Generali Employee Benefits
Personal Data Breach - External Source: customer
1. Identifier details
Company Name
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Name
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Surname
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E-mail address
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Please check the email address
Telephone number
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2. Breach details
Cause of personal data breach
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Date breach occurred
Date breach detected
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Notification date
Eventual delay in notification
Nature of personal data
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Name
Address
Date of birth
ID number/code
E-mail address
Health data
Insurance/claim details
Hobbies/interests
Professional information
Others (please specify)
Nature of personal data
Number of individuals impacted
Breach classification
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Unauthorized disclosure of client/insured /claimant/employee personal data
loss or theft of GEB data storage device
intrusion attempt
malware
unauthorized access
Others (please specify)
Data breach details
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Root cause
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Human error
Process failure
Systems issue
Unknown
Others (please specify)
Infrastructure/Application impacted by the breach
3. Details concerning theft/loss (if applicable)
This report refers to a theft/loss
no
yes
4. Additional Information
Additional information
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