Compliance Calendar/Resource
Filing & ReportingAnnual

Gag Clause Prohibition Compliance Attestation

CAA 2021 § 201; ERISA § 724; PHS Act § 2799A-9

Plans and issuers must attest annually that contracts with providers/networks/TPAs do not contain gag clauses restricting access to provider cost/quality data, claims data, or other information needed for plan administration. For fully insured plans, the carrier may submit the attestation on behalf of the plan; plan sponsors should confirm their carrier is handling this or submit independently.

ResponsibleMedical Carrier/TPA
Deliver ToCMS (via HIOS)
DeadlineAnnually by December 31

Current Fee / Rate Information

No filing fee. Attestation submitted annually to CMS by December 31. Plans and issuers may submit jointly or separately.

Last reviewed: April 2026

Non-Compliance Penalties

Failure to comply: $100/day per affected individual under ERISA § 502(c)(10), potentially uncapped.

Official Source

https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/gag-clause-prohibition-compliance
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Gag Clause Prohibition Compliance Attestation | Compliance Calendar — Benefits Blake