The Department of Labor (DOL) issued the 2025 annual adjustments to penalties applicable to group health plan benefits. The 2025 amounts are effective for penalties assessed after January 15, 2025 for violations occurring after November 2, 2015.
Applies To:
- All employers with a fully insured, level-funded or self-funded group medical plan or an ICHRA.
- All employers with ERISA health or welfare plans subject to the jurisdiction of the DOL.
Go Deeper:
Following are the revised penalties for 2025 applicable to health benefit plans:
|
2024 |
2025 |
Form 5500 per day late |
$2,670 |
$2,739 |
Form M-1 per day late |
$1,942 |
$1,992 |
Summary of Benefits and Coverage (SBC) per failure |
$1,406 |
$1,443 |
GINA Violations per person per day |
$141 |
$145 |
Medicaid/CHIP Disclosures per person per day |
$141 |
$145 |
DOL Information Request |
$190 per day, up to $1,906 per request |
$195 per day, up to $1,956 per request |
Employers sponsoring group benefits need to be aware of potential penalties for various failures, and make necessary changes to avoid such penalties.
Federal Civil Penalties Inflation Adjustment Act Annual Adjustments for 2025 can be found here.

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