Breach filing
ArchivedCare 1st Health Plan: 29,000 individuals, Jul 2010.
Care 1st Health Plan reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 6 July 2010. The filing records the organisation as a business associate in California and lists 29,000 individuals affected, which makes it the 155th largest of the 776 California filings on the register and the 17th largest of the 199 filings submitted nationally in 2010. Among the 17 California filings made in 2010 it ranks 3rd.
Individuals affected
29,000
As reported to HHS
Modelled cost (IBM 2025)
$4.64M
Method shown, not disclosed
Rank in CA
155th
of 776 California filings
Rank in 2010
17th
of 199 filings nationally
Section F.1 / The filing
As posted by HHS OCR
Every value below is the portal's own field for this filing, plus its rank within the register.
- Covered entity type
- Business Associate
- Individuals affected
- 29,000
- Breach submission date
- 6 July 2010
- Submission year
- 2010
- Type of breach
- Loss, Other
- Location of breached information
- Other, Other Portable Electronic Device
- Business associate present
- Yes
- State
- California (CA)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in California by size
- 155th of 776
- Rank in 2010 nationally
- 17th of 199
- California median filing
- 3,553 individuals
- Register id (derived)
- CA-20100706-care-1st-health-plan
Section F.2 / In context
Where this filing sits in California and in 2010
OCR classifies the incident as loss of records or equipment and a breach of another type, with the breached information held in another location and another portable electronic device. Loss is the type recorded on 26 of the 776 California filings (3%) and on 10% of all filings submitted in 2010. Other appears on 5% of California filings.
A business associate is recorded as present on the filing, as it is on 33% of California filings. At 29,000 individuals the breach is 8.2 times the California median filing of 3,553 and 7.3 times the national median of 4,000 across all 7,884 filings. It sits in the 10,000 to 99,999 band, which holds 1,938 filings.
As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.
California's breach notification statute (Cal. Civ. Code 1798.82) requires notice to affected residents within 30 calendar days of discovery (effective 1 January 2026, SB 446). Its attorney general threshold: more than 500 California residents. The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.
Multiplying 29,000 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $4.64M; the 2026 edition's $192 gives $5.57M. Both are modelled estimates with the method shown, not costs disclosed by Care 1st Health Plan. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.8 times the sector average.
Section F.3 / OCR closing summary
The portal's archived description, in full
Written by the Office for Civil Rights when the case was closed and reproduced verbatim from the HHS export.
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Section F.5 / Modelled cost
29,000 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$4.64M
29,000 x $160
IBM 2026 customer PII, $192 per record
$5.57M
29,000 x $192
Method: individuals affected, as reported by Care 1st Health Plan to HHS, multiplied by IBM's customer-PII cost per record (Cost of a Data Breach 2025 Figure 6 and the 2026 edition). No cost has been disclosed by the entity for this filing; the figure is a planning estimate, not a fact about the breach. IBM's per-record figures come from mid-volume breaches and IBM cautions against applying them to breaches involving millions of records; the site's per-record page explains where the multiplication holds and where it breaks down.
Context: IBM's average cost of a healthcare breach is $6.64M in the 2026 report ($7.42M in 2025); the global average across all sectors was $4.44M in 2025.
Cost per record: method and limits / Healthcare breach cost, IBM 2026
Section F.6 / Notification clock
California statute and the HIPAA rule
State notification statute
California: Cal. Civ. Code 1798.82
- Notice to individuals
- Within 30 calendar days of discovery (effective 1 January 2026, SB 446)
- Attorney general threshold
- More than 500 California residents (Within 15 calendar days after notifying affected consumers)
- Private right of action
- Yes: Under CCPA Civ. Code 1798.150 for breaches from failure to maintain reasonable security; $107-$799 per consumer per incident (CPI-adjusted from $100-$750, effective Jan 2025)
- Penalty
- CCPA civil penalties of $2,663 per violation, $7,988 per intentional violation (CPI-adjusted, effective Jan 2025); CCPA private right of action for security-failure breaches
The HIPAA Breach Notification Rule runs alongside the state statute: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.
Section F.7 / Peer filings
California filings closest in size
Neighbours by size rank among California filings in 2010, topped up from other years where 2010 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Silicon Valley Eyecare Optometry and Contact Lenses | Healthcare Provider | 40,000 | 13 May 2010 | |||
| County of Los Angeles | Healthcare Provider | 33,000 | 17 Sep 2010 | |||
| St. Joseph Heritage Healthcare | Healthcare Provider | 22,012 | 23 Apr 2010 | |||
| Kaiser Permanente Medical Care Program | Healthcare Provider | 15,500 | 12 Jan 2010 |
Index / Companion schedules
13 HHS breach register
→Hub: every filing, by state, year and entity.
04 Biggest breaches
→Mega-breaches with primary-source cost figures.
Industry / Healthcare
→IBM 2026: $6.64M average, 13 years at #1.
Regulation / HIPAA penalties
→OCR enforcement tiers and the 60-day rule.
11 50-state laws
→Deadline, AG threshold and penalties per state.
Cost / Per record
→Where the per-record model is reliable.
Provenance
Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-08-28. Public domain. Individuals affected and dates as reported by the covered entity.
Portal: ocrportal.hhs.gov breach report. Statutory basis: HITECH Act section 13402(e)(4): the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. Breaches affecting fewer than 500 individuals are reported to OCR annually and are not posted, so they are not on this register. Status wording follows the portal's two tabs ("Cases Currently Under Investigation" and "Archive") as of 28 August 2026; a filing moves to the archive when OCR closes the case. Modelled costs on this site are a method applied to the reported count, using IBM Cost of a Data Breach per-record figures, and are never a cost disclosed by the entity. This row: hhs-breach-archive__2026-08-28.csv, export row 7071.
Corrections: if you represent a listed entity and the portal row has been amended, email [email protected] with the portal entry and we will re-pull the export.