EMOI Servs., L.L.C. v. Owners Ins. Co.

2021 Ohio 3942, 180 N.E.3d 683
Ohio Court of Appeals·Decided November 5, 2021·No. 29128·Published·Cited by 2 cases

Opinion

IN THE COURT OF APPEALS OF OHIO SECOND APPELLATE DISTRICT MONTGOMERY COUNTY

EMOI SERVICES, LLC :

:

Plaintiff-Appellant : Appellate Case No. 29128 :

v. : Trial Court Case No. 2019-CV-5979 :

OWNERS INSURANCE COMPANY : (Civil Appeal from : Common Pleas Court)

Defendant-Appellee :

:

...........

OPINION

Rendered on the 5th day of November, 2021.

...........

JOHN A. SMALLEY, Atty. Reg. No. 0029540, 131 North Ludlow Street, Suite 1400, Dayton, Ohio 45402 Attorney for Plaintiff(s)-Appellant

ERIN B. MOORE, Atty. Reg. No. 0061638, 800 Performance Place, 109 North Main Street, Dayton, Ohio 45402 Attorney for Defendant(s)-Appellee

.............

EPLEY, J.

{¶ 1} EMOI (Electronic Medical Office Integration) Services, LLC, appeals from a judgment of the Montgomery County Court of Common Pleas, which granted summary judgment to Owners Insurance Company on EMOI’s breach of contract and bad faith claims. For the following reasons, the trial court’s judgment will be reversed, and the case will be remanded for further proceedings.

I. Facts and Procedural History

{¶ 2} The underlying facts are largely undisputed. EMOI provides “medical billing services and application services and support” to medical providers. The company obtains necessary information from patients and medical providers for medical services rendered and formulates it into a fillable billing claims form to the third-party payer network. EMOI also sends invoices to patients for balances due.

{¶ 3} EMOI employees have two computer logins. They first must provide login information to access their work computers. Employees then use a second login to access Medics, the system that allows customers to input billing data, scheduling, and other applications offered to them. In addition to Medics, EMOI has its own proprietary software that is the preferred method for customers to enter patient charges, procedure codes, and diagnosis codes.

{¶ 4} On September 12, 2019, after logging into her workstation, an EMOI employee, Ruth Ross, discovered that she was unable to access the Medics system. She contacted Vernon Glaser, the general manager of EMOI, who contacted Dan Glaser- Garbrick, EMOI’s software developer and information technology (IT) manager.

{¶ 5} Glaser-Garbrick “could not log in the way [he] normally [did]” but was able to

access the system using VPN access. When he did, he saw that all of the files on the affected servers had “weird extensions.” Glaser-Garbrick recognized that EMOI’s system had been hacked and the files encrypted. A ransom note was “in every single folder on all the computers that were affected.” Glaser-Garbrick informed Glaser of what had occurred. At this point, Glaser was receiving phone calls from several clients, all of whom reported that they could not access the system.

{¶ 6} According to Glaser-Garbrick, the ransom note stated that the files were encrypted and currently unavailable, but the company could get them back. The hacker indicated that the company should respond by email with the provided personal code and that the company could decrypt one file for free. Per the hacker’s instructions, Glaser- Garbrick sent the hacker an encrypted file and the personal code indicated on the ransom note, and the hacker responded with the contents of the file. Glaser-Garbrick indicated that the returned file could be opened and operated normally. The hacker further indicated that the remaining files could be decrypted for three bitcoins, which at that time cost a total of approximately $35,000.

{¶ 7} EMOI started investigating data recovery companies that could decrypt its files without paying the hacker. It selected a company from Australia, but the estimated cost was approximately $55,000, and the data recovery company was not certain that all of the data could be recovered. Ultimately, EMOI decided to pay the hacker. Within about an hour of sending the bitcoin, EMOI received an email with a link to download a program that would decrypt the files. Glaser-Garbrick stated that, once the decryption program operated and decrypted the files, “the files would open and functioned the way they were intended.” A few files did not get decrypted, “but they weren’t super critical.”

{¶ 8} Soon after the decryption was completed, the encryption program re-ran on the Medics server. Glaser-Garbrick was able to decrypt the files again with the same decryption key previously provided by the hacker.

{¶ 9} In response to the ransomware attack, EMOI upgraded the Medics software, transitioned from remote access to using VPN software, and moved its computer access to a new domain. EMOI also changed how it backed up its system. The system still had a few residual problems: the interface between EMOI’s website and Medics could not communicate and the program that auto-generated remittances did not function due to being moved to the new server, and the automated phone call system had not been decrypted because the key did not work.

{¶ 10} When the ransomware attack occurred, EMOI was covered by a businessowner’s insurance policy issued by Owners. At approximately 8:03 a.m. on September 13, 2019 (the day after the attack), Glaser called his insurance agent to report the incident and file a claim. EMOI’s claim was assigned to Bradley Weaner, a field claim representative for Auto-Owners Insurance, the parent company of Owners. Weaner reviewed the written loss notification in the computer system, reviewed EMOI’s policy, and then spoke with Glaser. Glaser reported that the situation was discovered when an employee could not log into her computer system. Glaser told Weaner that the data was not physically damaged, but was inaccessible due to being encrypted and held for ransom. While reviewing the claim, Weaner spoke with his branch manager and home office commercial lines manager.

{¶ 11} Weaner concluded that there was no coverage under any of the potentially applicable provisions of the insurance policy, including the Data Compromise

endorsement and the Electronic Equipment endorsement. The Data Compromise endorsement addresses the compromise of an individual’s “personal data.” The exclusion portion of the Data Compromise endorsement precludes coverage for “[a]ny threat, extortion or blackmail. This includes, but is not limited to, ransom payments and private security assistance[.]” The Electronic Equipment endorsement includes a provision addressing “direct physical loss or damage to ‘media.’ ”

{¶ 12} Weaner again spoke with Glaser and informed him that the claim would be denied. He also sent a coverage position letter outlining the bases for the lack of coverage. The letter identified the two potentially applicable endorsements and explained that neither provision provided coverage, reasoning:

As cited in the policy language above, paying ransom is excluded. Since the data belongs to another party that is not your customer it does not meet the definition of “affected individual”. Furthermore, there is no direct physical loss to the “media”. * * * The letter indicated that EMOI should contact Owners with any additional information. EMOI did not provide additional information to Owners following the denial.

{¶ 13} In December 2019, EMOI filed suit in the common pleas court, alleging that Owners breached its contract by denying coverage under the Electronic Equipment provision and that Owners denied coverage in bad faith. Owners denied the claims and counterclaimed for a declaratory judgment that “no coverage, payment or indemnity is owed” to EMOI under the policy.

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EMOI Servs., L.L.C. v. Owners Ins. Co., 2021 Ohio 3942, 180 N.E.3d 683 (Ohio Ct. App. 2021).

2021 Ohio 3942 (EMOI Servs., L.L.C. v. Owners Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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