Mental Health Parity Cost Report

DATE: June 29, 2001 RE: Mental Health Parity Cost Report Pursuant to Section 27-54-6 of the Code of Alabama (1975), enclosed please find the pro forma form promulgated by the Department of Insurance to obtain cost data in respect of mental health benefits provided under group health benefit plans issued in Alabama. This report is to be completed and provided to the Department of Insurance at the address indicated below by April 30th following the calendar year for which the report is made. The first report is required to be filed by April 30, 2002, and will contain information relative to calendar year 2001. The report is to be completed in respect to Alabama business only. Copies of the report format should be made and retained by the company since annual mailings of the pro forma form will not be made. Please return the completed form by April 30, 2002, to: Mrs. Judy Halse Alabama Department of Insurance 201 Monroe Street, Suite 502 Montgomery, AL 36130-3351. Mental Parity Form, Excel Format Mental Parity Form, PDF Format