Mental Health and Substance Use Disorder Parity Reports

Insurance Law § 343 requires insurers to submit a biennial Mental Health and Substance Use Disorder Parity Report (“Parity Report”) 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.  Each Parity Report spans a two year period and includes the following information: (1) Total number of insureds who received mental health and substance use disorder services and medical or surgical services; (2) Total number of claims received for mental health and substance use disorder services and medical or surgical services; (3) Rates of approvals and denials for inpatient and outpatient mental health and substance use disorder services, including emergency care and prescription drugs; (4) Number of retrospective, prior authorization and continuing care medical necessity reviews for mental health and substance use disorder treatment compared to the rates for medical and surgical services; (5) Rates of appeals and denials for mental health and substance use disorder treatment compared to the rates for medical and surgical services; (6) Percentage of claims paid for mental health and substance use disorder services compared to the rates for medical and surgical services; (7) Number of staff available to help members with mental health and substance use disorder benefits compared to the number of staff available to help members with medical or surgical benefits; (8) Cost-sharing requirements and benefit limitations for mental health and substance use disorder treatment as compared to medical and surgical services; (9) Number of mental health and substance use disorder providers in the provider network at the start of the reporting period; (10) Number of mental health and substance use disorder providers at the end of the reporting period; (11) Number of mental health and substance use disorder providers who joined the provider network during the reporting period; (12) Number of mental health and substance use disorder providers who left the provider network during the reporting period; (13) Number of mental health and substance use disorder providers who remained in the provider network at the end of the reporting period; (14) Percentage of mental health and substance use disorder providers who did not remain participating providers at the end of the reporting period; (15) Number of external appeals filed and closed for mental health and substance use disorder treatment compared to medical and surgical treatment; (16) Number and percentage of denials upheld on external appeal.

The 2019-2020 Parity Reports submitted by insurers are posted below in the form in which they were received.  If you have any questions about these reports or for information about how to access previously published reports from 2017-2018, please contact us at [email protected].

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

Company Name

NAIC #

Report Links

4 Ever Life Insurance Company

80985

Year 2019
Year 2020

Aetna Health Insurance Company of New York

84450

Year 2020

Aetna Life Insurance Company

60054

Year 2019
Year 2020

Affinity Health Plan

15017

Year 2019
Year 2020

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

95491

Year 2019
Year 2020

CDPHP Universal Benefits, Inc.

47027

Year 2019
Year 2020

Cigna Health and Life Insurance Company

67369

Year 2019
Year 2020

Commercial Travelers Life Insurance Company

81426

Year 2019

Connecticut General Life Insurance Company (Cigna)

62308

Year 2019
Year 2020

Empire Healthchoice Assurance, Inc.

55093

Year 2019
Year 2020

Empire Healthchoice HMO, Inc.

95433

Year 2019
Year 2020

Excellus Health Plan, Inc.

55107

Year 2019
Year 2020

Excellus Health Plan, Inc. (HMO)

x4289

Year 2019
Year 2020

Fidelis Care New York

16352

Year 2019
Year 2020

Group Health Incorporated (GHI)

55239

Year 2019
Year 2020

HIP Insurance Company of New York

60094

Year 2019
Year 2020

Health Insurance Plan of Greater NY (HIP)

55247

Year 2019
Year 2020

Healthfirst Health Plan, Inc.

95284

Year 2019
Year 2020

Healthfirst Insurance Company, Inc.

16031

Year 2019
Year 2020

Healthfirst PHSP, Inc.

15071

Year 2019
Year 2020

Highmark Western and Northeastern New York, Inc. (formerly HealthNow New York, Inc.)

55204

Year 2019
Year 2020

HealthPlus HP, LLC

16574

Year 2019
Year 2020

Independent Health Association, Inc.

95308

Year 2019
Year 2020

Independent Health Benefits Corporation

47034

Year 2019
Year 2020

MetroPlus Health Plan

95546

Year 2019
Year 2020

Molina Healthcare of New York, Inc.

15799

Year 2019
Year 2020

MVP Health Plan, Inc.

95521

Year 2019
Year 2020

MVP Health Services Corporation

47062

Year 2019
Year 2020

Nippon Life Insurance Company of America

81264

Year 2019
Year 2020

Oscar Health, Inc.

52411

Year 2019
Year 2020

Oxford Health Insurance, Inc.

78026

Year 2019
Year 2020

UnitedHealthcare Insurance Company of New York

60093

Year 2019
Year 2020

UnitedHealthcare of New York, Inc.

95085

Year 2019
Year 2020

Wellfleet New York Insurance Company
(formerly Atlanta International Insurance Company)

20931

Year 2019
Year 2020