Primary Focus: Student Health Insurance Agency: Department of Insurance Title/Description: Student Health Insurance Citation: North Carolina Department of Insurance Notice Summary: Insurers are required to submit an attestation as part of their form filing of compliance with the federal Mental Health Parity and Addiction Equity Act (MHPAEA). Insurers must certify that the benefits across designated categories in all plans (including cost sharing variations) comply with the MHPAEA and any regulations, including with regard to financial requirements and treatment limitations. The categories are: Inpatient (in and out of network), Outpatient (in and out of network), Emergency Care, and Prescription Drugs. Effective Date: March 3, 2017 Notes: N/A
The North Carolina Department of Insurance (NCDOI) issued a bulletinrelevant to parity to plans that provide student health coverage for the 2015-2016 school year. Among other things, the bulletin requires plans certify that they comply with the Federal Parity Law.
Jean Holliday, the Regulatory Project Manager and Health Care Reform Supervisor at the NCDOI gave a presentation about parity that included an overview of the Federal Parity Law, how the Affordable Care Act applies the Federal Parity Law to non-grandfathered small employer fully-insured plans and individual plans, and North Carolina’s insurance laws that are relevant to parity. The relevant North Carolina insurance laws are also summarized at the bottom of this page.
A report was prepared for the NCDOI about the state’s options for benchmark plans for providing essential health benefits. The report covered many topics, but does contain several charts showing whether various plans meet the requirements of the Federal Parity Law (these can be found on pages A-3, A-12, A-22, and A-25).
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