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Esse Health Agrees to Pay 2.53M to Settle Data Breach Lawsuit

American Multispecialty Group, doing business as Esse Health, a Missouri-based independent physician group serving the greater St. Louis area, experienced a cyberattack and data breach in April 2025. Esse Health faced multiple class action lawsuits in response to the data breach, and the consolidated class action lawsuit has recently been settled. Esse Health has agreed to pay $2,525,000 to resolve the lawsuit.

The cyberattack was detected by Esse Health on April 21, 2025, and the forensic investigation confirmed that the hackers obtained sensitive data such as names, addresses, birth dates, health information, and health insurance information. Around 5,000 individuals also had their Social Security numbers compromised in the incident. The data breach was reported to the HHS’ Office for Civil Rights as involving the electronic protected health information of 23,671 patients; however, the data breach was much more extensive. The Maine Attorney General was informed that the breach affected 263,601 individuals. The lawsuit states that approximately 521,167 individuals were affected.

The data breach was first announced by Esse Health on May 15, 2025, and shortly thereafter, a class action lawsuit was filed by Plaintiff Casten Clausner in the U.S. District Court for the Eastern District of Missouri. A further seven plaintiffs filed similar actions in state court in St. Louis County and the City of St. Louis. All actions were consolidated in the 22nd Judicial Circuit Court of St. Louis City, Missouri, in June 2025.

The consolidated lawsuit – Clausner et al. v. American Multispecialty Groupclaims that the data breach could have been prevented and was due to the failure of the defendant to implement reasonable and appropriate cybersecurity measures. The lawsuit asserted claims for negligence, negligence per se, breach of implied contract, breach of confidence, breach of fiduciary duty, invasion of privacy, unjust enrichment, violation of the Missouri Merchandise Practices Act, and declaratory and injunctive relief. Esse Health maintains that there was no wrongdoing and is no liability; however, following mediation, a settlement was agreed upon by all parties to avoid the costs and risks associated with continuing with the litigation.

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Under the terms of the settlement, Esse Health has agreed to establish a $2,525,000 settlement fund to cover attorneys’ fees and expenses, settlement administration and notification costs, service awards for the 8 class representatives, and benefits for the class members. After costs and expenses have been deducted from the settlement fund, the remainder will be used to pay for class member benefits. While most class action lawsuit settlements allow class members to submit a claim for reimbursement of losses, this settlement only provides a pro rata cash payment, which is expected to be $50 per class member. The payments may be higher or lower depending on the number of claims received.

In addition, class members are entitled to enroll in two years of medical identity protection services, which include a $1 million medical identity theft insurance policy. The cost of the medical identity protection will be paid separately by Esse Health. The settlement has received preliminary approval from the court. The deadline for objection and exclusion from the settlement is July 5, 2026. Claims must be submitted by August 4, 2026, and the final approval hearing has been scheduled for August 3, 2026.

Author: Steve Alder is the editor-in-chief of The 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

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