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
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, agency is HHS; statutory authority is 1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E); 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) | <https://www.ecfr.gov/current/title-42/section-422.760#p-422.760(b)> 42 CFR 422.760(b) ; <https://www.ecfr.gov/current/title-42/section-423.760#p-423.760(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