HHS OCR report · 2018
WellCare Health Plans, Inc. data breach
OCR report facts
- Covered entity
- WellCare Health Plans, Inc.
- Entity type
- Health Plan
- State
- Florida
- Individuals affected
- 1,101
- Submission date
- Jun 13, 2018
- Type of breach
- Unauthorized Access/Disclosure
- Location of breached information
- Other
- Business associate present
- Yes
- Status
- Archive (closed)
OCR description
On April 10, 2018, law enforcement notified Advanced Medical Reviews (AMR), a business associate (BA) of the covered entity (CE), WellCare Health Plans, that they had arrested an AMR employee for fraudulently impersonating a licensed physician. The employee, who had previously lost his medical license, allegedly used another physician’s credentials to gain employment and conduct medical reviews of 1,101 of the CE’s members which included accessing protected health information (PHI), includin...
Text as published on the HHS OCR breach portal.
Other reports by WellCare Health Plans, Inc.
| Covered entity | State | Entity type | Individuals | Submitted | Type of breach | Status |
|---|---|---|---|---|---|---|
| WellCare Health Plans, Inc. | FL | Health Plan | 2,794 | Jun 30, 2020 | Unauthorized Access/Disclosure | Archive (closed) |
| WellCare Health Plans, Inc. | FL | Health Plan | 26,942 | Sep 14, 2018 | Unauthorized Access/Disclosure | Archive (closed) |
| WellCare Health Plans, Inc. | FL | Health Plan | 1,214 | Aug 11, 2017 | Unauthorized Access/Disclosure | Archive (closed) |
| WellCare Health Plans, Inc. | FL | Health Plan | 24,809 | Jan 27, 2017 | Hacking/IT Incident | Archive (closed) |
Frequently asked questions
How many people were affected by the WellCare Health Plans, Inc. data breach?
The report to HHS OCR lists 1,101 individuals affected.
When was it reported to HHS?
It was submitted to HHS OCR on Jun 13, 2018.
What type of breach was it?
The OCR portal lists the type of breach as Unauthorized Access/Disclosure, with the breached information located in: Other.
Is the investigation still open?
No. The report is in the OCR portal archive, which holds reports where OCR has closed its review.
Is a breach notice letter from WellCare Health Plans, Inc. legitimate?
This site cannot verify letters. Check the sender against the organisation's official website and the HHS OCR breach portal, and avoid calling numbers or clicking links only listed in an unexpected message. See our guide on what to do after a data breach notice.
Source: HHS OCR Breach Portal, OCR export October 2026. Network USA is not affiliated with HHS or WellCare Health Plans, Inc..