MD Insurance Bulletin 22-13
Reporting Cybersecurity Events to the Maryland Insurance Administration
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Bulletin 22-13
Date: September 30, 2022
To: All Insurers, Health Maintenance Organizations, Dental Plan Organizations, Nonprofit
Health Service Plans, Managed Care Organizations, and Third Party Administrators
Re:
Chapter 231 of the Laws of 2022 (SB207) (Effective 10/1/2022)
Reporting Cybersecurity Events to the Maryland Insurance Administration
Chapter 231 of the Laws of 2022, (SB 207) adds Title 33 to the Insurance Article, Maryland
Code Annotated.1 Title 33 requires Carriers (as that term is defined below) to, among other things,
establish and maintain an information security program that meets certain standards and to notify
the Maryland Insurance Administration (“MIA”) of certain Cybersecurity Events, as defined and
described below.2
SB 207 becomes effective on October 1, 2022. The date by which Carriers must implement
specific requirements of Title 33 differs by requirement and, in some instances, by category of
Carrier. However, the Cybersecurity Event notification requirements set forth in § 33-105
are effective on October 1, 2022. The purpose of this Bulletin is to remind Carriers of this
obligation and to provide Carriers with instructions as to how to provide the required notice.3
Definition of Carrier
SB 207 applies to a ““Carrier,” which is broadly defined by § 33-101(c) as follows:
(c)(1) “Carrier” means:
1 Unless otherwise stated, all citations in this Bulletin are to the Insurance Article.
2 Prior to the enactment of Title 33, §4-406 of the Insurance Article required a carrier to notify the
Commissioner of a security breach. Effective October 1, 2022, this section is repealed and replace
with the notice requirements set forth in newly enacted §33-105.
3 It is important to note that SB 207 does not change the requirements of Title 14 of the Commercial
Law Article regarding notifications required thereunder in the event of security breach subject to
that section.
KATHLEEN A. BIRRANE
Commissioner
GREGORY M. DERWART
Deputy Commissioner
LARRY HOGAN
Governor
BOYD K. RUTHERFORD
Lt. Governor
200 Saint Paul Place, Suite 2700, Baltimore, Maryland 21202
Direct Dial: 410-468-2471 Fax: 410-468-2020
1-800-492-6116 TTY: 1-800-735-2258
www.insurance.maryland.gov
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(i) an authorized insurer;
(ii) a nonprofit health service plan;
(iii) a health maintenance organization;
(iv) a dental organization;
(v) a managed general agent; or
(vi) a third–party administrator.
(2) “Carrier” does not include:
(i) a purchasing group or a risk retention group chartered and licensed
in a state other than this State; or
(ii) a person that is acting as an assuming insurer that is domiciled in
another state or jurisdiction.
Initial Notice Requirements
Section 33-105 of the Insurance Article requires Carriers to notify the Commissioner of a
““Cybersecurity Event,” which is defined by § 33-101(e) as follows:
(e) (1) “Cybersecurity Event” means an event resulting in unauthorized access to,
or disruption or misuse of, an information system or nonpublic information
stored on an information system.
(2) “Cybersecurity Event” does not include:
(i) the unauthorized acquisition of encrypted nonpublic information if the
encryption, process, or key is not also acquired, released, or used without
authorization; or
(ii) an event with regard to which the carrier has reasonably determined that
the nonpublic information accessed by an unauthorized person has not been
and will not be used or released and has been returned or destroyed.
Carriers are not required to notify the MIA of every Cybersecurity Event. Notice is
required if:
(1) (i) the State is the carrier’s state of domicile; and
(ii) the cybersecurity event has a reasonable likelihood of harming a
consumer residing in the state or any material part of the normal operations
of the carrier; or
(2) the carrier reasonably believes that the nonpublic information involved is of
250 or more consumers residing in the state and either of the following
circumstances is present:
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(i) a cybersecurity event impacting the carrier has occurred for which notice
must be provided to a government body, self–regulatory agency, or any
other supervisory body under state or federal law; or
(ii) a cybersecurity event has occurred that has a reasonable likelihood of
materially harming:
(1) a consumer residing in the state; or
(2) a material part of the normal operation of the carrier
Md. Code Ann. Ins. Art.§ 33-105(a)(1) and (2).
When required, notice must be given as promptly as possible, but in no event more than
three business days from the date on which there has been a determination by the Carrier that a
Cybersecurity Event has occurred. The content of the initial notice is set forth in § 33-105(b).
Form and Method of Initial Notice
In accordance with § 33-105(c), the Commissioner requires that the initial notice of a
qualifying Cybersecurity Event required by § 33-105(a) be given electronically using the
Cybersecurity
Event
Initial
Reporting
Form
that
may
be
accessed
here:
https://marylandinsurance.jotform.com/222405158165048. A direct link to the Initial Notice Form
is also available on the MIA’s website.
The Initial Notice Form includes a mandatory section for identification of the Carrier, the
Carrier’s contact for this Event, and the information relied on by the Carrier in determining that
the Cybersecurity Event triggered the notice requirement. The remainder of the Initial Notice
Form addresses each item of information described in § 33-105(b). Carriers are required to provide
as much information as is reasonably possible as to each item of information.
Carriers will receive immediate confirmation of the MIA’s receipt of the submission. That
confirmation will be followed by an e-mail from the MIA providing an MIA Reference Number
and a link to the Cybersecurity Event Supplemental Reporting Form to be used by the Carrier to
provide the updates required by § 33-105(d), including submission to the Commissioner of any
notice required by § 14-3504 of the Commercial Law Article.
Form and Method of Supplemental Notice
Providing initial notification is not sufficient to comply with § 33-105 of the Insurance
Article. Pursuant to § 33-105(c), a Carrier has a continuing obligation to update and
supplement the initial notification to the Commissioner concerning the Cybersecurity Event.
This is an affirmative and proactive obligation of the Carrier and is not dependent on requests by
the MIA for additional information. Updated and supplemental information must be submitted in
real time, as soon as reasonably possible after it becomes available, with respect to each of the
categories of information and each area of inquiry set forth in the Cybersecurity Event Initial
Notice Form.
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All updates and supplemental information must use the MIA’s reference number for that
Cybersecurity Event and must be submitted on the Cybersecurity Event Supplemental Reporting
Form.
Managed Care Organizations
Effective October 1, 2022, managed care organizations (MCO) are subject to § 33-105(f).
This section provides that if a MCO conducts an investigation as required by the Maryland
Department of Health pursuant to its contract with the MCO and determines that a Cybersecurity
Event has occurred, the MCO must provide the Commissioner with copies of all notices and reports
provided to the Maryland Department of Health at the same time and in the same manner that the
MCO provides the notices and reports to the Maryland Department of Health. MCO’s are not
otherwise subject to the provisions of § 33-105.
Any questions about this Bulletin may be directed to Dawna Kokosinski in the Market
Regulation
and
Professional
Licensing
Division
at
410-468-2322
or
dawna.kokosinski@maryland.gov.
KATHLEEN A. BIRRANE
Commissioner
By: SIGNATURE ON ORIGINAL
Mary M. Kwei
Associate Commissioner
Market Regulation and Professional
Licensing