Breach filing
ArchivedPuerto Rico Department of Health - Triple S Management Corp.: 475,000 individuals, Nov 2010.
Puerto Rico Department of Health - Triple S Management Corp. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 4 November 2010. The filing records the organisation as a health plan in Puerto Rico and lists 475,000 individuals affected, which makes it the 1st largest of the 32 Puerto Rico filings on the register and the 4th largest of the 199 filings submitted nationally in 2010. Among the 6 Puerto Rico filings made in 2010 it ranks 1st.
Individuals affected
475,000
As reported to HHS
Modelled cost (IBM 2025)
$76.0M
Upper bound, method shown
Rank in PR
1st
of 32 Puerto Rico filings
Rank in 2010
4th
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
- Health Plan
- Individuals affected
- 475,000
- Breach submission date
- 4 November 2010
- Submission year
- 2010
- Type of breach
- Unauthorized Access/Disclosure
- Location of breached information
- Network Server
- Business associate present
- Yes
- State
- Puerto Rico (PR)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Puerto Rico by size
- 1st of 32
- Rank in 2010 nationally
- 4th of 199
- Puerto Rico median filing
- 7,911 individuals
- Register id (derived)
- PR-20101104-puerto-rico-department-of-health-triple
Section F.2 / In context
Where this filing sits in Puerto Rico and in 2010
OCR classifies the incident as unauthorized access or disclosure, with the breached information held in a network server. Unauthorized Access/Disclosure is the type recorded on 8 of the 32 Puerto Rico filings (25%) and on 5% of all filings submitted in 2010. Network Server appears on 16% of Puerto Rico filings.
A business associate is recorded as present on the filing, as it is on 56% of Puerto Rico filings. At 475,000 individuals the breach is 60 times the Puerto Rico median filing of 7,911 and 119 times the national median of 4,000 across all 7,884 filings. It is one of 801 filings of 100,000 or more individuals.
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.
Puerto Rico is outside the site's 50-state statute table, so no state deadline is shown; the HIPAA Breach Notification Rule still applied, requiring notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.
Multiplying 475,000 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 $76.0M; the 2026 edition's $192 gives $91.2M. Both are modelled estimates with the method shown, not costs disclosed by Puerto Rico Department of Health - Triple S Management Corp.. Because the filing is above the roughly 100,000-record range in which the per-record figure is reliable, the result is an upper bound, not an estimate: fixed costs are spread across far more records at this scale.
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.
On November 5, 2010, the Puerto Rico Department of Health (DOH), a hybrid entity, reported on behalf of the covered entity (CE), Puerto Rico Health Insurance Administration, also known as the Administracion de Seguros Salud de Puerto Rico, that it discovered that two former staff members of the business associates (BAs) Triple-S Salud (TSS) and Triple-C, improperly accessed restricted areas of TSS' proprietary internet IPA database managed by Triple-C, Inc. The staff members, who were employed by a competitor, were able to gain access to the database because their access rights were not terminated upon leaving the employment of TSS. As a result, the electronic protected health information in the database, including 400,000 of the CE's members' names, contract numbers, home addresses, diagnostic codes, and treatment codes, was accessed. DOH provided breach notification to HHS, and TSS provided breach notification to affected individuals, and the media. Due to OCR's investigation, the CE committed to conduct a risk analysis, implement a risk management plan, revise its policies and procedures, and retrain its staff within a specified period.
Section F.5 / Modelled cost
475,000 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$76.0M
475,000 x $160
IBM 2026 customer PII, $192 per record
$91.2M
475,000 x $192
Method: individuals affected, as reported by Puerto Rico Department of Health - Triple S Management Corp. 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
Puerto Rico statute and the HIPAA rule
State notification statute
Puerto Rico is outside the site's 50-state statute table. The HIPAA Breach Notification Rule applied regardless: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.
HIPAA breach penalties and the 60-day ruleSection F.7 / Peer filings
Puerto Rico filings closest in size
Neighbours by size rank among Puerto Rico 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 |
|---|---|---|---|---|---|---|
| Triple-S Salud, Inc. - Breach Case#2 | Health Plan | 398,000 | 24 Jan 2014 | |||
| Triple-S Salud, Inc. | Health Plan | 398,000 | 18 Nov 2010 | |||
| Medical Card System/MCS-HMO/MCS Advantage/MCS Life | Business Associate | 115,000 | 9 Nov 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 6995.
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.