Administracion de Seguros de Salud - Triple S Salud Inc (BA)

On April 15, 2014, the covered entity (CE), Puerto Rico Health Insurance Administration, also known as the Administracion de Seguros Salud de Puerto Rico reported to HHS that on January 14, 2014, they became aware that sometime before October 9, 2013, a former employee of American Health Medicare’s (AHM) business associate (BA), Triple-S Advantage Solutions, copied beneficiaries’ electronic protected health information (ePHI) onto a compact disk which he took home for an unknown period of time and which he subsequently downloaded onto a computer at his new employer. The ePHI included the enrollment information of 7,911 of the CE’s beneficiaries, including names, dates of births, contract numbers, health insurance claim numbers, home addresses, and social security numbers. AHM, which was acting as both a CE and a BA, provided breach notification to affected individuals and the media. As a result of OCR’s investigation, the CE committed to conduct a risk analysis, implement a risk management plan, revise its policies and procedures, and re-train staff within a specified period.