To Seek Information or File Complaints and Grievances
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with your State's insurance consumer complaints division
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with CMS for a self-funded, public sector, non-federal government plan
To Report Plan Violations
You can report plan violations to the Parity Implementation Coalition for review. Please include the following information:
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Name of plan issuer/employer
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Effective date of plan
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Parity Violation
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Date(s) of service
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Health Plan's Summary of Benefits (please include MH/SUD and Med/Surg)
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Health Plan's Explanation of Benefits
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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, either email us at the above email address or call 1.866.882.6227
To Ask Questions/Report Concerns
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Email info@mentalhealthparitywatch.org or call to leave a voice mail message (toll free) 866.882.6227. Members of the Parity Implementation Coalition are monitoring compliance with the Mental Health Parity Act.
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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.
Additional Resources
Federal Resources
FamiliesUSA Resources on Benefit Denials and Appeals Under ERISA:
Kaiser Familiy Foundation: A Consumer Guide to Handling Disputes with Your Employer or Private Health Plan, 2005 Update
Final Comments to the IFR from:
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