Mental Health and Substance Use Disorder Parity Reports

The recent Mental Health and Substance Use Disorder Parity Report Act requires health insurers to submit information to the Department of Financial Services (DFS) to help measure compliance with federal and state parity laws for mental health and substance use disorder treatment.  Insurers are required to submit reports for two-year periods beginning with 2017 – 2018.  The information in the reports includes: (1) Rates of approvals and denials for inpatient and outpatient mental health and substance use disorder services, including emergency care and prescription drugs; (2) The number of prior authorization and continuing care medical necessity reviews for mental health and substance use disorder treatment compared to the rates for other medical and surgical services; (3) The rates of appeals and denials for mental health and substance use disorder treatment compared to the rates for other medical and surgical services; (4) the percentage of claims paid for in-network mental health and substance use disorder services compared to the rates for other medical and surgical services;  (5)  The number of staff available to help members with mental health and substance use disorder benefits; (6) The cost-sharing requirements and benefit limitations for mental health and substance use disorder treatment as compared to other medical and surgical services; (7) The number of providers that provide mental health and substance use disorder treatment; and (8) The percentage of providers for mental health and substance use disorder treatment who remained participating providers.

Health insurers completed and submitted their mental health and substance use disorder parity reports to DFS, and DFS has posted these reports in the form in which they were received.  DFS is currently in the process of reviewing these reports.  If you have any questions about the information included in these reports please call us at (800) 342-3736 or send an email to [email protected].

NOTE: The reports available on this page are in Excel format.

Company Name NAIC # Report Links
4 Ever Life Life Insurance Company 80985

Year 2017

Year 2018

Aetna Life insurance Company 60054

Year 2017

Year 2018

Affinity Health Plan 15017

Year 2017

Year 2018

Capital District Physicians' Health Plan, Inc. (CDPHP) 95491

Year 2017

Year 2018

CDPHP Universal Benefits, Inc. 47027

Year 2017

Year 2018

Cigna Health and Life Insurance Company 67369

Year 2017

Year 2018

Connecticut General Life Insurance Company (Cigna) 62308

Year 2017

Year 2018

Crystal Run Health Insurance Company, Inc. 15677

Year 2017

Year 2018

Crystal Run Health Plan, LLC 15797

Year 2017

Year 2018

Empire Healthchoice Assurance, Inc. 55093

Year 2017

Year 2018

Empire Healthchoice HMO, Inc. 95433

Year 2017

Year 2018

Excellus Health Plan, Inc. 55107

Year 2017

Year 2018

Excellus Health Plan, Inc. (HMO) x4289

Year 2017

Year 2018

Fidelis Care New York 16352

Year 2017 - CHP

Year 2017 - QHP

Year 2018 - CHP

Year 2018 - QHP

Group Health Incorporated (GHI) 55239

Year 2017

Year 2018

Health Insurance Plan of Greater NY (HIP) 55247

Year 2017

Year 2018

Healthfirst Health Plan, Inc. 95284

Year 2017

Year 2018

Healthfirst Insurance Company, Inc. 16031

Year 2017

Year 2018

Healthfirst PHSP, Inc. 15071

Year 2017

Year 2018

HealthNow New York, Inc. 55204

Year 2017

Year 2018

Independent Health Association, Inc. 95308

Year 2017

Year 2018

Independent Health Benefits Corporation 47034

Year 2017

Year 2018

MetroPlus Health Plan 95546

Year 2017

Year 2018

Molina Healthcare of New York, Inc. N6676

Year 2017

Year 2018

MVP Health Plan, Inc. 95521

Year 2017

Year 2018

MVP Health Services Corporation 47062

Year 2017

Year 2018

Nippon Life Insurance Company of America 81264

Year 2017

Year 2018

Oscar Insurance Corporation 15281

Year 2017

Year 2018

Oxford Health Insurance, Inc. 78026

Year 2017

Year 2018

Unitedhealthcare Insurance Company of New York 95085

Year 2017

Year 2018

Unitedhealthcare of New York, Inc. 60093

Year 2017

Year 2018

WellFleet (formerly Atlanta International Insurance Company) 20931

Year 2017

Year 2018