New and Updated in Health and Welfare Plans (Q2 2022) | Practical Law
New from Practical Law Employee Benefits & Executive Compensation! A collection of the top Health and Welfare Plan resources we published or significantly updated during Q2 2022.
New from Practical Law Employee Benefits & Executive Compensation! A collection of the top Health and Welfare Plan resources we published or significantly updated during Q2 2022.
At Practical Law, we are constantly expanding and updating our Health and Welfare Plan resources to reflect the latest developments in employee benefits law. The following list reflects some of the most important Health and Welfare Plan resources we published or substantially revised during Q2 2022:
Mental Health Parity (MHPAEA) Toolkit. This toolkit is a collection of resources to help group health plan sponsors, health insurers, and their advisors understand and comply with the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). As implemented, MHPAEA imposes extensive requirements regarding mental health parity on employer-sponsored group health plans and health insurers, including a complicated comparative analysis disclosure requirement imposed under the Consolidated Appropriations Act, 2021 (CAA-21), which was enacted in December 2020.
MHPAEA Form to Request Health Plan Documentation on Treatment Limitations. This newly published standard document is 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 MHPAEA. Based on a model notice issued by the Department of Labor (DOL), this standard document includes integrated notes with important explanations and drafting tips.
Surprise Medical Billing for Group Health Plans and Health Insurers: Plain Language Disclosure. A model notice addressing the requirement under the NSA that group health plans and health insurers disclose certain information about surprise medical billing protections to participants and beneficiaries. The plain language disclosures must be made publicly available, posted on the plan's or insurer's public website, and included on each explanation of benefits (EOB) for any item or service that is subject to the NSA's surprise billing protections.
Surprise Medical Billing for Group Health Plans: Independent Dispute Resolution (IDR) Process (Part II). This newly published practice note addresses federal independent dispute resolution (IDR) procedures regarding surprise medical billing requirements for group health plans and health insurers, as enacted under the NSA. The NSA's IDR requirements were addressed in extensive implementing regulations issued by the federal administrative agencies in October 2021.
2022 MHPAEA Report Addresses Noncompliance with Mental Health Parity Rules. This newly published article addresses the 2022 Report to Congress (issued by the tri-agencies) that reviewed MHPAEA compliance by group health plans and health insurers. The report highlighted the agencies' review of plans' and insurers' comparative analyses and NQTLs (under the CAA-21).