DESCRIPTION:
This discussion will review the requirements group medical benefit plans must meet to satisfy the provisions of the Mental Health Parity and Addiction Equity Act (MHPAEA). The presentation will also describe the recent (July 2023) Proposed Rule and Technical Release issued by the Departments of Labor, Treasury and Health and Human Services.
The 2013 MHPAEA final rule provides that if a plan provides MH/SUD benefits in one of the MHPAEA benefit classifications, it must provide MH/SUD benefits in all MHPAEA benefit classifications. How this Proposed Rule would amend and expand this requirement to require that a plan provide “meaningful benefits” in each classification compared to M/S benefits will be explained.
A discussion of how the Proposed Rule reorganizes and expands on the 5 elements of a complete NQTL Analysis will include a demonstration of the requirements including: (1) the identification of NQTLs and the MH/SUD and Med/Surg benefits the NQTLs apply to; (2) the factors used to determine application of the NQTLs; (3) the evidentiary standards used to develop the factors; (4) an analysis of processes, strategies, evidentiary standards, and factors demonstrating comparability; and (5) specific findings and conclusions.
Speakers:
Bill Freeman (S)
Jason Sheffield (S)
Marie Smith (M)
Time:
May 29, 2024 1:00 PM in Eastern Time (US and Canada)
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This webinar is intended for general information purposes only and should not be construed as advice or opinions on any specific facts or circumstances. The content of this webinar is made available on an “as is” basis, without warranty of any kind. The Baldwin Insurance Group Holdings, LLC (“The Baldwin Group”), its affiliates, and subsidiaries do not guarantee that this information is, or can be relied on for, compliance with any law or regulation, assurance against preventable losses, or freedom from legal liability. This publication is not intended to be legal, underwriting, or any other type of professional advice. The Baldwin Group does not guarantee any particular outcome and makes no commitment to update any information herein or remove any items that are no longer accurate or complete. Furthermore, The Baldwin Group does not assume any liability to any person or organization for loss or damage caused by or resulting from any reliance placed on that content. Persons requiring advice should always consult an independent adviser.
