Compliance

Mental Health Parity: What Plan Sponsors Need to Know During Period of Nonenforcement of 2024 Final Rule

Kathy Bergstrom, CEBS
 

Following the announcement last month that the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury will put a hold on enforcing the 2024 final rule on the Mental Health Parity and Addiction Equity Act (MHPAEA), health plan sponsors […]

Workplace Accommodations: Compliance Issues and Tips 

Anne Newhouse, CEBS
 

Injuries and sicknesses resulting in disability and, potentially, time away from work happen to employees all the time requiring employers to develop a disability management process. This process is a series of coordinated stages to prevent, manage, and reduce workplace disabilities, alleviate […]

Mental Health Parity Pitfall to Avoid: Network Adequacy Data Part II

Jenny Gartman, CEBS
 

The Department of Labor (DOL) Employee Benefits Security Administration (EBSA)’s 2024 Mental Health Parity and Addiction Equity Act (MHPAEA) report to Congress, issued January 17, 2025, addressed the enforcement approach to nonquantitative treatment limitations (NQTLs) for network adequacy and network composition. The […]

Mental Health Parity Pitfall to Avoid: Network Adequacy Data

Jenny Gartman, CEBS
 

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) requires group health plans that provide mental health or substance use disorder (MH/SUD) benefits to offer parity between coverage of physical health conditions and mental health conditions. The […]

New Mental Health Parity Guidance: More Clarity, But More Compliance Obligations

Anne Newhouse, CEBS
 

According to speaker John Barlament, Shareholder, Reinhart Boerner Van Deuren, S.C., in his webcast “New Mental Health Parity Guidance: More Clarity, But More Compliance Obligations,” held on August 30, 2023, new guidance has been “desperately needed” on the topic of mental health […]

2023 Outlook on Respiratory Illnesses and the Workforce

Jenny Gartman, CEBS
 

At this time of year in cold climates, airborne illnesses (influenza, respiratory syncytial virus and COVID-19) persistently impact families and workplaces. Influenza is a well-known endemic. Endemic means persistent—It will not go away, and it won’t get much worse or better. Influenza […]

Unraveling Post-Dobbs Implications

The legal environment relating to abortion coverage has become quite complex following the U.S. Supreme Court decision in Dobbs v. Jackson Women’s Health Organization. Health plan sponsors should review their coverage of abortion services to ensure that their health plans reflect the […]