MHPAEA Form to Request Health Plan Documentation on Treatment Limitations | Practical Law

MHPAEA Form to Request Health Plan Documentation on Treatment Limitations | Practical Law

A model notice for use by group health plan participants and beneficiaries in requesting information from plans and health insurers regarding nonquantitative treatment limitations (NQTLs) under the Mental Health Parity and Addiction Equity Act (MHPAEA). This Standard Document, which is based on a model notice issued by the Department of Labor (DOL), includes integrated notes with important explanations and drafting tips.

MHPAEA Form to Request Health Plan Documentation on Treatment Limitations

Practical Law Standard Document w-035-2602 (Approx. 15 pages)

MHPAEA Form to Request Health Plan Documentation on Treatment Limitations

by Practical Law Employee Benefits & Executive Compensation
MaintainedUSA (National/Federal)
A model notice for use by group health plan participants and beneficiaries in requesting information from plans and health insurers regarding nonquantitative treatment limitations (NQTLs) under the Mental Health Parity and Addiction Equity Act (MHPAEA). This Standard Document, which is based on a model notice issued by the Department of Labor (DOL), includes integrated notes with important explanations and drafting tips.