In Wit v. United Behavioral Health, the plaintiffs brought claims under the ERISA, asserting that the defendant utilized internal guidelines for reviewing claims for behavioral health services under health benefit plans that were more restrictive than the terms of the plans
An employee benefits attorney and the chief medical officer at American Addiction Centers weigh in on insurer compliance with the Mental Health Parity Act.
Wit v. United Behavioral Health In Wit, the district court ruled that United Behavioral Health breached fiduciary duties under ERISA to insureds by denying mental health and substance use disorder claims as a result of allegedly pervasively flawed medical necessity criteria