§ 908-14b. Insurer analysis and disclosure documentation
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. InsuranceEffective: October 29, 2020
Effective: October 29, 2020
40 P.S. § 908-14b
§ 908-14b. Insurer analysis and disclosure documentation
<Section 4 of Act 2020, Oct. 29, P.L. 769, No. 92, imd. effective, provides that the act shall apply to insurance policy forms to be offered, issued or renewed by Commonwealth insurers after Dec. 31, 2021.>
(3) Prepare disclosure documentation required by section 300gg-26(a)(4) of MHPAEA (42 U.S.C. § 300gg-26(a)(4)), as amended, consistent with then-current MH/SUD parity Federal guidance issued under section 13001 of the 21st Century Cures Act (Public Law 114-255, 42 U.S.C. § 300gg-26(a)(6) and (7)), as amended.
(c) Documentation.--For each nonquantitative treatment limitation, including medical management, that is or has been in operation and applied under a health insurance policy offered, issued or renewed by an insurer in this Commonwealth, an insurer shall maintain documentation to demonstrate that each factor applicable to the limitation for the MH/SUD benefit is comparable to, and is applied no more stringently than, that same factor as applicable to the limitation for medical and surgical benefits. The documentation shall be maintained in accordance with all record retention requirements applicable to consumer claims files.
Credits
1921, May 17, P.L. 682, No. 284, art. VI-B, § 604.2-B, added 2020, Oct. 29, P.L. 769, No. 92, § 3, imd. effective.
40 P.S. § 908-14b, PA ST 40 P.S. § 908-14b
Current through Act 40 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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