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HHS Releases Inflation-Adjusted Federal Civil Penalty Amounts

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HHS Releases Inflation-Adjusted Federal Civil Penalty Amounts
By Karen Hsu, Director of Compliance at United Benefit Advisors  
Jan 23, 2020 12:45:00 PM


The Department of Health and Human Services (HHS) issued its Annual Civil Monetary Penalties Inflation Adjustment. Here are some of the adjustments:

Medicare Secondary Payer:

  • For failure to provide information identifying situations where the group health plan is primary, the maximum penalty increases from $1,181 to $1,211 per failure.
  • For an employer who offers incentives to a Medicare-eligible individual to not enroll in an employer-sponsored group health plan that would otherwise be primary, the maximum penalty increases from $9,239 to $9,472.
  • For willful or repeated failure to provide requested information regarding group health plan coverage, the maximum penalty increases from $1,504 to $1,542.
  • Summary of Benefits and Coverage: For failure to provide, the maximum penalty increases from $1,128 to $1,156 per failure.
  • Health Insurance Portability and Accountability Act (HIPAA):


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