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Agency FAQs Provide Clarity on Mental Health Parity Comparative Analysis
EPIC Link to more items from this source
[Guidance Overview]
May 6, 2021

"Whether the analysis is determined to be sufficient or not, if an agency audit determines that any financial, quantitative, or non-quantitative treatment limitations (NQTLs) do not comply with the parity requirements, the plan may be required to take corrective action (e.g., reprocess claims and refund participants when applicable). In addition, non-compliant plans could be subject to a penalty of up to $100/day per affected individual, and if disclosures are not available upon request, general ERISA penalties could apply."

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