[BreachExchange] Liabilities and Risk from Failing to Address the Cybersecurity of Your Retirement Plan Data

Audrey McNeil audrey at riskbasedsecurity.com
Wed Sep 14 19:11:06 EDT 2016


http://www.jdsupra.com/legalnews/liabilities-and-risk-from-failing-to-30818/

In the current 114th session of Congress, there have been 204 bills,
resolutions and amendments introduced addressing cybersecurity in their
text, if you had any doubt about whether you should be concerned about
cybersecurity of your retirement plan data, please read on.  Many employers
historically were only concerned with privacy and security for health plans
under HIPAA[1] and State laws; however, there are other references to
protecting participant information in ERISA and in other laws that should
not be overlooked.  Data security experts consistently state that it is not
“if” a breach will occur, but “when.”  Human resources and other custodians
of social security numbers are frequent targets of cyber-attacks.[2]

While there are cyber security insurance policies, they are expensive and
the terms and coverage must be carefully reviewed to determine what is
covered because not all of the potential expenses or losses may be
covered.  A breach may trigger costs including state law penalties, costs
related to breach notifications, post-breach employee protection,
regulatory compliance and fines, public/employee relations/crisis
communications, attorneys’ fees and litigation costs, cybersecurity
improvement costs, technical investigations, increased insurance premiums,
increased cost to raise debt, public relations image costs, operational
disruption, impact on and losses in employee relations (including impact on
relations with collective bargaining units impacted), devaluation of
business reputation and loss of intellectual property.  The total loss
calculated for one company for one breach was $1.679 million.[3]

Retirement plan sponsors and plan fiduciaries should consider cyber
security with respect to their own systems and at their retirement plan
service providers because if the plan administrators do not require the
plan’s data be protected, while there is no current overriding federal
regulatory scheme dictating security or privacy standards, there are
consequences for the plan administrator and employer if that data is not
kept secure as described in part below.

Electronic Disclosure Requirements for Some Notices Include Security
Concepts

Some of the protections plan fiduciaries expect and commonly used tools for
cost saving such as electronic disclosure may be effective to fulfill
responsibilities and may place the plan fiduciaries at risk for ERISA
non-compliance, potential penalties and ERISA fiduciary exposure.
Electronic distribution of plan information to participants and
beneficiaries is utilized by many plan administrators to fulfill disclosure
obligations and save cost of copying and distributing the summary plan
descriptions, participant account statements, participant-directed
investment disclosures and many of the health plan disclosures.  The
requirements applicable for each type of electronic distribution must be
satisfied to utilize electronic distribution of plan information to
participants and beneficiaries.[4]  Different requirements apply to
different notices and disclosures. The electronic distribution requirements
for the U.S. Department of Labor under ERISA and the electronic
distribution of plan notices under the Internal Revenue Service
requirements differ in several ways, one of which is that only the
requirements under the regulations under ERISA require the plan sponsor to
protect the confidentiality of personal information.[5]

The data and information provided to a retirement plan record keeper or
service provider records for a retirement plan often includes significant
participant and beneficiary identifying information.  Thus, the
information, if in the wrong hands, could create identity theft issues for
a retirement plan’s participants or beneficiaries.

While there is no regulatory scheme protecting the personal data provided
to retirement plans, such as in the European Union or under HIPAA privacy
and security for health plans, under federal law, that does not mean there
is no obligation to keep the personal information secure.  There is a
protection requirement under ERISA, if a Plan Sponsor, as many do, utilizes
the electronic methods of distribution of Plan information.  If a Plan
wants to disclose information through electronic media under the DoL
regulation[6] §2520.104b-1(c), it must ensure that the electronic system
used for furnishing the documents results in (i) actual receipt of the
transmitted information,  and (ii) “protects the confidentiality of
personal information relating to the individual’s accounts and benefits
(e.g., incorporating into the system measures designed to preclude
unauthorized receipt of or access to such information by individual’s other
than the individual for whom the information is intended)” among other
requirements.

