Mental health insurer guideline ruling may become national template

Workplace Issues

By Mark D. DeBofsky

Mark D. DeBofsky is a name partner of DeBofsky, Sherman & Casciari P.C. He handles civil and appellate litigation involving employee benefits, disability insurance and other insurance claims and coverage, and Social Security law. He can be reached at mdebofsky@debofsky.com.

Posted March 19, 2019 4:09 PM

Over the past several years, many health insurers have adopted coverage and level of care guidelines in an effort to provide consistency in determining insurance coverage for mental health treatment. A recent ruling in a class action in California addressed whether the guidelines utilized by a major health insurer met generally accepted standards of care.In Wit v. United Behavioral Health, 2019 WL 1033730, 2019 U.S. Dist. LEXIS 35205 (N.D. Calif., March 5, 2019), the court ruled following a 10-day bench trial that United …

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