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Special Agents Mutual Benefit Association

ArchivedSubmitted 03/13/2018
State
MD
Covered entity type
Health Plan
Individuals affected
13,942
Business associate present
No
Type of breach
Unauthorized Access/Disclosure
Location of breached information
Paper/Films
First seen by InfoSec Signals
9/23/2026
Last seen in OCR export
9/23/2026

OCR description

The covered entity (CE), Special Agents Mutual Benefits Association, impermissibly disclosed the protected health information (PHI) of 1,394 individuals to the wrong subscribers when it distributed Form 1095-B notices for the 2017 tax year. The CE provided breach notification to HHS, the media, and affected individuals. The CE also offered affected individuals one year of complimentary credit monitoring and identity restoration services and established a toll-free assistance line to provide additional information regarding the incident, as well as steps to better protect against identity theft. Following the breach, the CE reissued corrected 1095-B forms. The CE terminated the relationship with the individual responsible for the programming error and implemented additional controls with its mailing vendor. During the investigation, OCR reviewed a copy of the CE’s current risk assessment. OCR determined that corrective action had resolved the issues in this case.

Change history

  • 9/23/2026Added to OCR's archive list

Source: HHS OCR Breach Portal, U.S. Department of Health and Human Services, Office for Civil Rights about this source

Records are reproduced as published; entity names and figures are OCR's.

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