While this is in reference to the system used to furnish the documents
electronically, in some circumstances this may apply to the outside
retirement plan record keeper and also to the employer’s own information
system as both may be used to furnish documents and information
electronically to participants.  The extent that such requirement imposes
an obligation to protect the personal data of the participants’ and
beneficiaries’ of a retirement plan has not been defined in regulations or
other guidance issues by the U.S. Department of Labor (“DoL”).  It does not
require much creativity to see how failure to ensure adequate security with
respect to the participants’ personal data might be used to claim a failure
to provide a required disclosure and the other claims that might be based
on a failure to disclose and potentially result in a fiduciary issue.

Potential Consequences Under ERISA − Individual Account Statements

So what consequences might flow from failing to comply with all of the
requirements for electronically delivering plan information?  The answer
depends upon which disclosure requirement is not satisfied and which
disclosure is impacted.  Different disclosure failures trigger different
penalties.  Individual account statements in a defined contribution
retirement plan must be delivered both quarterly and annually[7] and upon
request.  Failure to deliver such individual account statements can result
in a civil monetary penalty of $110 per day per participant.[8]  Electronic
delivery of participant benefit statements has also been permitted under
DoL Field Assistant’s Bulletin No. 2007‑03 with respect to distribution of
individual account plan and benefit statements and use of the Field
Assistant’s Bulletin (“FAB”) No. 2006-03 with respect to the participant
account statements quarterly for participant directed investment accounts
and annually for pension statements implementing the changes under the
Pension Protection Act of 2006[9].  However, both of those Bulletins
required the plan administrator to furnish the participant benefit
statements in good faith compliance with the Internal Revenue Service
(“IRS”) requirements and not by complying with the DoL’s regulatory
requirement and the IRS’s requirements under Treasury Regulation§
1.401(a)-21 does not include any language related to protection of the
participants’ personal information.  The IRS regulation makes no mention of
protecting the confidentiality of participants’ personal information so
when IRS standards are used for electronic disclosure, failure to protect
personal information is not required for the electronic disclosure system
to effectively deliver or disclose documents.  It is curious that
individual participant benefit statements with participant name and account
information were allowed to be distributed using rules that did not require
the plan administrator to ensure protection of the private information.
Thus there is at least an argument that the penalty should not apply to the
participant statements if the participant data is hacked because the
confidentiality requirement does not apply if the IRS standards are used.

Potential Consequences – Participant Directed Investments

However, in EBSA Technical Release No. 2011-03 dealing with a secure
continuously available website used to communicate the information about
the participant directed investment alternatives under the retirement plan,
the DoL explicitly included as one of the conditions for utilizing the
electronic media disclosure, that “The plan administrator takes appropriate
and necessary measures reasonably calculated to ensure that the electronic
delivery system protects the confidentiality of personal information.”  The
Technical Release clearly included this security requirement in this
temporary enforcement policy and if remains in effect until the DoL issues
further guidance in this area.[10]  The Technical Release also does not
define what it takes for a website to be “secure” so that the requirements
for using this method of delivery of individual benefit statements and
participant directed investment alternatives applies.  This indicate that
the earlier good faith compliance FABs using the IRS guidelines for
electronic delivery are not sufficient, at least not with respect to
disclosures related to participant directed investments since the Technical
Release adds the requirement for protection of confidential information as
a requirement and does not use the appraisal of the FABs to use the IRS
standards.

Distribution of information is also critical for participant directed
investments and for plan fiduciary’s to obtain the provided limitation on
the fiduciary’s liabilities with respect to participant investment
decisions (the “Fiduciary Relief”), to the extent it is available, under
ERISA §404(c).[11]  The Fiduciary Relief does not relieve the plan
fiduciary from prudently selecting or monitoring the investments or service
providers.[12]

In order for a plan to be an ERISA 404(c) participant directed investment
plan, the plan must provide an opportunity for a participant or beneficiary
to exercise control over assets in her account, and must provide the
participant or beneficiary an opportunity to choose, from a broad range of
investment alternatives, the manner in which to invest the assets of his
account.[13]  A participant has the opportunity to exercise control only
if: (i) under the terms of the plan the participant or beneficiary has a
reasonable opportunity to give investment instructions to an identified
plan fiduciary who is obligated to follow such instructions, and (2) the
participant or beneficiary isprovided or has the opportunity obtain
sufficient information to make an informed decision among the available
investment alternatives.[14]  Thus it is important that the investment
information is provided in compliance with the electronic distribution
requirements, in order for the plan to meet the regulatory definition to be
an ERISA §404(c) plan so the plan fiduciaries may be able to claim the
Fiduciary Relief.

