Breach filing
ArchivedHorizon Healthcare Services Inc. doing business as Horizon Blue Cross Blue Shield of New Jersey and its affiliates: 55,700 individuals, Dec 2016.
Horizon Healthcare Services Inc. doing business as Horizon Blue Cross Blue Shield of New Jersey and its affiliates reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 30 December 2016. The filing records the organisation as a health plan in New Jersey and lists 55,700 individuals affected, which makes it the 28th largest of the 174 New Jersey filings on the register and the 23rd largest of the 328 filings submitted nationally in 2016. Among the 8 New Jersey filings made in 2016 it ranks 1st.
Individuals affected
55,700
As reported to HHS
Modelled cost (IBM 2025)
$8.91M
Method shown, not disclosed
Rank in NJ
28th
of 174 New Jersey filings
Rank in 2016
23rd
of 328 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
- Health Plan
- Individuals affected
- 55,700
- Breach submission date
- 30 December 2016
- Submission year
- 2016
- Type of breach
- Unauthorized Access/Disclosure
- Location of breached information
- Paper/Films
- Business associate present
- No
- State
- New Jersey (NJ)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in New Jersey by size
- 28th of 174
- Rank in 2016 nationally
- 23rd of 328
- New Jersey median filing
- 5,727 individuals
- Register id (derived)
- NJ-20161230-horizon-healthcare-services-doing-busine
Section F.2 / In context
Where this filing sits in New Jersey and in 2016
OCR classifies the incident as unauthorized access or disclosure, with the breached information held in paper records or films. Unauthorized Access/Disclosure is the type recorded on 31 of the 174 New Jersey filings (18%) and on 40% of all filings submitted in 2016. Paper/Films appears on 8% of New Jersey filings.
No business associate is recorded on the filing; 27% of New Jersey filings do involve one. At 55,700 individuals the breach is 9.7 times the New Jersey median filing of 5,727 and 14 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.
New Jersey's breach notification statute (N.J. Stat. 56:8-161 et seq.) requires notice to affected residents within 30 days of reasonably determining a breach occurred (7 days for social-media-platform breaches). Its attorney general threshold: all breaches (Division of Consumer Affairs and State Police). 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 55,700 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 $8.91M; the 2026 edition's $192 gives $10.7M. Both are modelled estimates with the method shown, not costs disclosed by Horizon Healthcare Services Inc. doing business as Horizon Blue Cross Blue Shield of New Jersey and its affiliates. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.6 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.
The covered entity's (CE) business associate (BA), Command Marketing Innovations, discovered a printing error that caused certain members and healthcare professionals to receive Explanation of Benefits (EOB) statements and Explanation of Payment (EOP) statements that included protected health information (PHI) information intended for a different member or health care professional. The breach impacted 55,715 members and the PHI included names, identification numbers, claim numbers, dates of services, descriptions of service, service codes, or provider/facility names. The CE provided breach notification to HHS, affected individuals, and the media. Following the breach, the CE improved quality control procedures for mailings performed by the BA, added contractual requirements that require the BA to inform the CE in writing of all proposed production changes and obtain written approval from the CE before final production of printing jobs. OCR obtained assurances that the CE implemented the corrective actions listed.
Section F.5 / Modelled cost
55,700 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$8.91M
55,700 x $160
IBM 2026 customer PII, $192 per record
$10.7M
55,700 x $192
Method: individuals affected, as reported by Horizon Healthcare Services Inc. doing business as Horizon Blue Cross Blue Shield of New Jersey and its affiliates 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
New Jersey statute and the HIPAA rule
State notification statute
New Jersey: N.J. Stat. 56:8-161 et seq.
- Notice to individuals
- Within 30 days of reasonably determining a breach occurred (7 days for social-media-platform breaches)
- Attorney general threshold
- All breaches (Division of Consumer Affairs and State Police) (Before individual notifications are sent)
- Private right of action
- Yes: Direct PROA under the Consumer Fraud Act for ascertainable losses, including treble damages
- Penalty
- $10,000 first offense, $20,000 per subsequent offense; treble damages and fees for private plaintiffs
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
New Jersey filings closest in size
Neighbours by size rank among New Jersey filings in 2016, topped up from other years where 2016 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| The Cooper Health SystemOpen | Healthcare Provider | 57,412 | 23 May 2025 | |||
| Advanced Medical Practice Management | Business Associate | 56,427 | 23 Mar 2022 | |||
| ProSmile Holdings, LLC | Business Associate | 39,674 | 28 Mar 2023 | |||
| Quest Diagnostics | Healthcare Provider | 34,055 | 12 Dec 2016 | |||
| New Jersey Spine Center | Healthcare Provider | 28,000 | 22 Sep 2016 |
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 5356.
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.