OIC Answers on Insurance

How do you enforce mental health parity?

April 20, 2026·23 min
Episode Description from the Publisher

Over the last year or so, the Office of the Insurance Commissioner has fined three large health insurance companies (Regence, Premera and Kaiser) a total of $1.4 million dollars for violations of the Mental Health Parity and Addiction Equity Act. But what exactly are those violations? How does the MHPAEA work? What do health insurers have to do to stay within the law? On this episode of OIC Answers, Karen Brooks from the OIC’s Company Supervision team and Will Genschow from Legal Affairs dive into the minutia of enforcement orders and data analyses, the difference between quantitative and non-quantitative treatment limitations, how to settle on a fine amount, and what mental health parity means for people seeking treatment.

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