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- videocam Live Webinar with Live Q&A
- calendar_month October 27, 2026 @ 1:00 PM ET/10:00 AM PT
- signal_cellular_alt Intermediate
- card_travel ERISA
- schedule 90 minutes
Mental Health Parity Compliance and New DOL Enforcement Guidance
Identifying Red Flags, Monitoring Practices, and Corrective Actions for Employers
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About the Course
Introduction
This CLE webinar will provide a comprehensive overview of the Mental Health Parity and Addiction Equity Act (MHPAEA), the non-quantitative treatment limit (NQTL) requirements, and recently released DOL guidance and primary areas of focus for MHPAEA enforcement actions. The panel will discuss the impact on covered entities and offer best practices for compliance.
Description
The requirements of the MHPAEA and DOL enforcement actions provide significant challenges for plan sponsors in ensuring that their health plans remain compliant. In addition to the strict requirements under the MHPAEA, health plans providing mental health and substance use disorder (MH/SUD) benefits must ensure compliance with CAA requirements and IRS and DOL regulations.
On Sept. 8, 2026, the DOL issued guidance for mental health parity compliance and enforcement actions against employers focused on (1) separate treatment limitations and exclusions, (2) medical necessity standards and review processes, and (3) network adequacy, provider admissions, and reimbursement practices. In addition, the guidance includes a list of potential red flags for employers and administrators when reviewing plans and benefits.
Benefits counsel and advisers must address the risks to plan sponsors and insurers by reassessing current health plans, adhering to the MHPAEA rules and disclosure obligations under ERISA, performing and documenting comparative analysis of the design and application of NQTLs as required by the final rules, and other issues that result in DOL audits or class action lawsuits.
Listen as our panel discusses the legal requirements of the parity rules, NQTL requirements, ERISA disclosure requirements, DOL enforcement of parity violations, and techniques for handling DOL health plan audits and plaintiff lawsuits.
Presented By
Mr. Barlament is a shareholder and member of Reinhart's Employee Benefits Practice. He practices in all areas of employee benefits law, but with a focus on health and welfare plan matters. Mr. Barlament is nationally recognized in this area and works with clients around the country. He counsels employers, plan fiduciaries, multiemployer plans, pharmacy benefit managers, insurers, insurance brokers, third-party administrators and other plan service providers on a range of employee benefit matters. Mr. Barlament's clients rely on him for innovative, proactive strategies related to employee benefit laws, including ERISA, HIPAA, the Affordable Care Act, the Consolidated Appropriations Act, the Mental Health Parity and Addiction Equity Act and others.
Ms. Campbell is a Health and Welfare Practice Leader. She advises clients on all aspects of the Affordable Care Act (ACA), including the insurance market reforms, qualified health plan standards, exchange rules, consumer assistance programs for the federal marketplace, and ACA section 1557 nondiscrimination rules. Ms. Campbell also works with clients on the Federal Mental Health Parity and Addiction Equity Act (MHPAEA), state insurance law, and Medicare and Medicaid. She represents health insurance companies, employers, consultants, and trade associations on federal and state laws regulating health coverage. Ms. Campbell also provides advice on advocacy with federal and state agencies, compliance programs, government enforcement, and regulatory initiatives. She is the former Director of the Compliance and Enforcement Division for the Oversight Group at the Center for Consumer Information and Insurance Oversight (CCIIO) at the Department of Health & Human Services (HHS), and immediately prior to joining Groom, she was the Group Director for the Consumer Support Group at CCIIO. In her positions at HHS, Ms. Campbell worked closely with all key stakeholders, including health insurance companies, state insurance regulators, the Departments of Labor and the Treasury, trade associations, and consumer groups.
Ms. Hobbs focuses her practice on a variety of employee benefit and executive compensation matters. She advises clients on a wide range of employee benefits issues, including the design and implementation of qualified retirement plans, health and welfare plans, and equity compensation arrangements. Ms. Hobbs helps clients navigate the complex legal and regulatory issues relating to the Employee Retirement Income Security Act (ERISA); Patient Protection and Affordable Care Act (ACA); Health Insurance Portability and Accountability Act (HIPAA); Consolidated Omnibus Budget Reconciliation Act (COBRA); and relevant sections of the Internal Revenue Code, including Sections 162(m), 280G and 409A.
Ms. Summers practice focuses on all aspects of labor, employment, and employee benefit matters. She gained invaluable experience as a federal law clerk for the Honorable Roger L. Wollman of the U.S. Court of Appeals for the Eighth Circuit and uses that insight to aid clients through her litigation practice.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Live Online
On Demand
Date + Time
- event
Tuesday, October 27, 2026
- schedule
1:00 PM ET/10:00 AM PT
I. Overview of MHPAEA requirements and exceptions for plans providing MH/SUD benefits
II. Comparative analysis requirements and other rules
III. New DOL guidance for parity compliance enforcement and handling health plan audits
IV. Best practices for conducting internal audits of group health plans for MHPAEA compliance
The panel will review these and other crucial questions:
- MHPAEA legal requirements for plans providing MH/SUD benefits
- New DOL guidance on MHPAEA compliance, implementation, and enforcement
- Rules for comparative analysis requirements for NQTLs
- ERISA disclosure requirements for health plans providing MH/SUD benefits
- DOL compliance enforcement and handling health plan audits
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