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Health Benefits Advisor for Employers

Determining Compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA) and Mental Health Parity Act (MHPA) Provisions in Part 7 of ERISA

Does the plan comply with the mental health parity provisions for lifetime dollar limits on mental health benefits?

A plan may not impose a lifetime dollar limit on mental health/substance use disorder benefits that is lower than the lifetime dollar limit imposed on medical/ surgical benefits. See 29 CFR 2590.712(b). (Only limits on what the plan is willing to pay are taken into account.)