Types of insurance mental health parity covers and who enforces it

Several federal and state agencies oversee rules about equal coverage for mental health care. The agency in charge depends on the type of plan.

A chart that shows types of health plans and who enforces each plan's equal coverage rules for mental health care.
Plan type	Who enforces parity?
Individual/family plan	Washington state Office of the Insurance Commissioner
Fully insured large group	Washington state Office of the Insurance Commissioner
Fully insured small group	Washington state Office of the Insurance Commissioner
Apple Health (Medicaid)	Washington state Health Care Authority Medicaid
Employer-funded	U.S. Dept. of Labor
State and local government employer-funded	Centers for Medicare & Medicaid Center for Consumer Information and Insurance Oversight

Equal coverage rules for mental health care don't apply to:

Learn how health insurance works

Health insurance helps pay your medical bills when you seek care. Knowing what your options are can help save you time, money and frustration.

Learn about your mental health and substance use disorder (also referred to as behavioral health issues) coverage rights and how to get help.