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

2021 Ohio 3942, 180 N.E.3d 683
CourtOhio Court of Appeals
DecidedNovember 5, 2021
Docket29128
StatusPublished
Cited by2 cases

This text of 2021 Ohio 3942 (EMOI Servs., L.L.C. v. Owners Ins. Co.) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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

Opinion

[Cite as EMOI Servs., L.L.C. v. Owners Ins. Co., 2021-Ohio-3942.]

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

............. -2-

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 -3-

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.” -4-

{¶ 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 -5-

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.

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2021 Ohio 3942, 180 N.E.3d 683, Counsel Stack Legal Research, https://law.counselstack.com/opinion/emoi-servs-llc-v-owners-ins-co-ohioctapp-2021.