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MHP AEA Summary FormMHPAEA Summary Form Instructions
The below summary form is prepared to satisfy the requirements of 15144 (m)(2), Insurance Article, Annotated Code of Maryland.
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Who needs nqtl disclosure form?
01
Individuals or entities who are required to disclose their nqtl (non-quantitative treatment limitation) policies or practices.
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What is nqtl disclosure form?
NQTL disclosure form stands for Quantitative Treatment Limitation disclosure form.
Who is required to file nqtl disclosure form?
Health insurance issuers and group health plans subject to the Mental Health Parity and Addiction Equity Act are required to file NQTL disclosure form.
How to fill out nqtl disclosure form?
NQTL disclosure form can be filled out electronically through the Department of Labor's website or by submitting a paper form to the appropriate regulatory agency.
What is the purpose of nqtl disclosure form?
The purpose of the NQTL disclosure form is to provide transparency regarding non-quantitative treatment limitations imposed by health insurance issuers and group health plans.
What information must be reported on nqtl disclosure form?
The NQTL disclosure form requires information on the specific NQTLs applied to mental health and substance use disorder benefits, as well as the processes and evidentiary standards used to develop and apply these limitations.
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