Reference Source

Penalty for any entity serving as insurer, third party administrator, or fiduciary for a group health plan that fails to provide information that identifies situations where the group health plan is or was a primary plan to Medicare to the HHS Secretary

For Penalty for any entity serving as insurer, third party administrator, or fiduciary for a group health plan that fails to provide information that identifies situations where the group health plan is or was a primary plan to Medicare to the HHS Secretary, agency is HHS; statutory authority is 1395y(b)(7)(B)(i); maximum penalty is 1,512, recorded from its source on 2026-08-10.

Agency
HHS our reading
Violation
Penalty for any entity serving as insurer, third party administrator, or fiduciary for a group health plan that fails to provide information that identifies situations where the group health plan is or was a primary plan to Medicare to the HHS Secretary verified
Statutory authority
1395y(b)(7)(B)(i) verified
Maximum penalty
1,512 verified
Sourceecfr.gov
Verified
Review by
DatasetFederal civil penalty maximums — current inflation-adjusted amounts across agencies

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

1395y(b)(7)(B)(i) | <https://www.ecfr.gov/current/title-42/section-402.1#p-402.1(c)(21)> 42 CFR 402.1(c)(21) , <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(a)> 402.105(a) | CMS | Penalty for any entity serving as insurer, third party administrator, or fiduciary for a group health plan that fails to provide information that identifies situations where the group health plan is or was a primary plan to Medicare to the HHS Secretary | 2024 | 1,474 | 1,512

ecfr.gov, retrieved 2026-08-10

Source

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