Breach filing
ArchivedTennessee Rural Health Improvement Association: 79,000 individuals, Jan 2015.
Tennessee Rural Health Improvement Association reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 13 January 2015. The filing records the organisation as a health plan in Tennessee and lists 79,000 individuals affected, which makes it the 31st largest of the 196 Tennessee filings on the register and the 16th largest of the 270 filings submitted nationally in 2015. Among the 5 Tennessee filings made in 2015 it ranks 1st.
Individuals affected
79,000
As reported to HHS
Modelled cost (IBM 2025)
$12.6M
Method shown, not disclosed
Rank in TN
31st
of 196 Tennessee filings
Rank in 2015
16th
of 270 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
- 79,000
- Breach submission date
- 13 January 2015
- Submission year
- 2015
- Type of breach
- Unauthorized Access/Disclosure
- Location of breached information
- Other
- Business associate present
- No
- State
- Tennessee (TN)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Tennessee by size
- 31st of 196
- Rank in 2015 nationally
- 16th of 270
- Tennessee median filing
- 3,371 individuals
- Register id (derived)
- TN-20150113-tennessee-rural-health-improvement-assoc
Section F.2 / In context
Where this filing sits in Tennessee and in 2015
OCR classifies the incident as unauthorized access or disclosure, with the breached information held in another location. Unauthorized Access/Disclosure is the type recorded on 35 of the 196 Tennessee filings (18%) and on 38% of all filings submitted in 2015. Other appears on 6% of Tennessee filings.
No business associate is recorded on the filing; 36% of Tennessee filings do involve one. At 79,000 individuals the breach is 23 times the Tennessee median filing of 3,371 and 20 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.
Tennessee's breach notification statute (Tenn. Code Ann. 47-18-2107) requires notice to affected residents immediately, but no later than 45 days from discovery or notification. Its attorney general threshold: no mandatory AG notification for private-sector breaches. 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 79,000 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 $12.6M; the 2026 edition's $192 gives $15.2M. Both are modelled estimates with the method shown, not costs disclosed by Tennessee Rural Health Improvement Association. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 2.3 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.
A business associate (BA), BlueCross BlueShield, created a mailing list of its members for the purpose of selling Medicare Advantage marketing products, an activity that was outside of that permitted by the BA agreement. This breached affected 79,000 individuals and included their demographic information. The covered entity (CE), Tennessee Rural Health Improvement Association, provided breach notification to its members that were enrolled in the Medicare supplement insurance plans and non-Medicare insurance plans, as well as to HHS and the media. Following the breach, the CE revised its policies, implemented new technical safeguards, and improved physical security. In addition, it retrained its workforce on the appropriate usage of protected health information (PHI), and minimum necessary determinations for the use and disclosure of PHI. OCR reviewed the BA agreement in place between the CE and BA and determined that it met the requirements of the HIPAA Breach Notification Rule. OCR obtained assurances that the CE implemented the corrective actions listed above.
Section F.5 / Modelled cost
79,000 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$12.6M
79,000 x $160
IBM 2026 customer PII, $192 per record
$15.2M
79,000 x $192
Method: individuals affected, as reported by Tennessee Rural Health Improvement Association 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
Tennessee statute and the HIPAA rule
State notification statute
Tennessee: Tenn. Code Ann. 47-18-2107
- Notice to individuals
- Immediately, but no later than 45 days from discovery or notification
- Attorney general threshold
- No mandatory AG notification for private-sector breaches
- Private right of action
- Yes: Affected customers may sue to recover damages and obtain injunctive relief
- Penalty
- AG may pursue civil penalties, injunctive relief, and restitution; class actions restricted
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
Tennessee filings closest in size
Neighbours by size rank among Tennessee filings in 2015, topped up from other years where 2015 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Urgent Team Holdings | Healthcare Provider | 166,601 | 31 Mar 2022 | |||
| Tennessee Orthopaedic Alliance | Healthcare Provider | 81,146 | 14 Feb 2020 | |||
| International Paper Company Group Health and Welfare Plan | Health Plan | 78,692 | 14 Nov 2023 | |||
| Boston Baskin Cancer Foundation | Healthcare Provider | 56,694 | 2 Feb 2015 | |||
| National Seating & Mobility, Inc. | Healthcare Provider | 9,627 | 12 Jun 2015 |
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 5945.
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.