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Regulator-posted notice

Breach notice filed by State of Tennessee Sponsored Group Health Plan (November 2011)

Organization named: State of Tennessee Sponsored Group Health Plan Provisional: identity as filed, not yet matched to the directory
Type as the source lists it: Unauthorized Access/Disclosure

What the sources say

HHS OCR breach portal (HIPAA breaches affecting 500 or more individuals) Primary notice

Posted on the HHS Office for Civil Rights breach portal with a submission date of Nov. 28, 2011.

Organization as reported
State of Tennessee Sponsored Group Health Plan, TN
Entity type as reported
Health Plan
Category as reported
Unauthorized Access/Disclosure
Location of information as reported
Paper/Films
Submission date
Nov. 28, 2011
Observed by BreachRecords
2026-10-18 16:15 UTC (revision 15731, row:6870)
Archived copy
Held in the private archive (provenance)

An equipment operator at the state's postal facility set the machine to insert four (4) pages per envelope instead of one (1) page per envelope, which caused the PHI of four individuals to be sent to one address per envelope. The error affected approximately 1770 enrollees. The letters contained information such as names, addresses, birth dates, and social security numbers. As a result, the CE retrained the employee, submitted a breach report to HHS, provided notice to the affected individuals, notified the media, created a toll-free number for information regarding the incident, posted notice on its website, modified policies to remove the SSN on templates for future mailings, and offered identity theft protection to the affected individuals. Following the OCR investigation, the CE provided reviewed its policies and procedures to ensure adequate safeguards are in place. \

The source's own words, from the revision above.

Figures, per source

  • 1,770 individuals affected (total reported), according to the HHS Office for Civil Rights breach portal, source date Nov. 28, 2011, revision observed 2026-10-18.

Each figure is one source's figure with the basis that source gave. Figures from different sources are shown side by side and are not added, averaged or chosen between.

Timeline

Source dates are the dates the sources give. Observation dates are when BreachRecords recorded each revision.

  • Submission date (HHS Office for Civil Rights breach portal)
  • Observed by BreachRecords (revision 15731)
  • Approved by a reviewer

Organizations linked by a reviewer

Archived evidence

  • 3dbc27dd5742e041cc1e7fe18cc669e2901fbd3b86b7007ed27948ff4d406e1f
    text/csv, 5,530,996 bytes, retrieved from HHS Office for Civil Rights breach portal, 2026-10-18 16:15 UTC. Archived privately · Provenance · Source page

Records reflect source filings as of the dates shown. BreachRecords is not a regulator.

Request a correction

A record that disagrees with its source, names the wrong organization or duplicates another is corrected after review. This form is about Breach notice filed by State of Tennessee Sponsored Group Health Plan (November 2011). We acknowledge every request within two business days. We reply by email.

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