Penalty for each termination determination the Secretary makes that is the result of actions by a Medicare Advantage organization or Part D sponsor that has adversely affected (or has the substantial likelihood of adversely affecting) an individual covered under the organization's contract · 1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E)
For Penalty for each termination determination the Secretary makes that is the result of actions by a Medicare Advantage organization or Part D sponsor that has adversely affected (or has the substantial likelihood of adversely affecting) an individual covered under the organization's contract, statutory authority is 1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E); agency is HHS; maximum penalty is 48,833, recorded from its source on 2026-08-10.
- Agency
- HHS our reading
- Violation
- Penalty for each termination determination the Secretary makes that is the result of actions by a Medicare Advantage organization or Part D sponsor that has adversely affected (or has the substantial likelihood of adversely affecting) an individual covered under the organization's contract verified
- Statutory authority
- 1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E) verified
- Maximum penalty
- 48,833 verified
Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.
What the source says
1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E) | 42 CFR 422.760(b); 42 CFR 423.760(b) | CMS | Penalty for each termination determination the Secretary makes that is the result of actions by a Medicare Advantage organization or Part D sponsor that has adversely affected (or has the substantial likelihood of adversely affecting) an individual covered under the organization's contract | 2024 | 47,596 | 48,833
— ecfr.gov, retrieved 2026-08-10
Source
- ecfr.govhttps://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3