Page 20 - Parity Act News Today : Breaking News, Live Updates & Top Stories | Vimarsana

To embed, copy and paste the code into your website or blog: The US District Court for the Northern District of California recently held that a third party claims administrator (TPA) breached its fiduciary duty in excluding certain autism related services under an employer’s self-funded medical plan.  An entity may be considered a fiduciary by being formally identified as a “named” fiduciary of the plan, or a “functional” fiduciary based on its actions.  Although the TPA argued it was neither a named nor a functional fiduciary, the court found that the TPA exercised sufficient discretion in making benefit determinations to be considered a functional fiduciary with respect to the participant’s benefits under the plan.  The court also held that the exclusion of autism services under the plan violated the Mental Health Parity and Addiction Equity Act (“Parity Act”).  The Parity Act generally prohibits a plan from imposing treatment limitations on mental health benef

United statesMental health parityUs district courtNorthern districtAddiction equity actParity actConsolidated appropriations actஒன்றுபட்டது மாநிலங்களில்மன ஆரோக்கியம் சமநிலைஎங்களுக்கு மாவட்டம் நீதிமன்றம்வடக்கு மாவட்டம்சமநிலை நாடகம்