This page lists some of the action toward parity compliance undertaken by state regulatory agencies since 2008.
Are we missing any actions taken by state regulatory agencies? Let us know at firstname.lastname@example.org
Action in the Regulatory Arena
The Kansas Insurance Department issued a letter (pdf | Get Adobe® Reader®) explaining the essential health benefits that small employer plans and individual plans have to cover. There is a brief section of the letter that explains that all of these plans have to comply with the Federal Parity Law.
|Primary Focus||Mandated Benefit: Mental Health|
|Agency||Department of Commerce and Housing|
|Title/Description||Promoting Employment Across Kansas (PEAK) Program – Definitions|
|Citation||Kan. Admin. Regs § 110-21-1|
“Adequate health insurance coverage” means health insurance that is offered by a company to all full-time employees within the first 180 days of their employment and provides for the following: (4) coverage for mental health care
Kan. Admin. Regs § 110-21-1 adopted the provisions in the final rulemaking from K.S.A. 2010 Supp. 74-5002r and K.S.A. 2010 Supp. 74-50,213; implementing K.S.A. 2010 Supp. 74-50,211.
The Kansas Insurance Department initiated a targeted market conduct exam (pdf | Get Adobe® Reader®) (full report) (pdf | Get Adobe® Reader®) into the mental health claims processing of Coventry Health Care of Kansas, Inc. The exam found that Coventry was not processing claims properly in the following ways:
- Not sending acknowledgements when more time is needed to process a claim
- Not completing claim investigations within thirty days
- Not paying clean claims within thirty days
- Not adequately documenting claim files
- Not applying interest as required by statute or policy
- Not sending an Explanation of Benefits (EOB) unless the policyholder had a financial responsibility relevant to the claim
Coventry acknowledged the violations and agreed to corrective actions, including reprocessing all claims between 6/1/2008 and 5/31/2009.
National Parity Map
View the state parity reports to learn about legislation, regulation, and litigation related to parity implementationNational Parity Map
- Kansas Insurance Division
- (785) 296-7829
In seeking care or services, be aware of the common ways parity rights can be violated.