For an individual account plan that provides for participant direction of
investments, it must meet certain fiduciary requirements for
disclosure.[15]  The disclosure requirements include plan related
information.[16]  The plan related information includes general plan rights
and information on administrative expenses, individual expenses (including
disclosures on quarterly benefit statements) and certain disclosures made
on or before the first investment.[17]  There also must be significant
disclosures related to the investment alternatives, performance data, fees,
expenses and restrictions and there must be a website providing information
on investments and information must be presented in a comparative
format.[18]

However, if there is a failure to keep participant information protected
and secure which results in a failure to comply with the electronic
disclosure requirements this may impact a number of DoL required
disclosures.  If the electronic disclosure requirements are not met and the
participants do not receive the plan investment information in another
manner, then the participants have not been provided the investment
alternative information necessary for the plan fiduciaries to obtain the
Fiduciary Relief potentially available to an ERISA §404(c) plan fiduciary
with respect to participant selected investments assuming the plan had
relied solely on electronic disclosure to meet the ERISA §404(c) disclosure
requirements.  While merely failing to disclose information for participant
directed investment account to qualify carries no civil monetary penalty
consequences; it does have consequences as to whether the plan qualifies as
an ERISA Section 404(c) plan.  The plan fiduciaries could lose the ERISA
§404(c) protection if the information is provided solely via electronic
disclosure, but the individual participants’ information is disclosed via a
breach or hack, the participants may actually have received the
information, but they would still have an argument the plan sponsor’s
delivery of the plan or investment information was not correctly disclosed
under ERISA because the electronic disclosure may have failed to comply
with the electronic disclosure requirement because it failed to protect the
confidentiality of the participants’ private information.  If a plan
fiduciary relies solely on electronic delivery of the ERISA § 404(c)
information and loses protection under ERISA §404(c) due to a breach of its
retirement plan participant personal information, it is no longer protected
from being treated as fiduciary with respect to individual participant
investment elections.  This means the plan fiduciary may be potentially
liable for participant investment decisions.  This may just be another
allegation added to ERISA litigation on plan fees and investments in
participant directed investment account plans.[19] There are also
additional potential issues under state laws and state private rights of
action.  A review of all of the state private rights of action is beyond
the scope of this article.

Consequences − SOX − Blackout Notices

If the plan was required to provide blackout notices under ERISA §101(i) or
the mandatory notice of the right to diversify employer stock under ERISA
§101(m), the failure to provide these notices are subject to a civil
monetary penalty of $131 per participant per day.  There is no separate
field assistance bulletin or other guidance indicating that any standard
other than the full DoL electronic disclosure regulation’s requirements
would apply to delivery of these notices electronically, so presumably to
use electronic delivery with respect to a SOX or blackout notice the
mechanism also must consider the protection of the participants’
information and comply with the full requirements published by the DoL in
its regulation.[20]  This means that the protection of the confidentiality
of personal information related to the individual’s accounts and benefits
standard applies to the SOX notice provided electronically.

The notices with respect to investments changes and black-out periods carry
with it a civil penalty if you fail to provide a blackout notice or a
notice to participant of their right to divest of employer securities under
ERISA §502(c)(7) and, in most cases, each violation with respect to a
single participant is a separate violation and results in a penalty of
$131/day for penalties assessed after August 1, 2016.  Black-out notices
are frequently delivered via electronic means and provide fiduciary
protection if provided timely.  If the electronic system does not protect
the confidentiality of personal information, the fiduciary protection and
compliance with the SOX notice requirement could be lost and the civil
penalties could be assessed for failing to notify.

More ERISA Regulations to Come?

