The HIPAA Journal is the leading provider of news, updates, and independent advice for HIPAA compliance

Indiana AG Sues WellPoint over HIPAA Breach

Greg Zoeller, the Indiana Attorney General has taken action against a violator of HIPAA laws and has filed a lawsuit against WellPoint for breach notification failures following the 32,000-record data breach it discovered on March 8, of this year.

Even with the very best security systems, data breaches still occur. In this case however, the breach was the result of human error. The lawsuit has been filed not for the disclosure of Protected Health Information, but the tardy breach response.

HIPAA and Two Indiana State Laws Violated

The lawsuit has been filed under state laws, with the suit claiming Wellpoint violated two separate breach notification laws in Indiana by failing to notify the Attorney General and patients that their information had potentially been compromised in a reasonable time frame. Under state laws the Attorney General’s office can fine organizations that fail to comply with data protection laws, with each of the two violations WellPoint committed carrying a maximum penalty of $150,000. A fine of £300,000 could therefore be issued.

In July 2009, the state passed a new data breach law to supplement current state legislation covering the notification of individuals after their personal information has been disclosed in a security breach. As with HIPAA, organizations must notify patients within “a reasonable amount of time,” while state laws require the AG to be notified as well. After an investigation into the incident was conducted, the AG’s office determined that the breach response was unnecessarily delayed.

Get The FREE
HIPAA Compliance Checklist

Immediate Delivery of Checklist Link To Your Email Address

Please Enter Correct Email Address

Your Privacy Respected

HIPAA Journal Privacy Policy

The breach law was only passed last year, so the AG has so far not issued any fines to organizations that have delayed the sending of notifications. This is the first time a lawsuit has been filed under the new law.

Over Three Months to Issue Breach Notifications

The Attorney General was notified about WellPoint’s data breach in June, although not via a breach report submitted by WellPoint, but in a news report in the Star Tribune. This was more than three months after the data breach was discovered, and it took until June 18 before breach notification letters started to be sent to affected individuals.

Under HIPAA Rules, covered entities must notify breach victims and the Department of Health and Human Services’ Office for Civil Rights within 60 days of discovery of a breach involving more than 500 records.

In addition to the AG lawsuit, Wellpoint may be investigated by the OCR and it could be penalized under HIPAA laws. The OCR is permitted to issue fines up to $1.5 million for HIPAA violations involving willful neglect. Since data breach notifications are clear, and ignorance is not a valid defense, WellPoint could have to cover a substantial bill for failing to issue notifications.

The company has already settled with the Connecticut AGs office for exposing the data of 5,600 residents in the breach and the total number of individuals affected is understood to be 470,000.

The data breach was caused during an upgrade of the company’s authentication and log-ion application website after security protections were not implemented. The data remained on an insecure website from October, 2009 until the issue was discovered in March, 2010. During that time it was possible for unauthorized individuals to access the data of patients. It was not just Indiana residents who have been affected. In total, victims living in 9 U.S. states have had their data potentially viewed by unauthorized individuals.

Author: Steve Alder is the editor-in-chief of HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

x

Is Your Organization HIPAA Compliant?

Find Out With Our Free HIPAA Compliance Checklist

Get Free Checklist