Group Health Cooperative of South Central Wisconsin (GHCSCW)

Group Health Cooperative of South Central Wisconsin (GHCSCW)

On or about **January 24, 2024**, GHCSCW experienced a **data breach** exposing the **personal and protected health information (PHI)** of approximately **533,809 members**. The compromised data included sensitive details such as **personally identifiable information (PII) and medical records**, leading to potential risks of **identity theft, fraud, and unauthorized access to health data**. The breach prompted a **$3.5 million class-action settlement**, offering affected individuals **three years of medical/cybersecurity monitoring (CyEx services)** and **cash payouts**—either **documented losses up to $5,000** or an **estimated $100 pro rata payment**. The lawsuit alleged **negligence, breach of fiduciary duty, and failure to implement adequate security measures**, though GHCSCW denied wrongdoing. The incident underscored vulnerabilities in **healthcare data protection**, with long-term repercussions for trust and regulatory compliance.

Source: https://www.claimdepot.com/settlements/ghc-scw-settlement

Group Health Cooperative of South Central Wisconsin cybersecurity rating report: https://www.rankiteo.com/company/group-health-cooperative-of-south-central-wisconsin

"id": "GRO1092510111225",
"linkid": "group-health-cooperative-of-south-central-wisconsin",
"type": "Breach",
"date": "1/2024",
"severity": "85",
"impact": "4",
"explanation": "Attack with significant impact with customers data leaks"
{'affected_entities': [{'customers_affected': '533,809',
                        'industry': 'Healthcare',
                        'location': 'South Central Wisconsin, USA',
                        'name': 'Group Health Cooperative of South Central '
                                'Wisconsin (GHCSCW)',
                        'type': 'Healthcare Provider'}],
 'customer_advisories': ['Eligibility for $5,000 (documented losses) or $100 '
                         '(pro rata) cash payments',
                         'Three years of CyEx Medical monitoring services',
                         'Deadline to file claims: 2026-01-20'],
 'data_breach': {'data_exfiltration': 'Likely (dark web scanning included in '
                                      'settlement services)',
                 'number_of_records_exposed': '533,809',
                 'personally_identifiable_information': ['Names',
                                                         'Health records',
                                                         'Potentially '
                                                         'financial data '
                                                         '(fraud risks '
                                                         'mentioned)'],
                 'sensitivity_of_data': 'High (includes health and personal '
                                        'data)',
                 'type_of_data_compromised': ['Personally Identifiable '
                                              'Information (PII)',
                                              'Protected Health Information '
                                              '(PHI)']},
 'date_detected': '2024-01-24',
 'description': 'Group Health Cooperative of South Central Wisconsin (GHCSCW) '
                'agreed to pay $3.50 million to resolve a class action lawsuit '
                'alleging failure to prevent a data breach on or about Jan. '
                '24, 2024, which exposed sensitive personal and health '
                'information of approximately 533,809 members. The breach led '
                'to potential identity theft risks, with affected individuals '
                'eligible for up to $5,000 in documented losses or an '
                'estimated $100 cash payment, along with three years of CyEx '
                'Medical monitoring services.',
 'impact': {'brand_reputation_impact': 'Negative (lawsuit and settlement '
                                       'indicate reputational harm)',
            'customer_complaints': 'Class action lawsuit filed by affected '
                                   'members',
            'data_compromised': ['Personally Identifiable Information (PII)',
                                 'Protected Health Information (PHI)'],
            'financial_loss': '$3,500,000 (settlement fund)',
            'identity_theft_risk': 'High (dark web scanning and identity theft '
                                   'insurance offered as part of settlement)',
            'legal_liabilities': "$3,500,000 settlement, attorneys' fees (up "
                                 'to $1,166,666.67), potential additional '
                                 'expenses',
            'systems_affected': ['Network systems']},
 'initial_access_broker': {'data_sold_on_dark_web': 'Likely (dark web scanning '
                                                    'included in settlement)',
                           'high_value_targets': ['Personal and health data of '
                                                  'members']},
 'investigation_status': 'Settled (final approval hearing on 2026-02-04)',
 'post_incident_analysis': {'corrective_actions': ['Settlement payments',
                                                   'Credit monitoring services',
                                                   'Denial of wrongdoing but '
                                                   'agreement to settle to '
                                                   'avoid litigation costs']},
 'references': [{'source': 'Class Action Settlement Notice (GHC-SCW Data '
                           'Incident)'},
                {'source': 'Kroll Settlement Administration LLC'}],
 'regulatory_compliance': {'legal_actions': ['Class action lawsuit '
                                             '(allegations: negligence, breach '
                                             'of fiduciary duty, breach of '
                                             'implied contract, unjust '
                                             'enrichment)']},
 'response': {'communication_strategy': ['Notice sent to affected individuals',
                                         'Official settlement website for '
                                         'claims',
                                         'Mail-in claim forms'],
              'recovery_measures': ['$3.5M settlement fund for affected '
                                    'members',
                                    'Three years of CyEx Medical monitoring '
                                    'services (credit monitoring, dark web '
                                    'scanning, identity theft insurance)'],
              'third_party_assistance': ['Kroll Settlement Administration LLC '
                                         '(claims administration)']},
 'stakeholder_advisories': ['Notice to affected members',
                            'Settlement website and claim forms'],
 'title': 'GHC-SCW $3.5M Data Breach Class Action Settlement',
 'type': 'Data Breach'}
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