Medical billing service seeking insurance coverage for ransomware attack among upcoming Ohio Supreme Court cases
Operating in an increasingly digital economy means businesses face a growing threat from cybercriminals looking to hold computer operating systems hostage until a ransom is paid. Businesses that suffer from such crimes have turned to their “all risk” insurance policies for assistance.
Next week, the Supreme Court of Ohio will consider whether a Dayton-area company’s insurance policy, with its three additional “endorsements” to cover its electronic equipment and computers, will pay for the damages from a ransomware attack.
Ransomware is malicious software that gains remote access to a computer device or network and encrypts the computer system or files, preventing access. A ransom payment demand is made to regain access.
The parties in the case say many courts around the nation have heard disputes regarding business insurance coverage for ransomware attack claims, but this is the first time the Supreme Court of Ohio will address the issue. It has drawn national interest through groups filing amicus curiae briefs in the case.
Ransomware attacks have been on the rise for a decade, industry analysts report, but the intrusions went into overdrive at the height of the COVID-19 pandemic. In a joint brief from the Ohio Insurance Institute and the American Property Casualty Insurance Association, the groups note that between July 2020 and July 2021, ransomware attacks have increased from about 13,992 per week to 149,157 per week. Business service providers are among the top targets of the attacks, the insurer groups stated.
The insurance industry has developed policies to cover certain cybercrimes, and cybercrime claims are rapidly shifting to ransomware attacks. The insurer groups note that between 2014 and 2019, more than half of all cybercrime insurance claims were for data theft. Only about 13 percent of the claims were reported for ransomware attacks. In 2020, 54 percent of all claims were for ransomware or malicious software attacks, the groups noted.
EMOI Services, which provides medical billing services and support to medical providers, experienced a ransomware attack in September 2019. EMOI learned a hacker was demanding three bitcoin — at the time worth about $35,000 — to provide a “decryption key” that would allow the company to restore its operations. EMOI agreed to pay the ransom, and within a day, the company was able to partially restore its system to point that it could serve its clients.
EMOI filed a claim with Owners Insurance Company. The company’s IT manager told the Owners Insurance claims adjuster the data was not “physically damaged,” but was inaccessible because the hacker encrypted it. The adjuster denied EMOI’s claim, noting that the policy addressed the “direct physical loss or damage to ‘media,’” and only paid for software repair if the tangible media, such as disk, film or magnetic tape, was physically damaged.
EMOI filed a breach-of-contract lawsuit in Montgomery County Common Pleas Court, arguing the adjuster didn’t understand that the software was damaged by the attack. In 2021, the trial court granted summary judgment to Owners Insurance, stating the situation was a “data compromise” rather than physical damage to electronic equipment. EMOI’s insurance policy had coverage for a “data compromise,” but that endorsement specifically excluded coverage for extortion, blackmail, or ransom payments, the court concluded.
EMOI appealed to the Second District Court of Appeals, which reversed the trial court’s decision. Owners Insurance appealed to the Supreme Court.
Owners Insurance argues the business property insurance policy covers the “direct physical loss of, or damage to, covered property,” which courts have ruled to mean structural damage to tangible property. Separate policies concerning cybercrimes are available, and EMOI chose not to purchase such coverage, the insurer asserts. A traditional property policy covers tangible items, such as computers, and shouldn’t be interpreted to cover interruptions of software use, the insurer claims.
Owners Insurance maintains that EMOI’s losses were like a person forgetting a password to an online bank account. A person’s money isn’t “damaged” when the password isn’t working, but rather the account holder only lost access to the money until access is regained.
EMOI counters this isn’t a case about business insurance in general, but rather the specific additional coverages it bought to protect itself. Its policy from Owners Insurance includes coverage for computer software contained on covered property. EMOI says its software was located on servers damaged by the attack.
EMOI argues the loss wasn’t like a misplaced password. Once the company recovered access, it could provide services to clients, but the hacker damaged the software. The cost to fix the damage to the software should be covered by the policy, the company concludes.
The Court will hear EMOI Services v. Owners Insurance Company and two other appeals on Aug. 2. Arguments begin at 9 a.m. and streamed live online at sc.ohio.gov and on the Ohio Channel, where they are also available for later viewing.
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Source: Dan Trevas, Ohio Supreme Court Office of Public Information, courtnewsohio.gov, via The Highland County Press.