MARYLANDAccidentalHealthcareFinancial ServicesHealthcareMisdeliveryCustomer Data InvolvedHealth (basic)Identity (basic)Government IDHighResolved

Special Agents Mutual Benefit Association

bd_df2bbe7fe869107b · schema v1 · pii pii-v1

Severity

High

Discovered

—

Filed

Mar 13, 2018

To disclose

—

Affected

13,942

Confidence

97%

Full breach record for Special Agents Mutual Benefit Association →2 incidents on file

Special Agents Mutual Benefit Association (MD, Health Plan) reported to HHS OCR on 2018-03-13 an Unauthorized Access/Disclosure affecting 13,942 individuals. PHI was impermissibly disclosed to wrong subscribers when Form 1095-B notices for the 2017 tax year were mailed due to a programming error. Breached information located on Paper/Films. OCR determined corrective action resolved the issues. No business associate was involved.

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

Mar 13, 2018

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.Confirmed13,942 affectedView incident

Name: Special Agents Mutual Benefit Association
norm: special agents mutual benefit
Industry: Insurance — Health

Name: Special Agents Mutual Benefit Association
norm: special agents mutual benefit
Industry: Insurance — Health
Industry: Healthcaresource defaultFinancial Servicesllm

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 13,942nationwide
Data types: Health (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
Threat actor: Internal
Regulator citations: HHS OCR investigation; OCR determined corrective action resolved the issues

During the incident: Provided breach notification to HHS, media, and affected individuals
Offered complimentary credit monitoring and identity restoration services
Established toll-free assistance line
Changes made: Reissued corrected 1095-B forms
Terminated relationship with individual responsible for the programming error
Implemented additional controls with mailing vendor
Offered one year of complimentary credit monitoring and identity restoration services
Established toll-free assistance line for affected individuals
OCR reviewed CE's current risk assessment
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: Mar 13, 2018
Raw hash: b53c3d97b18c9a771b51260dfe33d91cc48ff96ec2f69b4752bbebb5a2d6a98a

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/html1.9 KB

Download View at source

Reporting entitySpecial Agents Mutual Benefit Association

Victim entitySpecial Agents Mutual Benefit Association

IncidentUnauthorized Access

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

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing