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Action Center
Feel free to contact us, members of the Parity Implementation Coalition are monitoring compliance with the Mental Health Parity Act.
Include brief statement of problem, your name and contact information (email/phone), health plan's name, type of health plan (e.g., group health plan, self-funded health plan, etc.), state where insurance is issued, whether company employs 50 or fewer employees. Information provided to us will be held confidential.
with your State's insurance consumer complaints division
with DOL for a self-funded, private sector ERISA plan
with CMS for a self-funded, public sector, non-federal government plan
You can report plan violations to the Parity Implementation Coalition for review. Please include the following information:
- Name of plan issuer/employer
- Effective date of plan
- Parity Violation
- Date(s) of service
- Health Plan's Summary of Benefits (please include MH/SUD and Med/Surg)
- Health Plan's Explanation of Benefits
- Plan written denial provided to consumer or provider
Email your report with all supporting documentation (i.e. denial letter, plan medical necessity criteria, summary of plan benefits for medical/surgical and MH/SUD, etc) to info@mentalhealthparitywatch.org
If you prefer to use mail delivery send your material to the
Parity Implementation Coalition
101 Constitution Avenue NW, Suite 675E
Washington DC 20001
You can download a copy of a pdf file of the report form to use as a guide. If you have questions about how or what to submit, feel free to contact us.
FamiliesUSA Resources on Benefit Denials and Appeals Under ERISA:
- Overview of ERISA Claims Procedure Regulations (includes links to the rules)
- Summary of Main Provisions of Claims and Appeals Procedures
- Glossary of Terms
- Urgent Service Claim Timeline
- Pre-Service Claim Timeline
- Post-Service Claim Timeline
Kaiser Family Foundation: A Consumer Guide to Handling Disputes with Your Employer or Private Health Plan, 2005 Update
Final Comments to the IFR from:
- Parity Implementation Coalition 4.30.10
- American Psychiatric Association 5.3.10
- American Psychiatric Association summary of comments 5.3.10
Note: Additional comments submitted on specific issues with the IFR are available through a search on the DOL website.
Federal Parity Guidelines/Interim Final Rule [IFR] with comment period released 1.29.10
The Departments of Health and Human Services, Labor and the Treasury jointly issued interim final regulations [IFR] to provide guidance on how the parity act must be implemented. Comment deadline was May 3, 2010.
APA Reacts to the Mental Health Parity Regulations 1.29.10
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