Fero v. Excellus Health Plain, Inc.

236 F. Supp. 3d 735, 2017 WL 713660
CourtDistrict Court, W.D. New York
DecidedFebruary 22, 2017
Docket6:15-CV-06569 EAW
StatusPublished
Cited by23 cases

This text of 236 F. Supp. 3d 735 (Fero v. Excellus Health Plain, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fero v. Excellus Health Plain, Inc., 236 F. Supp. 3d 735, 2017 WL 713660 (W.D.N.Y. 2017).

Opinion

DECISION AND ORDER

ELIZABETH A. WOLFORD, United States District Judge

INTRODUCTION

Those who are entrusted with details about an individual’s health care should guard against even the inadvertent disclosure of that confidential information. Those duties were allegedly breached in this case when hackers secured access to confidential health care information through a cyberattack. Nonetheless, while legal remedies may be pursued by those who were injured, the law only allows for the pursuit of plausible claims — and only by those who have standing based on an alleged legally compensable injury. Not all parties or all claims in this case meet that standard.

This case arises out of a data breach involving Excellus Health Plan, Inc. (“Ex-cellus”), a healthcare provider. Plaintiffs, who allege various claims and injuries arising from the data breach, bring this putative class action against the following eight defendants: Excellus, Lifetime Healthcare, Inc. (“Lifetime”), Lifetime Benefit Solutions, Inc., Genesee Region Home Care Association, Inc. d/b/a Lifetime Care, [743]*743Genesee Valley Group Health Association d/b/a Lifetime Health Medical Group, Me-dAmerica, Inc., Univera Healthcare, and Blue Cross and Blue Shield Association (“BCBSA”).1 In their Consolidated Master Complaint (“CMC”), Plaintiffs assert claims under various federal and state laws and seek, inter alia, class certification, injunctive relief, and damages. (Dkt. 99).

Presently before the Court are two motions to dismiss Plaintiffs’ CMC. (Dkt. 107; Dkt. 111). The Exeellus Defendants and BCBSA — i.e., all Defendants — move to dismiss the CMC pursuant to Federal Rules of Civil Procedure 12(b)(1) and 12(b)(6), on the basis that the Court lacks jurisdiction because Plaintiffs lack standing to sue, , and that Plaintiffs have failed to state a claim. (Dkt. 107-1 (“Exeellus Mot.”)); (Dkt. 111-1 (“BCBSA Mot.)). For the reasons that follow, the Court grants'in part and denies in part both motions.

BACKGROUND

I. Factual Background

The following factual allegations are drawn from Plaintiffs’ CMC.

A. The Parties

Exeellus is “the primary healthcare provider in Upstate New York” and a licensee of BCBSA. (CMC at ¶ 37). Exeellus is a subsidiary of Lifetime and a parent company to all other defendants, except Lifetime and BCBSA. (Id. at ¶ 40). Lifetime is “the parent and/or holding company of a $6.6 billion family of companies, known as the Lifetime Healthcare Companies, that finances and delivers health care in New York State, as well as long-term care nationwide.” (Id. at ¶ 42). The following five defendants are affiliate companies of the Lifetime Healthcare Companies, and they are owned and controlled by Lifetime and Exeellus: (1) Lifetime Benefit Solutions, Inc.; (2) Genesee Region Home Care Association, Inc. d/b/a Lifetime Care; (3) Genesee Valley Group Health Association d/b/a Lifetime Health Medical Group; (4) MedAmerica, Inc.; and (5) Univera Healthcare. (Id. at ¶¶ 45-49). The final defendant, BCBSA, “is a federation of 36 health insurance organizations and companies that provides health insurance to over 106 million individuals.” (Id. at ¶ 50). Ex-cellus “cooperates with BCBSA and other independent Blue Cross Blue Shield ... licensees to participate in the BlueCard program. Under the BlueCard program, members of one BCBS licensee may access another BCBS licensee’s provider networks and discounts.” (Id. at ¶ 55). .

Plaintiffs allege three different types of classes. First, Plaintiffs allege “separate statewide classes for the states of California, Florida, Indiana, North Carolina, New Jersey, New York, and Pennsylvania,” defined as “[a]ll citizens of [name of state] whose [personally identifiable information (“PII”)] or [protected health information (“PHI”) ] was compromised by the Excel-lus data breach” (“Statewide Classes”). (Id. at 64). Second, Plaintiffs allege a federal employee class, defined as “[a]ll en-rollees in the Federal Employee Health Benefits Plan whose Personal Information was compromised by the Exeellus data breach” (“Federal Employee Class”). (Id. at 65). Third, Plaintiffs allege a healthcare provider class, defined as “[a]ll healthcare providers and/or medical professionals who submitted PII directly or indirectly to Defendants and whose PII was compromised by the Exeellus data breach” (“Healthcare Provider Class”). (Id. at 66).

[744]*744B. The Data Breach

On December 23; 2013, hackers gained access to Excellus’s computer network systems, which stored the personal information belonging to millions of individuals. (Id. at ¶¶ 52, 131, 133). During this data breach, the hackers had access to individuals’ names, dates of birth, social security numbers, mailing addresses, telephone numbers, member identification numbers, financial payment information (including credit card numbers), and medical insurance claims information. (Id, at ¶¶ 1-3, 52, 134). The hackers also had access to healthcare providers’ personal information, including medical licenses. (Id. at ¶ 135). The breach continued for 20 months, until at least August 18, 2014; however, the hackers may have had access to the'systems more recently, on May 11, 2015. (Id. at ¶ 133). :

“In the wake of- other high-profile healthcare data breaches ..., Defendants hired cyberseeurity company Mandiant to forensically assess their systems.” (Id. at ¶ 132). On August-4, 2015, Mandiant’s analysis revealed malware on Defendants’ systems. (Id.) On September 9, 2015, Defendants publicly announced that the breach-had occurred and that it affected 10 to 10.5 million people, including past and current Excellus policyholders, - as well as. those who are insured by or receive healthcare services from' Defendants’ affiliates. (Id. at ¶ 138), According to that announcement, Mandiant’s investigation did hot determine that any personal information was removed from Excellus’s systems, and Excel-lus had no evidence that the personal information was used inappropriately.- (Dkt. 107-3, Ex. A). Defendants offered two years of free credit monitoring to adult victims of the breach. (CMC at ¶ 138).

Plaintiffs allege that Defendants had reason to know that their data security was inadequate both before the data breach started and after it was discovered by Defendants. (Id. at ¶¶ 114, 120). For example, in May 2012, the Department of Health and Human Services’ Office for Civil Rights hired KPMG to conduct an audit of Univera (a Defendant and Lifetime affiliate company) in order to review its compliance with the Privacy, Security, and Breach Notification Rules of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”)- (Id. at ¶ 115). The audit revealed, inter alia, that Univera’s “Risk Assessment Policies & Procedures failed to identify the risks and vulnerabilities to the confidentiality, integrity, and availability of electronic PHI.” (Id. at ¶ 117). As another example, in April 2014, the FBI Cyber Division “issued a ‘Private Industry Notification’ that explained how ‘the health care industry is not technically prepared to combat against cyber criminals’ basic cyber intrusion tactics, techniques and procedures (TTPs), much less against more advanced persistent threats (APTs).

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Bluebook (online)
236 F. Supp. 3d 735, 2017 WL 713660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fero-v-excellus-health-plain-inc-nywd-2017.