The ERISA Advisory Council has been reviewing electronic securities and
held a hearing on cybersecurity issues on August 24, 2016.  A follow-up
teleconference is scheduled for September 27, 2016.  So security of
retirement plan data should be considered as it is clearly on the radar
screen of the ERISA Advisory Council[21] and it is addressed in some of the
bills pending in Congress.

Accounting Requirements

The AICPA issued in its Employee Benefit Plan Audit Quality Alert #365 that
the plan sponsors are responsible for implementing processes and controls
for a plan’s systems, including mandatory third party service providers to
secure and to restrict access to the plan’s data.  When plan administration
services are outsourced, the plan administrator responsibility is to
protect the security of the plan’s records extended to the service
provider’s systems.  So plan administrators need to consider this if their
plans are required to be audited because as part of the audit review of the
plan’s management controls or expect to receive at management comments from
the auditors.  While service providers may issue SOC1 reports on their
internal controls, those do not protect the plan administrator/fiduciary. A
plan administrator/fiduciary must rely on imposing contractual
responsibility on service providers to the plan to protect the plan’s
records by creating a contractual legal requirement binding the service
provider as long as no regulatory or statutory requirement applies to such
service provider and provides remedies for the plan administrator/fiduciary.

Not All Disclosures are Created Equal

ERISA electronic disclosure regulations govern many required disclosures
such as qualified default investment alternative (“QDIA”),[22] SOX
notices,[23] qualified change in investment alternative[24]participant
benefit statements,[25] investment alternative information,[26] COBRA
notices and suspension of benefits notices and these are governed by the
Department of Labor’s electronic disclosure requirements.[27]  It is
important to remember which electronic standard applies to each type of
disclosure and remember that the requirements for electronic disclosures
were only loosened for participant benefit statements.  Failure to disclose
on each notice carries its own consequences.

However, there are also a number of disclosures, notices or distributions
of information provided under the Internal Revenue Code of 1986, as amended
(the “Code”) such has safe harbor notices for safe harbor 401(k) and 401(m)
plans.[28]  The Code also mandates a notice for Qualified Automatic
Contribution Arrangements and Eligible Automatic Contribution
Arrangements.[29] The regulations under the Internal Revenue Code (the
“Code”) governing electronic disclosures do not include any reference to
electronic security or maintaining the safety or confidentiality or
integrity of the data in the manner that the Department of Labor’s
regulation reference to “protection of the confidentiality of personal
information relating to the individual’s accounts and benefits.”[30] This
means that a vendor who fails to protect the privacy of participant
information in a strictly U.S. participant only plan might not jeopardize
the safe harbor nature of a 401(k) plan.

The IRS notice rules apply to participant elections, notices or elections
under Code §§ 104(a)(3), 105, 125, 127, 132, 220 and 223 as well as for any
notice or election under a qualified plan under 401(a) and 403(a), SEP,
SIMPLE and 457(b) plans,[31] but such rules do not apply to notices
required under Titles I and IV of ERISA.[32]

Potential Labor and Employment Law Issues

When a laptop was stolen from the employer containing employee names and
addresses and social security numbers that had not been misused, three of
the employees had standing to sue as a class action on claims of negligence
and breach of implied contract against the employer.[33]  While those three
employees had standing to sue in federal court because they had a credible
threat of real and immediate harm from the theft of the laptop containing
personal information, they failed to adequately allege the existence of an
implied contract and the case was dismissed for failure to allege
sufficiently all of the required elements of their claim.[34] While their
claims ultimately did not proceed, it was due to procedural failure and
thus it does not stop other potential claimants in similar situations.
Some states recognize common law rights of privacy which may provide
protection of participant rights in the event of a breach and prove costly
for the employer.

Privacy violation allegations were intertwined with claims allegedly under
the collective bargaining agreement and under a duty of fair representation
when an employer provided the collective bargaining unit with the personal
data of employees who were union members and the employees’ personal data
was stolen from the union. The claims based on violation of the collective
bargaining agreement and duty of fair representation failed to be a basis
for removing the claims to federal court. However, the state law claims
related to the identity theft and resulting damages the union members
incurred as the result of their identities being stolen were permitted to
proceed outside of federal court.[35]

While an employer must maintain this type of information secure, the NLRB
has expressed qualms regarding overly broad policies applied to employees
that could reasonably be interpreted as precluding employees from
discussing wages, hours and working conditions.  Thus, employers should
carefully craft security policies in light of the NLRB’s expressed concerns.

