# 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 — Federal civil penalty maximums — current inflation-adjusted amounts across agencies

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, not quoted from the source)_
- **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: appears in the quote below)_
- **Statutory authority:** 1395w-27(g)(3)(A); 1857(g)(3); 1860D-12(b)(3)(E) _(verified: appears in the quote below)_
- **Maximum penalty:** 48,833 _(verified: appears in the quote below)_

## 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

## Source

- https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3

Last verified: 2026-08-10. Review by: 2027-02-26.
Part of [Federal civil penalty maximums — current inflation-adjusted amounts across agencies](https://referencesource.org/federal-civil-penalty-maximums/).