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NetarxImpact Database
Spear Phishing (Email)No AI reportedConfirmed

Anthem breach of 78.8 million records started with a spear phishing email

Anthem Inc. · Healthcare · United States · February 4, 2015

Business impact
$115,000,000
Lost revenue, earnings impact, remediation cost, a settlement or damages sought. Not money stolen.
Anthem agreed to a $115 million class-action settlement in 2017 and a $16 million HIPAA settlement with HHS OCR in 2018, plus a multistate settlement of about $39.5 million in 2020; the figure given is the class-action settlement only.
People or records affected
78,800,000
78.8M as reported

What happened

Anthem disclosed in February 2015 that attackers had taken records on 78.8 million current and former members, including names, dates of birth, Social Security numbers and employment data. A multistate insurance-regulator examination and subsequent reporting concluded the intrusion began when an employee at an Anthem subsidiary opened a spear phishing email, giving attackers a foothold that led to stolen administrator credentials and access to the enterprise data warehouse.

How the deception worked

A targeted email delivered to at least one subsidiary employee installed a backdoor on the workstation. The attackers used that access to move laterally, harvest credentials and eventually obtain the credentials of database administrators, allowing them to query Anthem's data warehouse directly. Data was staged and exfiltrated over months to external infrastructure, including domains that typosquatted the company's former name. The activity was noticed only when an administrator saw a database query running under his own account that he had not issued.

AI involvement · No AI reported

No AI element reported.

The control that would have caught it· our reading, not a claim from the sources

Privileged database accounts should require phishing-resistant MFA and behavioural monitoring, and bulk queries against member data warehouses should alert regardless of which account issues them.

Sources (3)

  1. Commissioner Jones Announces Examination Findings of Anthem Cyber Attack
    California Department of Insurance·insurance.ca.govOpen ↗
  2. Anthem Data Breach: What Happened, Impact, and Lessons
    Huntress·huntress.comOpen ↗
  3. The Anthem Hack: All Roads Lead to China
    ThreatConnect·threatconnect.comOpen ↗

This entry summarises public reporting. It is not a legal finding, and details can change as investigations conclude. Found an error? Send a correction.