HIPAA	Discovered: Apr 4, 2016 → 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: May 20, 2016
Raw hash: 165d62d194ef81b3d2a4a1d39125fd7b82ba292ffa92b7570d337b2f96e3d0c3

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Reporting entityCoordinated Health Mutual, Inc.

Victim entityCoordinated Health Mutual, Inc.

Incidentdiscovered Apr 4, 2016

Stated responseReceived communications from policy holders regarding incorrect IRS Form 1095-B

ComplianceHHS report on time

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing