NEW YORKAccidentalHealthcareHealthcareMisdeliveryBusiness Associate (HIPAA)Customer Data InvolvedPHIHealth (basic)Identity (basic)Government IDMediumContained

Emblem Health - GHI

bd_e55617c072319f43 · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Feb 17, 2017

To disclose

—

Affected

703

Confidence

68%

Emblem Health - GHI reported to HHS on 2017-02-17 a Unauthorized Access/Disclosure affecting 703 individuals. Breached information located on Paper/Films. A business associate impermissibly disclosed PHI (names, addresses, DOB, SSN) by mailing 1095-B tax forms to wrong members. CE provided notification, credit monitoring, and re-mailed forms.

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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

Feb 17, 2017

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.Confirmed703 affectedView incident

Name: Emblem Health - GHI
norm: emblem health
Industry: Insurance — Health

Name: Emblem Health - GHI
norm: emblem health
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 703nationwide
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 planBusiness associate involved
Attack vector: Unauthorized Access
MITRE ATT&CK: T1530 Data from Cloud Storage
Threat actor: Internal
Third party: via Group Health Inc.business associate

During the incident: Provided breach notification to HHS, affected individuals and the media
Provided free credit monitoring to the affected individuals
Developed a frequently asked question document to assist staff to respond to calls regarding the breach
Re-mailed the 1095-B tax forms
Requested the return of the forms or attestation that the health information received was destroyed
Moved the print function of the 1095-B tax forms to another BA
Changes made: Ensure that the CE’s BAs are trained on the provisions of Privacy, Security and Breach Notification Rules
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: Feb 17, 2017
Raw hash: 127028881b10b454322c31abdb9ae843873c2d068c789b90a0b56798fa0aae74

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Reporting entityEmblem Health - GHI

Victim entityEmblem Health - GHI

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