State Employment Law Statutory Privacy Mandates

Employees have the duty to protect the privacy of their employees’ social
security numbers under a number of states laws and since social security
numbers are provided to record keepers for retirement plans for use in
participant and beneficiary identification on reporting.[36]  Some of these
state laws limit how an employer may use its employees’ social security
numbers and may require the employer to notify the employees in the event
of a breach.[37]  Some states limit the number of digits of an employee’s
social security number that an employer can use.[38]  The penalties for
failing to protect the privacy of an employee’s social security number
varies by state.  Social security numbers are commonly part of the data
provided to a retirement plan record keeper.  The statutes apply to
employers and not to benefit plans, thus ERISA preemption is not likely to
avoid the application of these statutes.

Common Law Claims for Violation of Privacy Rights to Watch

The common law on an employer’s obligation to protect the privacy of its
employees’ personal information is beginning its evolution.  Seven
complaints were filed against Sony and consolidated into a single class
action related to the hack Sony suffered in 2015 exposing its emails and
personally identifiable information of its employees including social
security numbers, birthdates, home addresses, salaries and medical
records.[39]  Anthem also suffered a hack into its own employees’
information.[40]  The law in this area is just beginning its evolution and
lags far behind the technology.

Other Regulation

The Federal Trade Commission is regulating cybersecurity under Section 5 of
the Federal Trade Commission Act which prohibits deceptive business
practices in commerce.[41]  The Federal Trade Commission is charged with
protecting consumers, including protecting individual consumers from
identity theft.  The FTC also is involved in the enforcement of the
Gramm-Leach-Bliley Act (“GLBA”) privacy requirements which primarily
impacted financial institutions and did not impose security requirements.
While many record keepers affiliates with financial institutions subject to
the GLBA and other laws regulating financial institutions are likely to
already be meeting other data security requirements, not all record keepers
are affiliated with financial institutions. Even agreements with record
keepers with legal security obligations should consider adding  protections
providing rights to the plan administrator/fiduciary because contractual
language creating such obligations protects the plan
administrator/fiduciary by providing rights it can enforce directly.

International Considerations

In a world with a global and mobile workforce, there may be other issues
arising from the interaction with international laws.  However, there seems
to be sufficient legal concerns in the U.S. without expanding this further.

Summary

Security should be a consideration for every retirement plan fiduciary to
preserve the fiduciary protection available from making required
disclosures electronically and the fiduciary protections that flow from
such disclosures such as the QDIA, ERISA 404(c), and claims of violation of
common law privacy rights. As a practical matter, do you really want to
explain to a C-suite member why you did not take steps to protect their
personal information from identity theft or why the company needs to pay
for identity theft protection for all of the employees because the
retirement plan record keeper had a breech?

If the above reasons are not sufficient, the National Security Agency’s
list of software flaws that might permit hacks was mysteriously released in
mid-August 2016 and reportedly places many large companies’ IT systems at
risk.[42]  So a new road map for hackers is out.

Provisions Plan Administrators Should Consider in Contracting to Protect
Data Security

1. Confidentiality of Information clauses identifying and defining whose
data it is and what data is subject to protection.
2. Data Privacy Law Compliance identifying what laws must be complied with
by the party providing services to the plan.
3. Data Protection Protocols identifying what data security standards must
be satisfied and what security procedures must be implemented.
4. Security Incident Procedures and Notification Procedures considering
state privacy law requirements applicable to the employer and the plan
administrator’s fiduciary obligations.
5. Limitations of and Exclusion from Liability
   a. Direct damages
   b. Indirect damages
6. Security Audit Provisions to permit the plan administrator to review
compliance.
7. Customer-requested Background Checks of Supplier Personnel are necessary
to verify who has access and whether the plan fiduciary must be concerned
and because many security incidents are due to the human element.
8. Definitions related to cybersecurity terms, standards and tools or
mechanisms.
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