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

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, not quoted from the source)_
- **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: appears in the quote below)_
- **Statutory authority:** 1395y(b)(7)(B)(i) _(verified: appears in the quote below)_
- **Maximum penalty:** 1,512 _(verified: appears in the quote below)_

## 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

## 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/).