WISCONSINHackingHealthcareHealthcareBusiness Associate (HIPAA)Customer Data InvolvedData ExfiltratedIDENTITY_BASICIDENTITY_GOVERNMENTHEALTH_BASICPHICriticalResolved

Self Insured Plans, LLC

bd_aeff019e6c213139 · schema v1 · pii pii-v1

Full breach record for Self Insured Plans, LLC →

90 Degree Benefits, Inc. (a Business Associate based in WI) reported to HHS OCR on 2023-02-08 a Hacking/IT Incident affecting 185,459 individuals. Breached information was located on a Network Server. PHI involved included names, addresses, dates of birth, driver's license numbers, Social Security numbers, claims information, diagnoses/conditions, lab results, medications, and other treatment and identifier information. The CE notified HHS, affected individuals, the media, and provided substitute notice. Technical safeguards were strengthened and OCR provided technical assistance.

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.Confirmed185,459 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: Feb 8, 2023
Raw hash: aecda4953e95fbdd965953abcef7dfb1a3aab14d41b3633ab308166a4e29a0fc

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.

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Reporting entity

Name: Self Insured Plans, LLC
norm: self insured plans

Victim entity

Name: Self Insured Plans, LLC
norm: self insured plans
Industry: Healthcaresource default

Incident

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 185,459
Data types: IDENTITY_BASICIDENTITY_GOVERNMENTHEALTH_BASICPHI
Attack vector: Unauthorized Access
MITRE ATT&CK: T1078 Valid Accounts
Threat actor: External
Regulator citations: HHS OCR — technical assistance provided

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.