Mental Health and Substance Use Disorder Financial Requirement Checklist Required to be submitted with the 2018 (Calendar Year) Small Group Health Plan Rate Filing Issuers are required to comply with the Mental Health Parity and Addiction Equity Act (MHPAEA) and Mental Health and Substance Use Disorder under Subchapter K of WAC 284-43. Under MHPAEA and Subchapter K of WAC 284-43, treatment limitations and financial requirements applicable to mental health/substance use disorder (MH/SUD) benefits cannot be more restrictive than those applicable to medical/surgical benefits. This checklist is intended to provide issuers with a framework for compliance with the financial requirements under MHPAEA and WAC 284-43-7040. For checklist regarding quantitative treatment limitations and treatment limitations, see a separate checklist under the form filing instructions. Treatment limitations (quantitative and non-quantitative) and financial requirements are defined in MHPAEA and under WAC 284-43-7040. Financial requirements mean cost sharing measurers such as deductibles, copayments, coinsurance, and out-of-pocket limits. Financial requirements do not include aggregate lifetime or annual dollar limit. General Information Issuer Name: Applicable Market: Small Group Plan Year: 2018 This checklist contains two parts. Issuers are required to provide the answer to the following question, and provide the information listed in either Part I or Part II. (Do not answer both Part I and Part II.)
Mental Health and Substance Use Disorder Financial Requirement Checklist Required to be submitted with the 2018 (Calendar Year) Small Group Health Plan Rate Filing Issuers are required to comply with the Mental Health Parity and Addiction Equity Act (MHPAEA) and Mental Health and Substance Use Disorder under Subchapter K of WAC 284-43. Under MHPAEA and Subchapter K of WAC 284-43, treatment limitations and financial requirements applicable to mental health/substance use disorder (MH/SUD) benefits cannot be more restrictive than those applicable to medical/surgical benefits. This checklist is intended to provide issuers with a framework for compliance with the financial requirements under MHPAEA and WAC 284-43-7040. For checklist regarding quantitative treatment limitations and treatment limitations, see a separate checklist under the form filing instructions. Treatment limitations (quantitative and non-quantitative) and financial requirements are defined in MHPAEA and under WAC 284-43-7040. Financial requirements mean cost sharing measurers such as deductibles, copayments, coinsurance, and out-of-pocket limits. Financial requirements do not include aggregate lifetime or annual dollar limit. General Information Issuer Name: Applicable Market: Small Group Plan Year: 2018 This checklist contains two parts. Issuers are required to provide the answer to the following question, and provide the information listed in either Part I or Part II. (Do not answer both Part I and Part II.)