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This page lists some of the action toward parity compliance undertaken by state regulatory agencies since 2008.

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Action in the Regulatory Arena


Primary Focus Student Health Insurance
Agency Department of Insurance
Title/Description Student Health Insurance
Citation North Carolina Department of Insurance Notice

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 3/3/2017


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.


The NCDOI released a question and answer document that had information relevant to parity (page 4, question 6). It states that plans will have to comply with the Federal Parity Law in 2014, with grandfathered plans needing to comply after 7/1/2014, if they provide behavioral health coverage.


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).

National Parity Map

View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation

National Parity Map

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Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.