Section 9812 of the Code requires
group health plans maintained by an employer with more than 50
employees to disclose upon request to participants and
beneficiaries of the plan the medical necessity criteria used in
making decisions regarding claims for benefits under the
plan.
US Code:
26
USC 9812 Name of Law: Parity in the application of certain
limits to mental health benefits
PL:
Pub.L. 110 - 343 511 Name of Law: Paul Wellstone and Pete
Domenici Mental Health Parity and Addicition Equity Act of 2008
The increase in hour burden is
associated with the ICRs related to the new draft model disclosure
request form the Department is issuing in order to meet the
MHPAEA-related requirements in the 21st Century Cures Act.
$0
No
Yes
No
No
No
No
Uncollected
Jennifer Solomon 202 317-5500
jennifer.r.solomon@irscounsel.treas.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.